Epidemiological characteristics, management, and outcomes of atrial fibrillation in TUNISIA: Results from the National Tunisian Registry of Atrial Fibrillation (NATURE-AF)

Sana Ouali; Afef Ben Halima; Sonia Chabrak; Rafik Chettaoui; Manel Ben Halima; Abdeddayem Haggui; Salma Krichane; Larbi Noureddine; Sonia Marrakchi; Selma Charfeddine; Majed Hassine; Khaled Sayahi; Fehmi Abbes Mohamed; Wided Nasraoui; Hassen Ajmi; Mehdi Ben Miled; Zeynab Jebbari; Mohamed Ali Meghaieth; Emna Allouche; Rachid Mechmeche; Lilia Zakhama; Wissem Sdiri; Ali Ben Khalfallah; Anissa Gharbi; Sami Milouchi; Ali Neji; Saoussen Antit; Kais Battikh; Meriem Drissa; Samira Kaabachi; Tarek Najar; Rami Tlili; Iheb Chahbani; Hanene Charfeddine; Mbarek Mohamed Ben; Sami Braham; Faouzi Maatouk; Salem Abdesselem; Mokdad Ayari; Riadh Garbaa; Nabil Hamrouni; Dorra Mbarek; Hajer Rekik; Hamda Zaghdoudi; Wacef Ayadi; Feriel Baraket; Karim Ben Brahim; Mariem Ben Romdhane; Habib Bousadia; Wassim Brahim; Malek Mezri; Ali Guesmi; Taha Ounissi; Sofiene Kammoun; Wajih Smati; Samir Tlili; Karim Zoughi; Jawher Zemni; Mahmoud Cheikh Bouhlel; Sanaa Islem; Rym Jemli; Anissa Joulak; Khadija Mzoughi; Hela Naanea; Leila Hached; Moufid Hadrich; Mohamed Hmem; Slim Kacem; Ikram Kammoun; Rawdha Othmani; Amel Ouerghi; Syrine Abid; Ridha Ennouri; Sandrine Haidar; Sihem Heraiech; Monia Jammali; Mourad Jarrar; Leila Riahi; Basma Trimech; Med Ali Azaiez; Foued Azzouzi; Khaled Ben Jemaa; Oussema Ben Rejab; Rim Chrigui; Wejdene Wechtati; Essia Boughzela; Gouider Jridi; Leila Bezdah; Sondes Kraiem; Habiba Drissa; Soraya Ben Youssef; Wafa Fehri; Salem Kachboura; Habib Gamra; Samir Kammoun; Mohamed Sami Mourali; Faouzi Addad; Leila Abid

doi:10.1002/clc.23558

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Epidemiological characteristics, management, and outcomes of atrial fibrillation in TUNISIA: Results from the National Tunisian Registry of Atrial Fibrillation (NATURE-AF)

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Epidemiological characteristics, management, and outcomes of atrial fibrillation in TUNISIA: Results from the National Tunisian Registry of Atrial Fibrillation (NATURE-AF)

Sana Ouali, Afef Ben Halima, Sonia Chabrak, Rafik Chettaoui, Manel Ben Halima, Abdeddayem Haggui, Salma Krichane, Larbi Noureddine, Sonia Marrakchi, Selma Charfeddine, …

Clinical cardiology (Mahwah, N.J.), Vol.44(4), pp.501-510

04/2021

DOI: https://doi.org/10.1002/clc.23558

PMID: 33704830

Abstract

Cardiac & Cardiovascular Systems

Cardiovascular System & Cardiology

Life Sciences & Biomedicine

Science & Technology

Background Contemporary registries on atrial fibrillation (AF) are scare in North African countries. Hypothesis In the context of the epidemiological transition, prevalence of valvular AF in Tunisia has decreased and the quality of management is still suboptimal. Methods NATURE-AF is a prospective Tunisian registry, involving consecutive patients with AF from March 1, 2017 to May 31, 2017, with a one-year follow-up period. All the patients with an Electrocardiogram-documented AF, confirmed in the year prior to enrolment were eligible. The epidemiological characteristics and outcomes were described. Results A total of 915 patients were included in this study, with a mean age of 64.3 +/- 22 years and a male/female sex ratio of 0.93. Valvular AF was identified in 22.4% of the patients. The mean CHA(2)DS(2)VASC score in nonvalvular AF was 2.4 +/- 1.6. Monotherapy with antiplatelet agents was prescribed for 13.8% of the patients. However, 21.7% of the subjects did not receive any antithrombotic agent. Oral anticoagulants were prescribed for half of the patients with a low embolic risk score. In 341 patients, the mean time in therapeutic range was 48.87 +/- 28.69%. Amiodarone was the most common antiarrhythmic agent used (52.6%). During a 12-month follow-up period, 15 patients (1.64%) had thromboembolism, 53 patients (5.8%) had major hemorrhage, and 52 patients (5.7%) died. Conclusions NATURE-AF has provided systematic collection of contemporary data regarding the epidemiological and clinical characteristics as well as the management of AF by cardiologists in Tunisia. Valvular AF is still prevalent and the quality of anticoagulation was suboptimal.

