TABLE 1.
Main study characteristics.
Trials | EAST-AFNET4 (2020) | AFFIRM substudy (2021) | Kim et al. (11) | Pope et al. (17) | RAFAS trial (2022) | Proietti et al. (12) | Chao et al. (14) |
Study design | RCT | RCT substudy | Retrospective | Retrospective | RCT | Retrospective | Retrospective |
Early rhythm vs. rate | |||||||
No. of patients | 1,395 vs. 1,394 | 1,269 vs. 1,657 | 9,246 vs. 7,077 | 6,595 vs. 37,606 | 178 vs. 95 | 2,056 vs. 1,722 | 62,649 vs. 238,415 |
Type of AF (%) | |||||||
First episode | 38.0 vs. 37.3 | NR | NR | 54.8 vs. 50.6 | No | 22.8 vs. 32.8 | NR |
Paroxysmal | 36 vs. 35.4 | NR | NR | 25.5 vs. 32.5 | 52.8 vs. 50.5 | 38.8 vs. 43.1 | NR |
Persistent | 26 vs. 27.3 | NR | NR | 19.7 vs. 16.7 | 47.2 vs. 49.5 | 38.5 vs. 24.2 | NR |
Mean age (SD) or median (IQR) | 70.2 ± 8.4 vs. 70.4 ± 8.2 | 69 (61–75) vs. 72 (64–78) | 69 (61–75) vs. 72 (64–78) | 69 (61–75) vs. 72 (64–78) | 67.0 (58.0–74.0) vs. 71.0 (63.0–78.0) | 68.9 ± 8.9 vs. 70.1 ± 7. 8 | 69 (62–76) vs. 74 (66–79) |
Men (%) | 53.8 vs. 53.5 | 60.3 vs. 59.3 | 52.9 vs. 51.9 | 58.5 vs. 55 | 60.7 vs. 64.2 | 55.9 vs. 51.0 | 55.52 vs. 56.56 |
Hypertension (%) | 88.3 vs. 87.5 | 72 vs. 70.5 | 84.3 vs. 64.1 | 75.2 vs. 76.5 | 65 vs. 74.5 | 70.1 vs. 65.4 | 64.01 vs. 67.08 |
Valvular disease (%) | 43.8 vs. 46.1 | NR | 8.6 vs. 10.2 | NR | NR | 47.2 vs. 50.3 | NR |
HF (%) | 28.4 vs. 28.8 | NR | 49 vs. 54.9 | 23.5 vs. 21.6 | 6.2 vs. 9.6 | NR | 24.79 vs. 22.79 |
CAD (%) | 16.9 vs. 17.2 | NR | NR | 25.7 vs. 24.6 | 6.2 vs. 6.4 | 21.2 vs. 22.8 | 7.58 vs. 8.36 |
NOAC | 91.2 vs. 81.7 (NOAC + VKA) |
NR | 26.7 vs. 22.5 | 36.9 vs. 26.5 | 89.3 vs. 89.5 | 42.8 vs. 43 | 3.56 vs. 4.67 |
VKA | 84.4 vs. 94.1 | 79.1 vs. 83.1 | 33.9 vs. 38.7 | 4.5 vs. 4.3 | 43.6 vs. 39.9 | 11.7 vs. 13.35 | |
years of follow-up | median 5.1 y | median 5.1 y | median 2.1 y | mean 2 y | mean1 y | mean 675.4 d | Estimated no less than 5 years |
AF, atrial fibrillation; RCT, randomized controlled trials; NR, not report; HF, heart failure; CAD, Coronary artery disease; NOAC, non-vitamin K antagonist oral anticoagulant. VKA, vitamin K antagonist oral anticoagulant; TIA, transient ischemic attack; IQR, interquartile range.