Management of patients with newly-diagnosed atrial fibrillation: Insights from the BALKAN-AF survey.
Identifieur interne : 000242 ( Main/Exploration ); précédent : 000241; suivant : 000243Management of patients with newly-diagnosed atrial fibrillation: Insights from the BALKAN-AF survey.
Auteurs : Monika Kozieł [Royaume-Uni, Pologne] ; Stefan Simovic [Serbie] ; Nikola Pavlovic [Croatie] ; Milan Nedeljkovic [Serbie] ; Vilma Paparisto [Albanie] ; Ljilja Music [Monténégro] ; Evgenii Goshev [Bulgarie] ; Anca Rodica Dan [Roumanie] ; Sime Manola [Croatie] ; Zumreta Kusljugic [Bosnie-Herzégovine] ; Elina Trendafilova [Bulgarie] ; Dobromir Dobrev [Allemagne] ; Gheorghe-Andrei Dan [Roumanie] ; Gregory Y H. Lip [Royaume-Uni, Pologne, Serbie, Danemark] ; Tatjana S. Potpara [Serbie]Source :
- International journal of cardiology. Heart & vasculature [ 2352-9067 ] ; 2020.
Abstract
Background
BALKAN-AF evaluated patterns of atrial fibrillation (AF) management in real-world clinical practice in the Balkans. The objectives were: to assess the proportion of patients with first-diagnosed AF in the BALKAN-AF cohort and to compare the management of patients with newly-diagnosed AF and those with previously known AF in clinical practice.
Methods
Consecutive patients from 7 Balkan countries were enrolled prospectively to the snapshot BALKAN-AF survey.
Results
Of 2712 enrolled patients, 2677 (98.7%) with complete data were included. 631 (23.6%) patients had newly-diagnosed AF and 2046 (76.4%) patients had known AF. Patients with newly-diagnosed AF were more likely to be hospitalized for AF and to receive single antiplatelet therapy (SAPT) alone and less likely to receive OACs than those with known AF (all p < 0.001). The use of OAC was not significantly associated with the CHA
Conclusions
In BALKAN-AF survey, patients with newly-diagnosed AF were more often hospitalized, less often received OAC and were more likely to receive SAPT alone. The use of OAC for stroke prevention has not been driven by the individual patient stroke risk.
DOI: 10.1016/j.ijcha.2019.100461
PubMed: 32140551
PubMed Central: PMC7046541
Affiliations:
- Albanie, Allemagne, Bosnie-Herzégovine, Bulgarie, Croatie, Danemark, Monténégro, Pologne, Roumanie, Royaume-Uni, Serbie
- Jutland du Nord, Sofia-ville (oblast)
- Aalborg, Sofia
- Université d'Aalborg
Links toward previous steps (curation, corpus...)
Le document en format XML
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xml:lang="fr">Pologne</country><wicri:regionArea>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze</wicri:regionArea><wicri:noRegion>Zabrze</wicri:noRegion></affiliation></author><author><name sortKey="Simovic, Stefan" sort="Simovic, Stefan" uniqKey="Simovic S" first="Stefan" last="Simovic">Stefan Simovic</name><affiliation wicri:level="1"><nlm:affiliation>Cardiology Clinic, University Clinical Center of Kragujevac, Kragujevac, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>Cardiology Clinic, University Clinical Center of Kragujevac, Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Pavlovic, Nikola" sort="Pavlovic, Nikola" uniqKey="Pavlovic N" first="Nikola" last="Pavlovic">Nikola Pavlovic</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Center Sestre Milosrdnice, Zagreb, 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Podgorica</wicri:regionArea><wicri:noRegion>Podgorica</wicri:noRegion></affiliation></author><author><name sortKey="Goshev, Evgenii" sort="Goshev, Evgenii" uniqKey="Goshev E" first="Evgenii" last="Goshev">Evgenii Goshev</name><affiliation wicri:level="3"><nlm:affiliation>National Heart Hospital, Coronary Care Unit, Sofia, Bulgaria.</nlm:affiliation><country xml:lang="fr">Bulgarie</country><wicri:regionArea>National Heart Hospital, Coronary Care Unit, Sofia</wicri:regionArea><placeName><settlement type="city">Sofia</settlement><region nuts="2">Sofia-ville (oblast)</region></placeName></affiliation></author><author><name sortKey="Dan, Anca Rodica" sort="Dan, Anca Rodica" uniqKey="Dan A" first="Anca Rodica" last="Dan">Anca Rodica Dan</name><affiliation wicri:level="1"><nlm:affiliation>Colentina University Hospital, Cardiology Department, Bucharest, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Colentina University Hospital, Cardiology Department, Bucharest</wicri:regionArea><wicri:noRegion>Bucharest</wicri:noRegion></affiliation></author><author><name sortKey="Manola, Sime" sort="Manola, Sime" uniqKey="Manola S" first="Sime" last="Manola">Sime Manola</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Center Sestre Milosrdnice, Zagreb, Croatia.