Use of Evidence-Based Therapy for Cardiovascular Risk Factors in Canadian Outpatients With Atrial Fibrillation Academic Article uri icon

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abstract

  • Using data collected from 2 national atrial fibrillation (AF) primary care physician chart audits (Facilitating Review and Education to Optimize Stroke Prevention in Atrial Fibrillation [FREEDOM AF] and Co-ordinated National Network to Engage Physicians in the Care and Treatment of Patients With Atrial Fibrillation [CONNECT AF]), we evaluated the frequency of, and factors associated with, the use of cardiovascular (CV) evidence-based therapies in Canadian AF outpatients with at least 1 CV risk factor or co-morbidity. Of the 11,264 patients enrolled, 9,495 (84.3%) were eligible for one or more CV evidence-based therapies. The proportions of patients with AF receiving all eligible guideline-recommended therapies were 40.8% of patients with coronary artery disease, 48.9% of patients with diabetes mellitus, 40.2% of patients with heart failure, 96.7% of patients with hypertension, and 55.1% of patients with peripheral arterial disease. Factors that were independently associated with nonreceipt of all indicated evidence-based therapies included sinus rhythm rather than AF at baseline and liver disease. In conclusion, although most Canadian outpatients with AF have CV risk factors or co-morbidities, a substantial portion of these patients did not receive all guideline-recommended therapies. These findings suggest that there is an opportunity to improve the quality of care for patients with AF in Canada.

authors

  • Silberberg, Alexandra
  • Tan, Mary K
  • Yan, Andrew T
  • Angaran, Paul
  • Dorian, Paul
  • Bucci, Claudia
  • Gregoire, Jean C
  • Bell, Alan D
  • Gladstone, David J
  • Green, Martin S
  • Gross, Peter Lawrence
  • Skanes, Allan
  • Demchuk, Andrew M
  • Kerr, Charles R
  • Mitchell, L Brent
  • Cox, Jafna L
  • Talajic, Mario
  • Essebag, Vidal
  • Heilbron, Brett
  • Ramanathan, Krishnan
  • Fournier, Carl
  • Wheeler, Bruce H
  • Lin, Peter J
  • Berall, Murray
  • Langer, Anatoly
  • Goldin, Lianne
  • Goodman, Shaun G

publication date

  • August 2017