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Clinical Differences between Subtypes of Atrial Fibrillation and Flutter: Cross-Sectional Registry of 407 Patients

Overview of attention for article published in Arquivos Brasileiros de Cardiologia, May 2015
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Title
Clinical Differences between Subtypes of Atrial Fibrillation and Flutter: Cross-Sectional Registry of 407 Patients
Published in
Arquivos Brasileiros de Cardiologia, May 2015
DOI 10.5935/abc.20150049
Pubmed ID
Authors

Eduardo Dytz Almeida, Raphael Boesche Guimarães, Laura Siga Stephan, Alexandre Kreling Medeiros, Katia Foltz, Roberto Tofani Santanna, Leonardo Martins Pires, Marcelo Lapa Kruse, Gustavo Glotz de Lima, Tiago Luiz Luz Leiria

Abstract

Atrial fibrillation and atrial flutter account for one third of hospitalizations due to arrhythmias, determining great social and economic impacts. In Brazil, data on hospital care of these patients is scarce. To investigate the arrhythmia subtype of atrial fibrillation and flutter patients in the emergency setting and compare the clinical profile, thromboembolic risk and anticoagulants use. Cross-sectional retrospective study, with data collection from medical records of every patient treated for atrial fibrillation and flutter in the emergency department of Instituto de Cardiologia do Rio Grande do Sul during the first trimester of 2012. We included 407 patients (356 had atrial fibrillation and 51 had flutter). Patients with paroxysmal atrial fibrillation were in average 5 years younger than those with persistent atrial fibrillation. Compared to paroxysmal atrial fibrillation patients, those with persistent atrial fibrillation and flutter had larger atrial diameter (48.6 ± 7.2 vs. 47.2 ± 6.2 vs. 42.3 ± 6.4; p < 0.01) and lower left ventricular ejection fraction (66.8 ± 11 vs. 53.9 ± 17 vs. 57.4 ± 16; p < 0.01). The prevalence of stroke and heart failure was higher in persistent atrial fibrillation and flutter patients. Those with paroxysmal atrial fibrillation and flutter had higher prevalence of CHADS2 score of zero when compared to those with persistent atrial fibrillation (27.8% vs. 18% vs. 4.9%; p < 0.01). The prevalence of anticoagulation in patients with CHA2DS2-Vasc ≤ 2 was 40%. The population in our registry was similar in its comorbidities and demographic profile to those of North American and European registries. Despite the high thromboembolic risk, the use of anticoagulants was low, revealing difficulties for incorporating guideline recommendations. Public health strategies should be adopted in order to improve these rates.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 62 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Slovenia 1 2%
Brazil 1 2%
Unknown 59 95%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 12 19%
Student > Postgraduate 10 16%
Researcher 6 10%
Student > Ph. D. Student 6 10%
Student > Master 5 8%
Other 7 11%
Unknown 16 26%
Readers by discipline Count As %
Medicine and Dentistry 24 39%
Pharmacology, Toxicology and Pharmaceutical Science 5 8%
Nursing and Health Professions 4 6%
Agricultural and Biological Sciences 4 6%
Psychology 2 3%
Other 3 5%
Unknown 20 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 March 2022.
All research outputs
#20,657,128
of 25,374,917 outputs
Outputs from Arquivos Brasileiros de Cardiologia
#820
of 1,210 outputs
Outputs of similar age
#206,008
of 280,059 outputs
Outputs of similar age from Arquivos Brasileiros de Cardiologia
#9
of 11 outputs
Altmetric has tracked 25,374,917 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,210 research outputs from this source. They receive a mean Attention Score of 4.0. This one is in the 17th percentile – i.e., 17% of its peers scored the same or lower than it.
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We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 9th percentile – i.e., 9% of its contemporaries scored the same or lower than it.