</nlm:affiliation><country xml:lang="fr">Croatie</country><wicri:regionArea>Clinical Center Sestre Milosrdnice, Zagreb</wicri:regionArea><wicri:noRegion>Zagreb</wicri:noRegion></affiliation></author><author><name sortKey="Kusljugic, Zumreta" sort="Kusljugic, Zumreta" uniqKey="Kusljugic Z" first="Zumreta" last="Kusljugic">Zumreta Kusljugic</name><affiliation wicri:level="1"><nlm:affiliation>Clinic of Internal Medicine, Cardiology Department, University Clinical Center Tuzla, Medical Faculty, Tuzla, Bosnia and Herzegovina.</nlm:affiliation><country xml:lang="fr">Bosnie-Herzégovine</country><wicri:regionArea>Clinic of Internal Medicine, Cardiology Department, University Clinical 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xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Pharmacology, West German Heart and Vascular Center, University Duisburg-Essen, Essen</wicri:regionArea><wicri:noRegion>Essen</wicri:noRegion><wicri:noRegion>Essen</wicri:noRegion><wicri:noRegion>Essen</wicri:noRegion></affiliation></author><author><name sortKey="Dan, Gheorghe Andrei" sort="Dan, Gheorghe Andrei" uniqKey="Dan G" first="Gheorghe-Andrei" last="Dan">Gheorghe-Andrei Dan</name><affiliation wicri:level="1"><nlm:affiliation>Medicine University "Carol Davila", Colentina University Hospital, Bucharest, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Medicine University "Carol Davila", Colentina University Hospital, Bucharest</wicri:regionArea><wicri:noRegion>Bucharest</wicri:noRegion></affiliation></author><author><name sortKey="Lip, Gregory Y H" sort="Lip, Gregory Y H" uniqKey="Lip G" first="Gregory Y H" last="Lip">Gregory Y H. Lip</name><affiliation wicri:level="1"><nlm:affiliation>Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze</wicri:regionArea><wicri:noRegion>Zabrze</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Belgrade University, Belgrade, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>School of Medicine, Belgrade University, Belgrade</wicri:regionArea><wicri:noRegion>Belgrade</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg</wicri:regionArea><orgName type="university">Université d'Aalborg</orgName><placeName><settlement type="city">Aalborg</settlement><region nuts="2" type="region">Jutland du Nord</region></placeName></affiliation></author><author><name sortKey="Potpara, Tatjana S" sort="Potpara, Tatjana S" uniqKey="Potpara T" first="Tatjana S" last="Potpara">Tatjana S. Potpara</name><affiliation wicri:level="1"><nlm:affiliation>Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>Cardiology Clinic, Clinical Center of Serbia, Belgrade</wicri:regionArea><wicri:noRegion>Belgrade</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Belgrade University, Belgrade, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>School of Medicine, Belgrade University, Belgrade</wicri:regionArea><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32140551</idno><idno type="pmid">32140551</idno><idno type="doi">10.1016/j.ijcha.2019.100461</idno><idno type="pmc">PMC7046541</idno><idno type="wicri:Area/Main/Corpus">000310</idno><idno type="wicri:explorRef" wicri:stream="Main" 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Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze</wicri:regionArea><wicri:noRegion>Zabrze</wicri:noRegion></affiliation></author><author><name sortKey="Simovic, Stefan" sort="Simovic, Stefan" uniqKey="Simovic S" first="Stefan" last="Simovic">Stefan Simovic</name><affiliation wicri:level="1"><nlm:affiliation>Cardiology Clinic, University Clinical Center of Kragujevac, Kragujevac, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>Cardiology Clinic, University Clinical Center of Kragujevac, Kragujevac</wicri:regionArea><wicri:noRegion>Kragujevac</wicri:noRegion></affiliation></author><author><name sortKey="Pavlovic, Nikola" sort="Pavlovic, Nikola" uniqKey="Pavlovic N" first="Nikola" last="Pavlovic">Nikola Pavlovic</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Center Sestre Milosrdnice, Zagreb, Croatia.