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. 2022 Jul 14;108(23):1873–1880. doi: 10.1136/heartjnl-2022-321196

Table 2.

Safety outcomes in participants receiving early rhythm control or usual care

Outcome Early rhythm-control (n=874) Usual care (n=8817) HR (95% CI) P-value
Composite safety outcome 5.2 6.0 0.85 (0.74 to 0.98) 0.024
All-cause mortality 3.13 4.05 0.76 (0.64 to 0.90) 0.002
Stroke/TIA 0.96 1.04 0.90 (0.65 to 1.25) 0.533
Related to rhythm control therapy
 Syncope 0.80 0.89 0.88 (0.62 to 1.25) 0.479
 New-onset bradycardia 0.18 0.15 1.21 (0.57 to 2.57) 0.624
 Non-fatal cardiac arrest 0.18 0.04 4.73 (1.90 to 11.78) 0.001
 Blood pressure event 0.04 0.01 3.25 (0.59 to 17.77) 0.175
 Cardiac device 1.35 1.39 0.96 (0.73 to 1.26) 0.748
 Bleeding 0.18 0.23 0.75 (0.36 to 1.57) 0.448
 Atrioventricular block 0.20 0.19 1.04 (0.51 to 2.10) 0.919
Propensity-score matching
Outcome Early rhythm-control (n=868) Usual care (n=868) HR (95% CI) P-value
Composite safety outcome 5.22 4.74 1.1 (0.90 to 1.34) 0.351
All-cause mortality 3.14 3.05 1.02 (0.80 to 1.31) 0.866
Stroke/TIA 0.95 1.09 0.87 (0.57 to 1.34) 0.533
Related to rhythm control therapy
 Syncope 0.81 0.77 1.05 (0.64 to 1.72) 0.841
 New-onset bradycardia 0.18 0.13 1.39 (0.45 to 4.24) 0.565
 Non-fatal cardiac arrest 0.18 0.05 3.50 (0.74 to 16.49) 0.113
 Blood pressure event 0.05 0.03 1.70 (0.15 to 18.78) 0.664
 Cardiac device 1.36 1.15 1.19 (0.80 to 1.76) 0.394
 Bleeding 0.18 0.16 1.15 (0.40 to 3.32) 0.795
 Atrioventricular block 0.20 0.08 2.63 (0.71 to 9.72) 0.147

Event rates are reported as events per 100 patient years. Composite safety outcome defined as all-cause mortality, stroke/TIA and events related to rhythm control therapy.

TIA, transient ischaemic attack.