Prospective Registration and Assessment of Serious Adverse Events Within the AFNET

Assessment by a Critical Event Committee, Assessment of Serious Advers Events, Atrial Fibrillation, Complications of Antiarrhythmic Drugs or Invasive Procedures, Thromboembolic and Bleeding Complications

Atrial Fibrillation, Critical Event Committee, Serious adverse events, Thromboembolic complications, Cardiac and noncardiac complications, Bleeding complications, Acute heart failure, Syncope, Resuscitation

Prospective registration and independent assessment of SAE associated with atrial fibrillation such as thromboembolic events, and other cardiac and noncardiac complications by a Critical Event Committee.

Atrial fibrillation (AF), the most common sustained rhythm disturbance, is associated with a significantly enhanced mortality and morbidity due to thromboembolic events, and other cardiac and noncardiac complications. Therefore the Network of Competence on Atrial Fibrillation (AFNET) supported by the German Ministry for Education and Research (BMBF) was established in order to collect clinical data on patients (pts) with AF (paroxysmal, persistent, permanent) over a study period of 6 years with an expected sample size of 12,000 pts. Incidence, clinical relevance and outcome after SAE is recorded and assessed by a Critical Event Committee (CEC). The CEC-members (experts in cardiology and neurology) defined as SAE any death with or without relationship to AF, cardio-embolic events (stroke, peripheral arterial embolism), bleeding complications due to antithrombotic therapy, acute heart failure, syncope, resuscitation; additionally, the complication of interventional strategies for AF-treatment and other AF-independent SAEs. Over a 3-year follow-up period, during 6-monthly and unscheduled visits, the SAEs are systematically documented, blinded and their relationship to AF will be interpreted in detail by the CEC.

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