</nlm:affiliation><country xml:lang="fr">Croatie</country><wicri:regionArea>Clinical Center Sestre Milosrdnice, Zagreb</wicri:regionArea><wicri:noRegion>Zagreb</wicri:noRegion></affiliation></author><author><name sortKey="Nedeljkovic, Milan" sort="Nedeljkovic, Milan" uniqKey="Nedeljkovic M" first="Milan" last="Nedeljkovic">Milan Nedeljkovic</name><affiliation wicri:level="1"><nlm:affiliation>Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>Cardiology Clinic, Clinical Center of Serbia, Belgrade</wicri:regionArea><wicri:noRegion>Belgrade</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Belgrade University, Belgrade, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>School of Medicine, Belgrade University, Belgrade</wicri:regionArea><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author><author><name sortKey="Paparisto, Vilma" sort="Paparisto, Vilma" uniqKey="Paparisto V" first="Vilma" last="Paparisto">Vilma Paparisto</name><affiliation wicri:level="1"><nlm:affiliation>Clinic of Cardiology, University Hospital Center Mother Theresa, Tirana, Albania.</nlm:affiliation><country xml:lang="fr">Albanie</country><wicri:regionArea>Clinic of Cardiology, University Hospital Center Mother Theresa, Tirana</wicri:regionArea><wicri:noRegion>Tirana</wicri:noRegion></affiliation></author><author><name sortKey="Music, Ljilja" sort="Music, Ljilja" uniqKey="Music L" first="Ljilja" last="Music">Ljilja Music</name><affiliation wicri:level="1"><nlm:affiliation>Cardiology Clinic, University Clinical Center of Montenegro, University of Podgorica, Medical Faculty, Podgorica, Montenegro.</nlm:affiliation><country xml:lang="fr">Monténégro</country><wicri:regionArea>Cardiology Clinic, University Clinical Center of Montenegro, University of Podgorica, Medical Faculty, Podgorica</wicri:regionArea><wicri:noRegion>Podgorica</wicri:noRegion></affiliation></author><author><name sortKey="Goshev, Evgenii" sort="Goshev, Evgenii" uniqKey="Goshev E" first="Evgenii" last="Goshev">Evgenii Goshev</name><affiliation wicri:level="3"><nlm:affiliation>National Heart Hospital, Coronary Care Unit, Sofia, Bulgaria.</nlm:affiliation><country xml:lang="fr">Bulgarie</country><wicri:regionArea>National Heart Hospital, Coronary Care Unit, Sofia</wicri:regionArea><placeName><settlement type="city">Sofia</settlement><region nuts="2">Sofia-ville (oblast)</region></placeName></affiliation></author><author><name sortKey="Dan, Anca Rodica" sort="Dan, Anca Rodica" uniqKey="Dan A" first="Anca Rodica" last="Dan">Anca Rodica Dan</name><affiliation wicri:level="1"><nlm:affiliation>Colentina University Hospital, Cardiology Department, Bucharest, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Colentina University Hospital, Cardiology Department, Bucharest</wicri:regionArea><wicri:noRegion>Bucharest</wicri:noRegion></affiliation></author><author><name sortKey="Manola, Sime" sort="Manola, Sime" uniqKey="Manola S" first="Sime" last="Manola">Sime Manola</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Center Sestre Milosrdnice, Zagreb, Croatia.</nlm:affiliation><country xml:lang="fr">Croatie</country><wicri:regionArea>Clinical Center Sestre Milosrdnice, Zagreb</wicri:regionArea><wicri:noRegion>Zagreb</wicri:noRegion></affiliation></author><author><name sortKey="Kusljugic, Zumreta" sort="Kusljugic, Zumreta" uniqKey="Kusljugic Z" first="Zumreta" last="Kusljugic">Zumreta Kusljugic</name><affiliation wicri:level="1"><nlm:affiliation>Clinic of Internal Medicine, Cardiology Department, University Clinical Center Tuzla, Medical Faculty, Tuzla, Bosnia and Herzegovina.</nlm:affiliation><country xml:lang="fr">Bosnie-Herzégovine</country><wicri:regionArea>Clinic of Internal Medicine, Cardiology Department, University Clinical Center Tuzla, Medical Faculty, Tuzla</wicri:regionArea><wicri:noRegion>Tuzla</wicri:noRegion></affiliation></author><author><name sortKey="Trendafilova, Elina" sort="Trendafilova, Elina" uniqKey="Trendafilova E" first="Elina" last="Trendafilova">Elina Trendafilova</name><affiliation wicri:level="3"><nlm:affiliation>National Heart Hospital, Coronary Care Unit, Sofia, Bulgaria.