Prevalence and prognostic importance of previously undiagnosed glucose abnormalities in patients with atrial fibrillation. Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Individuals with atrial fibrillation undergoing electrical cardioversion
Exclusion criteria
Exclusion criteria: 1. Diabetes mellitus type 1 2. Stage 4 or 5 CKD (GFR<30 ml/min, dialysis). 3. Malignant tumor under treatment (or metastatic cancer) with life expectancy <12 months. 4. Thyrotoxicosis 5. Acute infection and/or chronic inflammatory disease (with highly elevated inflammatory markers and/or ongoing steroid therapy). 6. Advanced COPD (e.g. treatment with steroids). 7. Conditions that complicate participation in the study as assessed by the treating physician or the study investigators.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of previously undiagnosed diabetes and prediabetes measured at baseline using the recorded values of plasma glucose (fasting or 2-hour value after the Oral Glucose Tolerance Test) or HbA1c according to the criteria set forth by the World Health Organisation (WHO) and American Diabetes Association (ADA). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Recurrence of atrial fibrillation after successful electrical conversion after three months and twelve months, respectively measured using patient records 2. Recurrence of atrial fibrillation or hospitalisation for other cardiovascular disease, such as myocardial infarction, stroke, heart failure and occurrence of death over 3 years measured using patient records 3. Echocardiographic and electrocardiographic findings at inclusion measured by performing a standardised adult transthoracic echocardiography examination and by registering a standard 12-lead electrocardiogram (ECG) 4. Biochemical variables, such as troponin, pro-BNP, and markers of inflammation and fibrosis at inclusion measured by analysis of plasma venous samples in an accredited laboratory | — |
Countries
Sweden