Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Atrial arrhythmias and patient-reported outcomes in adults with congenital heart disease: An international study
Montreal Heart Institute, Université de Montréal, Montreal (CAN).
KU Leuven Department of Public Health and Primary Care, University of Leuven, Leuven (BEL).
Montreal Heart Institute, Université de Montréal, Montreal (CAN).
Montreal Heart Institute, Université de Montréal, Montreal (CAN).
Show others and affiliations
2021 (English)In: Heart Rhythm, ISSN 1547-5271, E-ISSN 1556-3871, Vol. 18, no 5, p. 793-800Article in journal (Refereed) Published
Abstract [en]

Background Atrial arrhythmias (ie, intra-atrial reentrant tachycardia and atrial fibrillation) are a leading cause of morbidity and hospitalization in adults with congenital heart disease (CHD). Little is known about their effect on quality of life and other patient-reported outcomes (PROs) in adults with CHD. Objective The purpose of this study was to assess the impact of atrial arrhythmias on PROs in adults with CHD and explore geographic variations. Methods Associations between atrial arrhythmias and PROs were assessed in a cross-sectional study of adults with CHD from 15 countries spanning 5 continents. A propensity-based matching weight analysis was performed to compare quality of life, perceived health status, psychological distress, sense of coherence, and illness perception in patients with and those without atrial arrhythmias. Results A total of 4028 adults with CHD were enrolled, 707 (17.6%) of whom had atrial arrhythmias. After applying matching weights, patients with and those without atrial arrhythmias were comparable with regard to age (mean 40.1 vs 40.2 years), demographic variables (52.5% vs 52.2% women), and complexity of CHD (15.9% simple, 44.8% moderate, and 39.2% complex in both groups). Patients with atrial arrhythmias had significantly worse PRO scores with respect to quality of life, perceived health status, psychological distress (ie, depression), and illness perception. A summary score that combines all PRO measures was significantly lower in patients with atrial arrhythmias (-3.3%; P = .0006). Differences in PROs were consistent across geographic regions. Conclusion Atrial arrhythmias in adults with CHD are associated with an adverse impact on a broad range of PROs consistently across various geographic regions.

Place, publisher, year, edition, pages
2021. Vol. 18, no 5, p. 793-800
Keywords [en]
Atrial fibrillation, Congenital heart disease, Intra-atrial reentrant tachycardia, Patient-reported outcomes, Quality of life
National Category
Cardiology and Cardiovascular Disease Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-18186DOI: 10.1016/j.hrthm.2020.09.012ISI: 000717466400021PubMedID: 32961334Scopus ID: 2-s2.0-85104281510OAI: oai:DiVA.org:hv-18186DiVA, id: diva2:1647740
Funder
Swedish Heart Lung Foundation, 20130607
Note

Funding by:

KU Leuven (OT/11/033)

Cardiac Children's Foundation (Taiwan) (CCF2013_02)

University of Gothenburg Centre for Person-centred Care

(Swedish Heart-Lung Foundation)

Available from: 2022-03-28 Created: 2022-03-28 Last updated: 2025-02-10Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopushttps://www.sciencedirect.com/science/article/pii/S1547527120308948

Authority records

Berghammer, Malin

Search in DiVA

By author/editor
Berghammer, Malin
By organisation
Section for nursing - graduate level
In the same journal
Heart Rhythm
Cardiology and Cardiovascular DiseaseNursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 263 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf