atrial fibrillation
Conditions
Interventions
None listed
Sponsors
Academisch Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: -AF onset at age 18 years; -Written informed consent.
Exclusion criteria
Exclusion criteria: - Post-operative AF - Myocardial infarction, acute coronary syndrome 3 months before start AF.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| At baseline the exact phenotypes of patients with young AF with versus without familial AF. Assessment of the phenotype includes clinical characteristics, presence of validated AF risk factors, (electro-)echocardiographic abnormalities, presence of vascular abnormalities, endothelial dysfunction and hypercoagulation. | — |
Secondary
| Measure | Time frame |
|---|---|
| I. At baseline differences in the prevalence of of 1) heart failure (systolic and diastolic); 2) stroke, TIA and peripheral embolism; 3) coronary artery disease including myocardial infarction, acute coronary syndrome and documented significant coronary artery disease necessitating treatment; 4) diabetes mellitus; 5) hypertension; 6) renal failure; 7) subclinical hyperthyroidism; 8) obesity; 9) atrial remodeling measured as increase of atrial sizes and reduction of atrial contractility; 10) biomarker profiles associated with atrial remodeling including fibrosis inflammation, dedifferentiation, etc; 11) biomarker profiles associated with vascular abnormalities, endothelial dysfunction and hyperocagulation; 12) Genes associated with phenotypes of young AF with or without a family history. II. After 1 and 5 years of follow up differences between both groups in the occurrence of 1) heart failure (systolic and diastolic); 2) stroke, TIA and peripheral embolism; 3) coronary artery disease including myocardial infarction, acute coronary syndrome and documented significant coronary artery disease necessitating treatment; 4) diabetes mellitus; 5) hypertension; 6)renal failure; 7) cardiovascular mortality; 8) bleeding; 9) severe adverse effects of antiarrhythmic drugs; 10) atrial remodeling measured as increase of atrial sizes and reduction of atrial contractility and remodeling as detected with use of body surface mapping; 11) deterioration of left ventricular systolic and diastolic function; 12) progression of AF to persistent or permanent AF; 13) association of cardiovascular morbidity and mortality with atrial remodeling; 14) biomarker profiles associated with occurrence or deterioration of atrial remodeling including fibrosis inflammation, dedifferentiation, etc; 15) biomarker profiles associated with vascular abnormalities, endothelial dysfunction and hypercoagulation; 16) Genes associated with progression of AF. | — |
Countries
Netherlands
Outcome results
None listed