Impact of atrial fibrillation on 1-year outcome in patients with implantable cardioverter defibrillator or cardiac resynchronization therapy with defibrillator: results from the German DEVICE Registry

Atrial fibrillation (AF) is a cardiac arrhythmia frequently documented in patients requiring implantable cardioverter defibrillators (ICDs) and/or cardiac resynchronization therapy with defibrillator (CRT-D). Patients with diagnosed AF at the point of ICD or CRT-D implantation may have an impaired f...

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Published in:Journal of thoracic disease 2024-03, Vol.16 (3), p.1825-1835
Main Authors: Feickert, Sebastian, Ewertsen, Niels Christian, Köbe, Julia, Kleemann, Thomas, Jehle, Joachim, Senges, Jochen, Hochadel, Matthias, Andresen, Dietrich, Stellbrink, Christoph, Eckardt, Lars, Spitzer, Stefan, Brachmann, Johannes, Ince, Hüseyin, D'Ancona, Giuseppe
Format: Article
Language:English
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Summary:Atrial fibrillation (AF) is a cardiac arrhythmia frequently documented in patients requiring implantable cardioverter defibrillators (ICDs) and/or cardiac resynchronization therapy with defibrillator (CRT-D). Patients with diagnosed AF at the point of ICD or CRT-D implantation may have an impaired follow-up outcome. The German DEVICE I-II registry is a nationwide prospective multicentre database of patients implanted with ICD and CRT-D with clinical follow-up data. We analysed a 1-year follow up of implanted patients with AF and with sinus rhythm (SR). A total of 4,929 ICD/CRT patients are included in the present analysis: 946 (19.2%) were in AF and 3,983 (80.8%) were SR at time of device implantation. AF patients had a significantly more comorbid profile including older age {72 [interquartile range (IQR), 66-77] 66 (IQR, 56-73) years; P
ISSN:2072-1439
2077-6624
DOI:10.21037/jtd-23-274