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The aim of this study is to analyse blood pressure during rate control therapy in patients with tachycardic atrial fibrillation in a real-world emergency cohort.
Atrial fibrillation (AF) is the primary clinical problem in 3.3% to 10.0 % emergency department (ED) admissions. Rate control is an integral part of the management of symptomatic tachycardic AF patients.
According to the recent guidelines beta-blockers, digoxin, the calcium channel blockers diltiazem and verapamil, amiodarone or combination therapy should be considered for rate control. Haemodynamic side-effects in particular hypotension may occur. Heart rate and blood pressure behavior in an ED population during rate control therapy in patients with tachycardic atrial fibrillation will be analysed.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rate control | Other | Rate control according to the Atrial fibrillation - ESC Guidelines 2016 |
| Measure | Description | Time Frame |
|---|---|---|
| Mean and maximum blood pressure difference between before (baseline) and during/after medication. | 20th July 2019 to 20th July 2021 |
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Inclusion Criteria:
Exclusion Criteria:
• Inclusion criteria not met
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We plan to include all patients admitted to the Emergency Department of the Medical University Vienna with tachycardic AF receiving rate control therapy.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jan Niederdöckl, Dr.med.univ | Contact | 0043 40400 19640 | jan.niederdoeckl@meduniwien.ac.at | |
| Filippo Cacioppo | Contact | 0043 40400 19640 | filippo.cacioppo@meduniwien.ac.at |
| Name | Affiliation | Role |
|---|---|---|
| Hans Domanovits, Prof. | Emergency Department, Medical University Vienna | Study Director |
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| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D006339 | Heart Rate |
| ID | Term |
|---|---|
| D055986 | Vital Signs |
| D010808 | Physical Examination |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D006439 |
| Hemodynamics |
| D002320 | Cardiovascular Physiological Phenomena |
| D002943 | Circulatory and Respiratory Physiological Phenomena |