None listed
Conditions
Brief summary
The primary aim of this research is to determine how cardiovascular risk factors are managed in patients with atrial fibrillation. Recent research suggests that optimal cardiovascular risk factor management leads to reduced atrial fibrillation burden and better quality of life yet little is known about how well cardiovascular risk factors are currently managed in South Australians with atrial fibrillation. Secondary aims include: - determining factors associated with an optimal cardiovascular risk factor status -determining associations between cardiovascular risk factor status and health care burden - determining associations between patient knowledge of their condition and health care burden The hypothesis is that cardiovascular risk factor management in patients with atrial fibrillation is sub optimal and opportunities to improve outcomes in this population exist.
Interventions
The aim of this project is to characterise how cardiovascular risk factors are currently managed in a cohort of patients who have presented to an emergency department with symptomatic AF. Participants will be recruited from an existing research study (the Home Based Education and Learning Program in Atrial Fibrillation - HELP-AF - ACTRN12611000607976). The HELP-AF study is examining the impact of home based education package delivered by a nurse or pharmacist to participants who have presented t
The aim of this project is to characterise how cardiovascular risk factors are currently managed in a cohort of patients who have presented to an emergency department with symptomatic AF. Participants will be recruited from an existing research study (the Home Based Education and Learning Program in Atrial Fibrillation - HELP-AF - ACTRN12611000607976). The HELP-AF study is examining the impact of home based education package delivered by a nurse or pharmacist to participants who have presented to the emergency department, primarily due to atrial fibrillation. On completion of the HELP-AF study, participants will be invited to participate in this study. Participants will undergo a series of investigations including physical assessment, echocardiogram, holter monitor, blood sampling and exercise stress testing on one occasion. Each assessment is expected to take approximately 2 hours. Participants will also complete a number of questionnaires to evaluate quality of life, AF symptom burden and knowledge of their condition.These questionnaires will be completed at baseline, six and twelve months post the risk factor assessment. At six and twelve months post baseline risk factor assessment, participants will be contacted by telephone to determine how many occasions they have visited their GP, Cardiologist or been admitted to hospital. Reasons for hospital admission will be ascertained by patient self report (AF related, cardiac related, all cause) and confirmed by an electronic health record where possible.
Sponsors
Centre for Heart Rhythm Disorders, University of Adelaide
Eligibility
Sex/Gender
All
Age
30 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Inclusion criteria: 1. Presented to ED primarily due to symptoms from AF 2.. capable of providing informed consent 3. completed follow up of the HELP-AF study within previous 12 months
Exclusion criteria
Exclusion criteria: 1. Age <30 years 2.. Absence of ECG documentation of AF during index presentation 3.. Patients with end stage heart failure (NYHA class IV, LVEF <20%) 4.. Cardiac surgery less than 2 months prior to index presentation 5. Patients with a recent history (<1 year) of, or current malignancy, undergoing chemotherapy or radiotherapy 6. documented thyrotoxicosis at time of index presentation 7. pneumonia at time of index presentation 8. poor English literacy 9.. non independent living. 10..any terminal illness or serious medical condition e.g. terminal cancer, end stage heart failure or renal failure.
Outcome results
None listed