Characteristic |
All Patients(n=79,232) |
Rhythm Control(n=12,408) |
Rate Control(n=66,824) |
p-Value |
Age, yrs, median (IQR) |
57 (51–61) |
57 (51–61) |
57 (51–61) |
0.08 |
Male sex, % |
64 |
67 |
64 |
<0.0001 |
Geographic region, % |
|
|
|
<0.0001 |
North central |
30 |
30 |
30 |
|
Northeast |
14 |
9 |
15 |
|
South |
39 |
45 |
38 |
|
West |
15 |
14 |
15 |
|
Unknown |
1 |
1 |
1 |
|
Year of IE, % |
|
|
|
<0.0001 |
2006 |
9 |
8 |
10 |
|
2007 |
17 |
17 |
17 |
|
2008 |
24 |
23 |
24 |
|
2009 |
27 |
26 |
27 |
|
2010 |
23 |
25 |
22 |
|
Index AF encounter hosp., % |
24 |
40 |
21 |
<0.0001 |
Discharged to self-care, n/N (%) |
15,251/18,987 (80) |
3913/4945 (79) |
11,338/14,042 (81) |
0.01 |
Electrical cardioversion during IE, % |
2 |
7 |
1 |
<0.0001 |
AF ablation during IE, % |
0.1 |
0.4 |
0.05 |
<0.0001 |
AF is the primary diagnosis during IE, % |
82 |
87 |
81 |
<0.0001 |
Hosp. in 6 months before IE, % |
|
|
|
|
Cardiovascular |
17 |
28 |
15 |
<0.0001 |
Non-cardiovascular |
17 |
21 |
16 |
<0.0001 |
Medical history, % |
|
|
|
|
Atrial flutter |
9 |
17 |
8 |
<0.0001 |
Ischemic heart disease |
20 |
27 |
19 |
<0.0001 |
Diabetes |
20 |
20 |
20 |
0.3 |
Hypertension |
51 |
56 |
50 |
<0.0001 |
Heart failure |
12 |
17 |
11 |
<0.0001 |
Cardiomyopathy |
1 |
2 |
1 |
<0.0001 |
Chronic rheumatic heart disease |
2 |
4 |
2 |
<0.0001 |
Other atrial arrhythmias |
5 |
6 |
4 |
<0.0001 |
Bradyarrhythmias |
2 |
3 |
2 |
<0.0001 |
Pacemaker |
0.1 |
0.4 |
0.1 |
<0.0001 |
Renal failure |
6 |
7 |
5 |
<0.0001 |
Liver disease |
3 |
3 |
3 |
0.1 |
Thyroid disease |
10 |
10 |
10 |
0.1 |
Pulmonary disease |
14 |
17 |
13 |
<0.0001 |
Cancer |
9 |
12 |
9 |
<0.0001 |
Stroke |
5 |
6 |
5 |
<0.0001 |
Cerebral hemorrhage |
0.3 |
0.3 |
0.3 |
0.8 |
Depression |
7 |
6 |
7 |
0.6 |
Obesity |
8 |
11 |
7 |
<0.0001 |
Non-rheumatic valvular heart disease |
15 |
22 |
14 |
<0.0001 |
Bleeding |
3 |
3 |
3 |
0.1 |
Drug use during or within 6 months before IE, % |
|
|
|
|
Rate-controlling drugs |
|
|
|
|
Beta-blocker alone |
35 |
73 |
67 |
<0.0001 |
Digoxin alone |
2 |
2 |
4 |
<0.0001 |
CCB alone |
6 |
10 |
11 |
<0.0001 |
Combination of drugs |
9 |
7 |
9 |
<0.0001 |
QT-prolonging drugs |
|
|
|
|
Definite |
3 |
3 |
3 |
0.96 |
Possible |
17 |
16 |
17 |
<0.0001 |
Warfarin/dabigatran |
33 |
41 |
32 |
<0.0001 |