Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation Population

Background/Aims: There are no data concerning renal function in population with valvular and non-valvular atrial fibrillation (AF). To assess renal function in patients with AF, the association between eGFR and AF perpetuation, in-hospital mortality. Methods: We studied 1523 patients with AF. Patien...

Full description

Bibliographic Details
Main Authors: Elzbieta Mlodawska, Anna Tomaszuk-Kazberuk, Paulina Lopatowska, Hanna Bachorzewska-Gajewska, Jolanta Malyszko, Slawomir Dobrzycki, Wlodzimierz Jerzy Musial
Format: Article
Language:English
Published: Karger Publishers 2014-12-01
Series:Kidney & Blood Pressure Research
Subjects:
Online Access:http://www.karger.com/Article/FullText/368473
_version_ 1819081203278413824
author Elzbieta Mlodawska
Anna Tomaszuk-Kazberuk
Paulina Lopatowska
Hanna Bachorzewska-Gajewska
Jolanta Malyszko
Slawomir Dobrzycki
Wlodzimierz Jerzy Musial
author_facet Elzbieta Mlodawska
Anna Tomaszuk-Kazberuk
Paulina Lopatowska
Hanna Bachorzewska-Gajewska
Jolanta Malyszko
Slawomir Dobrzycki
Wlodzimierz Jerzy Musial
author_sort Elzbieta Mlodawska
collection DOAJ
description Background/Aims: There are no data concerning renal function in population with valvular and non-valvular atrial fibrillation (AF). To assess renal function in patients with AF, the association between eGFR and AF perpetuation, in-hospital mortality. Methods: We studied 1523 patients with AF. Patients with chronic kidney disease (CKD) were compared to population with preserved renal function. Results: CKD was more frequently observed in patients with valvular AF(p=0.009). In non-valvular AF patients eGFR 2 had more often permanent AF(p2DS2VASc score was 4.1±1.5 and HAS-BLED score was 2.1±1.2 and it was higher as compared to population with preserved renal function (p75 years old(OR=3.70,p=0.01,95%CI1.33-10.28), with CKD (OR=2.61,p=0.03,95%CI1.09-6.23). The type of AF had no significant influence on in-hospital mortality(OR=0.71,p=0.45,95%CI0.30-1.70). Conclusions: CKD is more often observed in patients with valvular AF. In population with non-valvular AF decreased eGFR is associated with permanent type of AF and with higher CHA2DS2VASc and HAS-BLED score. Among valvular AF patients there are no differences in type of AF between patients with and without CKD. There is the correlation between CKD and AF perpetuation but only in non-valvular population.
first_indexed 2024-12-21T19:57:03Z
format Article
id doaj.art-060603a6cfd9404e8fa22162aa9f7c19
institution Directory Open Access Journal
issn 1420-4096
1423-0143
language English
last_indexed 2024-12-21T19:57:03Z
publishDate 2014-12-01
publisher Karger Publishers
record_format Article
series Kidney & Blood Pressure Research
spelling doaj.art-060603a6cfd9404e8fa22162aa9f7c192022-12-21T18:52:04ZengKarger PublishersKidney & Blood Pressure Research1420-40961423-01432014-12-0139660060810.1159/000368473368473Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation PopulationElzbieta MlodawskaAnna Tomaszuk-KazberukPaulina LopatowskaHanna Bachorzewska-GajewskaJolanta MalyszkoSlawomir DobrzyckiWlodzimierz Jerzy MusialBackground/Aims: There are no data concerning renal function in population with valvular and non-valvular atrial fibrillation (AF). To assess renal function in patients with AF, the association between eGFR and AF perpetuation, in-hospital mortality. Methods: We studied 1523 patients with AF. Patients with chronic kidney disease (CKD) were compared to population with preserved renal function. Results: CKD was more frequently observed in patients with valvular AF(p=0.009). In non-valvular AF patients eGFR 2 had more often permanent AF(p2DS2VASc score was 4.1±1.5 and HAS-BLED score was 2.1±1.2 and it was higher as compared to population with preserved renal function (p75 years old(OR=3.70,p=0.01,95%CI1.33-10.28), with CKD (OR=2.61,p=0.03,95%CI1.09-6.23). The type of AF had no significant influence on in-hospital mortality(OR=0.71,p=0.45,95%CI0.30-1.70). Conclusions: CKD is more often observed in patients with valvular AF. In population with non-valvular AF decreased eGFR is associated with permanent type of AF and with higher CHA2DS2VASc and HAS-BLED score. Among valvular AF patients there are no differences in type of AF between patients with and without CKD. There is the correlation between CKD and AF perpetuation but only in non-valvular population.http://www.karger.com/Article/FullText/368473Estimated glomerular filtration rateValvular atrial fibrillationNon-valvular atrial fibrillationKidney function
spellingShingle Elzbieta Mlodawska
Anna Tomaszuk-Kazberuk
Paulina Lopatowska
Hanna Bachorzewska-Gajewska
Jolanta Malyszko
Slawomir Dobrzycki
Wlodzimierz Jerzy Musial
Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation Population
Kidney & Blood Pressure Research
Estimated glomerular filtration rate
Valvular atrial fibrillation
Non-valvular atrial fibrillation
Kidney function
title Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation Population
title_full Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation Population
title_fullStr Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation Population
title_full_unstemmed Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation Population
title_short Is There Association Between Changes in eGFR Value and the Risk of Permanent Type of Atrial Fibrillation? - Analysis of Valvular and Non-Valvular Atrial Fibrillation Population
title_sort is there association between changes in egfr value and the risk of permanent type of atrial fibrillation analysis of valvular and non valvular atrial fibrillation population
topic Estimated glomerular filtration rate
Valvular atrial fibrillation
Non-valvular atrial fibrillation
Kidney function
url http://www.karger.com/Article/FullText/368473
work_keys_str_mv AT elzbietamlodawska isthereassociationbetweenchangesinegfrvalueandtheriskofpermanenttypeofatrialfibrillationanalysisofvalvularandnonvalvularatrialfibrillationpopulation
AT annatomaszukkazberuk isthereassociationbetweenchangesinegfrvalueandtheriskofpermanenttypeofatrialfibrillationanalysisofvalvularandnonvalvularatrialfibrillationpopulation
AT paulinalopatowska isthereassociationbetweenchangesinegfrvalueandtheriskofpermanenttypeofatrialfibrillationanalysisofvalvularandnonvalvularatrialfibrillationpopulation
AT hannabachorzewskagajewska isthereassociationbetweenchangesinegfrvalueandtheriskofpermanenttypeofatrialfibrillationanalysisofvalvularandnonvalvularatrialfibrillationpopulation
AT jolantamalyszko isthereassociationbetweenchangesinegfrvalueandtheriskofpermanenttypeofatrialfibrillationanalysisofvalvularandnonvalvularatrialfibrillationpopulation
AT slawomirdobrzycki isthereassociationbetweenchangesinegfrvalueandtheriskofpermanenttypeofatrialfibrillationanalysisofvalvularandnonvalvularatrialfibrillationpopulation
AT wlodzimierzjerzymusial isthereassociationbetweenchangesinegfrvalueandtheriskofpermanenttypeofatrialfibrillationanalysisofvalvularandnonvalvularatrialfibrillationpopulation