PMID- 33950579 OWN - NLM STAT- MEDLINE DCOM- 20210723 LR - 20210723 IS - 1742-1241 (Electronic) IS - 1368-5031 (Linking) VI - 75 IP - 8 DP - 2021 Aug TI - A prospective survey of atrial fibrillation management in Iran: Baseline results of the Iranian Registry of Atrial Fibrillation (IRAF). PG - e14313 LID - 10.1111/ijcp.14313 [doi] AB - BACKGROUND: Atrial fibrillation. (AF) is the most common sustained arrhythmia globally and its prevalence is likely to increase in the next decades as a result of increasing age and co-morbidities. There are no data on demographic features, clinical characteristics, associated comorbidities, and practice patterns of AF in Iran. METHODS: The Iranian Registry of Atrial Fibrillation (IRAF) is a hospital-based prospective survey of AF patients with a 12-month follow-up. Data were collected on a standardized case report form and entered into a web-based electronic database. This paper reports the baseline characteristics of the IRAF cohort. RESULTS: Between February 2018 and March 2020, a total of 1300 patients (57% Male, mean age, 60 +/- 14 years) were enrolled. Palpitations were the most common presenting symptom (66%). The most common cardiac comorbidities were hypertension (52%), heart failure (23.7%), and valvular heart disease (21.8%). AF mainly presented as a paroxysmal pattern (44.6%). Seventy-eight percent of the patients with non-valvular AF had CHA(2) DS(2) -VASc score >/=1 and most (97%) were at low risk for bleeding (HAS-BLED score <3). Rhythm control was given to 55.1% of the patients. Anticoagulation for stroke prevention was provided to 69.5% of the eligible patients, while aspirin was used in 35%. CONCLUSION: The IRAF Registry has provided a systematic collection of contemporary data regarding the management and treatment of AF in Iran. Oral anticoagulant was used in 69.5%, but aspirin use was still common. CI - (c) 2021 John Wiley & Sons Ltd. FAU - Heidarali, Mona AU - Heidarali M AD - Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. AD - Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Bakhshandeh, Hooman AU - Bakhshandeh H AD - Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Golpira, Reza AU - Golpira R AD - Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Fazelifar, Amirfarjam AU - Fazelifar A AD - Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. AD - Department of Cardiac Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Alizadeh-Diz, Abolfath AU - Alizadeh-Diz A AD - Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. AD - Department of Cardiac Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Emkanjoo, Zahra AU - Emkanjoo Z AD - Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. AD - Department of Cardiac Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Madadi, Shabnam AU - Madadi S AD - Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. AD - Department of Cardiac Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Kamali, Farzad AU - Kamali F AD - Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. AD - Department of Cardiac Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Maleki, Majid AU - Maleki M AD - Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Lip, Gregory Y H AU - Lip GYH AUID- ORCID: 0000-0002-7566-1626 AD - Liverpool Centre for Cardiovascular Sciences, University of Liverpool, Liverpool, UK. AD - Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark. FAU - Haghjoo, Majid AU - Haghjoo M AUID- ORCID: 0000-0002-9963-6628 AD - Cardiac Electrophysiology Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. AD - Department of Cardiac Electrophysiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. LA - eng GR - 95021/Rajaie Cardiovascular Medical and Research Center/ PT - Journal Article DEP - 20210513 PL - India TA - Int J Clin Pract JT - International journal of clinical practice JID - 9712381 RN - 0 (Anticoagulants) SB - IM MH - Aged MH - Anticoagulants/therapeutic use MH - *Atrial Fibrillation/complications/drug therapy/epidemiology MH - Female MH - Humans MH - Iran/epidemiology MH - Male MH - Middle Aged MH - Prospective Studies MH - Registries MH - Risk Factors MH - *Stroke EDAT- 2021/05/06 06:00 MHDA- 2021/07/24 06:00 CRDT- 2021/05/05 12:45 PHST- 2020/10/30 00:00 [received] PHST- 2021/04/28 00:00 [accepted] PHST- 2021/05/06 06:00 [pubmed] PHST- 2021/07/24 06:00 [medline] PHST- 2021/05/05 12:45 [entrez] AID - 10.1111/ijcp.14313 [doi] PST - ppublish SO - Int J Clin Pract. 2021 Aug;75(8):e14313. doi: 10.1111/ijcp.14313. Epub 2021 May 13.