Abstract 161: Atrial Fibrillation in India: Insights from the PINNACLE India Outpatient Registry
Background: Atrial fibrillation (AF) is the most common arrhythmia worldwide. Most studies of AF focus on white populations in North America or Europe. Less is known about prevalence, etiology and treatment patterns of AF in India. To better understand the disease burden, we examined data from the PINNACLE India registry.
Methods: PINNACLE India is the first cardiovascular data collection and reporting program in India. Data are collected by transmission from paper scanners and an electronic data collection tool. Patients are followed longitudinally if they return to a data collecting site.
Results: AF is recorded in 0.39% (246) unique patients and 0.59% (865) of all encounters. The gender breakdown among AF patients is consistent with literature, but prevalence is low compared to other countries. Although we suspect that the diagnosis or documentation of AF is low, it appears that those diagnosed get treatment, since 35.77% are on Warfarin, 4.07% are on Dabigatran, and a substantial proportion is on other antithrombotic therapies.
Conclusion: AF is tough to diagnose since it is often asymptomatic and clinicians need many tests to confirm diagnosis. Lack of documentation or detection of AF and its associated conditions is a concern. AF can lead to life threatening problems such as stroke and heart failure. The surveillance of AF in India is important in order to identify opportunities for intervention. Continued data collection through the use of a cardiovascular registry can improve the understanding of AF in India.
Author Disclosures: N.T. Glusenkamp: None. S.A. Risch: None. P. Kerkar: None. G. Kumar: None. W.J. Oetgen: None.
- © 2014 by American Heart Association, Inc.