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. 2023 Jun 2;119(9):1799–1810. doi: 10.1093/cvr/cvad027

Table 4b.

Safety events by genetic stroke risk category and treatment group

Genetic stroke risk
Low genetic stroke risk Intermediate genetic stroke risk High genetic stroke risk
Early rhythm control Usual Care Early rhythm control Usual care Early rhythm control Usual care
n 164 150 480 459 149 165
EAST primary composite safety outcome 17 (10.37) 25 (16.67) 80 (16.67) 69 (15.03) 26 (17.45) 30 (18.18)
Stroke 5 (3.05) 5 (3.33) 9 (1.88) 23 (5.01) 4 (2.68) 5 (3.03)
Death 6 (3.66) 7 (4.67) 24 (5.0) 35 (7.63) 5 (3.36) 12 (7.27)
Serious adverse event related to anti-arrhythmic drug therapy
 Non-fatal cardiac arrest 0 (0) 0 (0) 0 (0) 0 (0) 1 (0.67) 1 (0.61)
 Drug-induced bradycardia 2 (1.22) 1 (0.67) 7 (1.46) 2 (0.44) 1 (0.67) 1 (0.61)
 Torsade de Pointes tachycardia 0 (0) 0 (0) 1 (0.21) 0 (0) 0 (0) 0 (0)
 Drug toxicity of AF-related drug therapy 1 (0.61) 1 (0.67) 1 (0.21) 1 (0.22) 5 (3.36) 1 (0.61)
Artrioventricular block 0 (0) 0 (0) 2 (0.42) 0 (0) 0 (0) 0 (0)
Serious adverse event related to AF ablation
 Major bleeding related to AF ablation 0 (0) 0 (0) 1 (0.21) 0 (0) 0 (0) 0 (0)
 Nonmajor bleeding related to AF ablation 0 (0) 1 (0.67) 0 (0) 0 (0) 0 (0) 0 (0)
Other serious adverse event of special interest related to rhythm-control therapy
 Other event 0 (0) 0 (0) 1 (0.21) 0 (0) 0 (0) 1 (0.61)
 Other cardiovascular event 0 (0) 0 (0) 3 (0.62) 0 (0) 0 (0) 0 (0)
 Hospitalization for AF 0 (0) 1 (0.67) 6 (1.25) 0 (0) 2 (1.34) 0 (0)
 Syncope 1 (0.61) 1 (0.67) 1 (0.21) 0 (0) 1 (0.67) 0 (0)
 Hospitalization for worsening of HF with decompensated HF 0 (0) 0 (0) 2 (0.42) 0 (0) 0 (0) 0 (0)
 Implantation of a pacemaker, ICD, CRT or any other 1 (0.61) 1 (0.67) 4 (0.83) 1 (0.22) 0 (0) 0 (0)

AF, atrial fibrillation; HF, heart failure; ICD, implantable cardiac device; CRT, cardiac resynchronization therapy.