</nlm:affiliation><country xml:lang="fr">Bulgarie</country><wicri:regionArea>National Heart Hospital, Coronary Care Unit, Sofia</wicri:regionArea><placeName><settlement type="city">Sofia</settlement><region nuts="2">Sofia-ville (oblast)</region></placeName></affiliation></author><author><name sortKey="Dobrev, Dobromir" sort="Dobrev, Dobromir" uniqKey="Dobrev D" first="Dobromir" last="Dobrev">Dobromir Dobrev</name><affiliation wicri:level="1"><nlm:affiliation>Institute of Pharmacology, West German Heart and Vascular Center, University Duisburg-Essen, Essen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institute of Pharmacology, West German Heart and Vascular Center, University Duisburg-Essen, Essen</wicri:regionArea><wicri:noRegion>Essen</wicri:noRegion><wicri:noRegion>Essen</wicri:noRegion><wicri:noRegion>Essen</wicri:noRegion></affiliation></author><author><name sortKey="Dan, Gheorghe Andrei" sort="Dan, Gheorghe Andrei" uniqKey="Dan G" first="Gheorghe-Andrei" last="Dan">Gheorghe-Andrei Dan</name><affiliation wicri:level="1"><nlm:affiliation>Medicine University "Carol Davila", Colentina University Hospital, Bucharest, Romania.</nlm:affiliation><country xml:lang="fr">Roumanie</country><wicri:regionArea>Medicine University "Carol Davila", Colentina University Hospital, Bucharest</wicri:regionArea><wicri:noRegion>Bucharest</wicri:noRegion></affiliation></author><author><name sortKey="Lip, Gregory Y H" sort="Lip, Gregory Y H" uniqKey="Lip G" first="Gregory Y H" last="Lip">Gregory Y H. Lip</name><affiliation wicri:level="1"><nlm:affiliation>Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool</wicri:regionArea><wicri:noRegion>Liverpool</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze</wicri:regionArea><wicri:noRegion>Zabrze</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Belgrade University, Belgrade, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>School of Medicine, Belgrade University, Belgrade</wicri:regionArea><wicri:noRegion>Belgrade</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.</nlm:affiliation><country xml:lang="fr">Danemark</country><wicri:regionArea>Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg</wicri:regionArea><orgName type="university">Université d'Aalborg</orgName><placeName><settlement type="city">Aalborg</settlement><region nuts="2" type="region">Jutland du Nord</region></placeName></affiliation></author><author><name sortKey="Potpara, Tatjana S" sort="Potpara, Tatjana S" uniqKey="Potpara T" first="Tatjana S" last="Potpara">Tatjana S. Potpara</name><affiliation wicri:level="1"><nlm:affiliation>Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>Cardiology Clinic, Clinical Center of Serbia, Belgrade</wicri:regionArea><wicri:noRegion>Belgrade</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>School of Medicine, Belgrade University, Belgrade, Serbia.</nlm:affiliation><country xml:lang="fr">Serbie</country><wicri:regionArea>School of Medicine, Belgrade University, Belgrade</wicri:regionArea><wicri:noRegion>Belgrade</wicri:noRegion></affiliation></author></analytic><series><title level="j">International journal of cardiology. Heart & vasculature</title><idno type="ISSN">2352-9067</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>BALKAN-AF evaluated patterns of atrial fibrillation (AF) management in real-world clinical practice in the Balkans. The objectives were: to assess the proportion of patients with first-diagnosed AF in the BALKAN-AF cohort and to compare the management of patients with newly-diagnosed AF and those with previously known AF in clinical practice.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>Consecutive patients from 7 Balkan countries were enrolled prospectively to the snapshot BALKAN-AF survey.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Of 2712 enrolled patients, 2677 (98.7%) with complete data were included. 631 (23.6%) patients had newly-diagnosed AF and 2046 (76.4%) patients had known AF. Patients with newly-diagnosed AF were more likely to be hospitalized for AF and to receive single antiplatelet therapy (SAPT) alone and less likely to receive OACs than those with known AF (all p < 0.001). The use of OAC was not significantly associated with the CHA</p></div><div type="abstract" xml:lang="en"><p><b>Conclusions</b></p><p>In BALKAN-AF survey, patients with newly-diagnosed AF were more often hospitalized, less often received OAC and were more likely to receive SAPT alone. The use of OAC for stroke prevention has not been driven by the individual patient stroke risk.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32140551</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2352-9067</ISSN><JournalIssue CitedMedium="Print"><Volume>26</Volume><PubDate><Year>2020</Year><Month>Feb</Month></PubDate></JournalIssue><Title>International journal of cardiology. Heart & vasculature</Title><ISOAbbreviation>Int J Cardiol Heart Vasc</ISOAbbreviation></Journal><ArticleTitle>Management of patients with newly-diagnosed atrial fibrillation: Insights from the BALKAN-AF survey.</ArticleTitle><Pagination><MedlinePgn>100461</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijcha.2019.100461</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">BALKAN-AF evaluated patterns of atrial fibrillation (AF) management in real-world clinical practice in the Balkans. The objectives were: to assess the proportion of patients with first-diagnosed AF in the BALKAN-AF cohort and to compare the management of patients with newly-diagnosed AF and those with previously known AF in clinical practice.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">Consecutive patients from 7 Balkan countries were enrolled prospectively to the snapshot BALKAN-AF survey.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Of 2712 enrolled patients, 2677 (98.7%) with complete data were included. 631 (23.6%) patients had newly-diagnosed AF and 2046 (76.4%) patients had known AF. Patients with newly-diagnosed AF were more likely to be hospitalized for AF and to receive single antiplatelet therapy (SAPT) alone and less likely to receive OACs than those with known AF (all p < 0.001). The use of OAC was not significantly associated with the CHA<sub>2</sub>DS<sub>2</sub>-VASc (p = 0.624) or HAS-BLED score (p = 0.225) on univariate analysis. Treatment in capital city, hypertension, dilated cardiomyopathy, mitral valve disease, country of residence or rate control strategy were independent predictors of OAC use, whilst non-emergency centre, treatment by cardiologist, paroxysmal AF, palpitations, symptoms attributable to AF (as judged by physician), mean heart rate and AF as the main reason for hospitalization were independent predictors of rhythm control strategy use.</AbstractText><AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">In BALKAN-AF survey, patients with newly-diagnosed AF were more often hospitalized, less often received OAC and were more likely to receive SAPT alone. The use of OAC for stroke prevention has not been driven by the individual patient stroke risk.</AbstractText><CopyrightInformation>© 2019 The Authors.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kozieł</LastName><ForeName>Monika</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, United Kingdom.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Simovic</LastName><ForeName>Stefan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cardiology Clinic, University Clinical Center of Kragujevac, Kragujevac, Serbia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pavlovic</LastName><ForeName>Nikola</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Clinical Center Sestre Milosrdnice, Zagreb, Croatia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nedeljkovic</LastName><ForeName>Milan</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Medicine, Belgrade University, Belgrade, Serbia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paparisto</LastName><ForeName>Vilma</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Clinic of Cardiology, University Hospital Center Mother Theresa, Tirana, Albania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Music</LastName><ForeName>Ljilja</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Cardiology Clinic, University Clinical Center of Montenegro, University of Podgorica, Medical Faculty, Podgorica, Montenegro.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Goshev</LastName><ForeName>Evgenii</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>National Heart Hospital, Coronary Care Unit, Sofia, Bulgaria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dan</LastName><ForeName>Anca Rodica</ForeName><Initials>AR</Initials><AffiliationInfo><Affiliation>Colentina University Hospital, Cardiology Department, Bucharest, Romania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Manola</LastName><ForeName>Sime</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Clinical Center Sestre Milosrdnice, Zagreb, Croatia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kusljugic</LastName><ForeName>Zumreta</ForeName><Initials>Z</Initials><AffiliationInfo><Affiliation>Clinic of Internal Medicine, Cardiology Department, University Clinical Center Tuzla, Medical Faculty, Tuzla, Bosnia and Herzegovina.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Trendafilova</LastName><ForeName>Elina</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>National Heart Hospital, Coronary Care Unit, Sofia, Bulgaria.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dobrev</LastName><ForeName>Dobromir</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Institute of Pharmacology, West German Heart and Vascular Center, University Duisburg-Essen, Essen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dan</LastName><ForeName>Gheorghe-Andrei</ForeName><Initials>GA</Initials><AffiliationInfo><Affiliation>Medicine University "Carol Davila", Colentina University Hospital, Bucharest, Romania.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lip</LastName><ForeName>Gregory Y H</ForeName><Initials>GYH</Initials><AffiliationInfo><Affiliation>Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, United Kingdom.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Cardiology, Congenital Heart Diseases and Electrotherapy, Medical University of Silesia, Silesian Centre for Heart Diseases, Zabrze, Poland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Medicine, Belgrade University, Belgrade, Serbia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Potpara</LastName><ForeName>Tatjana S</ForeName><Initials>TS</Initials><AffiliationInfo><Affiliation>Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>School of Medicine, Belgrade University, Belgrade, Serbia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>BALKAN-AF investigators</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>12</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>Ireland</Country><MedlineTA>Int J Cardiol Heart Vasc</MedlineTA><NlmUniqueID>101649525</NlmUniqueID><ISSNLinking>2352-9067</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Int J Cardiol Heart Vasc. 2020 Jan 29;26:100473</RefSource><PMID Version="1">32142061</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Atrial fibrillation</Keyword><Keyword MajorTopicYN="N">BALKAN-AF survey</Keyword><Keyword MajorTopicYN="N">First-diagnosed atrial fibrillation</Keyword><Keyword MajorTopicYN="N">Oral anticoagulants</Keyword><Keyword MajorTopicYN="N">Rate control</Keyword><Keyword MajorTopicYN="N">Rhythm control</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>12</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>12</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>7</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId 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Lip</name><name sortKey="Nedeljkovic, Milan" sort="Nedeljkovic, Milan" uniqKey="Nedeljkovic M" first="Milan" last="Nedeljkovic">Milan Nedeljkovic</name><name sortKey="Nedeljkovic, Milan" sort="Nedeljkovic, Milan" uniqKey="Nedeljkovic M" first="Milan" last="Nedeljkovic">Milan Nedeljkovic</name><name sortKey="Potpara, Tatjana S" sort="Potpara, Tatjana S" uniqKey="Potpara T" first="Tatjana S" last="Potpara">Tatjana S. Potpara</name><name sortKey="Potpara, Tatjana S" sort="Potpara, Tatjana S" uniqKey="Potpara T" first="Tatjana S" last="Potpara">Tatjana S. 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