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Title: Epidemiological characteristics, management, and outcomes of atrial fibrillation in TUNISIA: Results from the National Tunisian Registry of Atrial Fibrillation (NATURE-AF)
Creators - without role: Sana Ouali - Hôpital La Rabta
Afef Ben Halima - Abderrahmane Mami Hospital
Sonia Chabrak - Institut Pasteur de Tunis
Rafik Chettaoui - Tunis El Manar University
Manel Ben Halima - Hôpital La Rabta
Abdeddayem Haggui - Institut des Hautes Études de Tunis
Salma Krichane - El Alya Clin, Sfax, Tunisia
Larbi Noureddine - Hôpital La Rabta
Sonia Marrakchi - Abderrahmane Mami Hospital
Selma Charfeddine - Hopital Universitaire Hedi Chaker
Majed Hassine - Hospital Fatuma Bourguiba Monastir
Khaled Sayahi - Hopital Universitaire Habib Bourguiba
Fehmi Abbes Mohamed - Zaghouan Hosp, Zaghouan, Tunisia
Wided Nasraoui - Kasserine Hosp, Kasserine, Tunisia
Hassen Ajmi - Hopital Universitaire Habib Bourguiba
Mehdi Ben Miled - Zaghouan Clin, Zaghouan, Tunisia
Zeynab Jebbari - Hop La Rabta, Tunis, Tunisia
Mohamed Ali Meghaieth - University of Jendouba
Emna Allouche - Hôpital Charles-Nicolle
Rachid Mechmeche - Institut Pasteur de Tunis
Lilia Zakhama - Marsa Internal Secur Forces Hosp, La Marsa, Tunisia
Wissem Sdiri - Bougatfa Hosp, Bizerte, Tunisia
Ali Ben Khalfallah - Menzel Bourguiba Hosp, Bizerte, Tunisia
Anissa Gharbi - University of Sousse
Sami Milouchi - Hopital Universitaire Habib Bourguiba
Ali Neji - Ben Guerdane Hosp, Medenine, Tunisia
Saoussen Antit - Marsa Internal Secur Forces Hosp, La Marsa, Tunisia
Kais Battikh - Djerba Clin, Medenine, Tunisia
Meriem Drissa - Hôpital La Rabta
Samira Kaabachi - Hop La Rabta, Tunis, Tunisia
Tarek Najar - Capital University
Rami Tlili - Hôpital Mongi Slim
Iheb Chahbani - Djerba Clin, Medenine, Tunisia
Hanene Charfeddine - El Alya Clin, Sfax, Tunisia
Mbarek Mohamed Ben - Kebili Hosp, Kebili, Tunisia
Sami Braham - AMEN
Faouzi Maatouk - Hospital Fatuma Bourguiba Monastir
Salem Abdesselem - Institut Pasteur de Tunis
Mokdad Ayari - Cardiovasc Clin, Tunis, Tunisia
Riadh Garbaa - Djerba Clin, Medenine, Tunisia
Nabil Hamrouni - Djerba Clin, Medenine, Tunisia
Dorra Mbarek - Hôpital Mongi Slim
Hajer Rekik - El Alya Clin, Sfax, Tunisia
Hamda Zaghdoudi - Manar Clin, Tunis, Tunisia
Wacef Ayadi - El Alya Clin, Sfax, Tunisia
Feriel Baraket - Carthagene Clin, Tunis, Tunisia
Karim Ben Brahim - Tunis El Manar University
Mariem Ben Romdhane - Essalem Clin, Sousse, Tunisia
Habib Bousadia - Ezzayatin Clin, Sousse, Tunisia
Wassim Brahim - Hôpital La Rabta
Malek Mezri - Hôpital La Rabta
Ali Guesmi - University of Gabès
Taha Ounissi - Hôpital Sahloul
Sofiene Kammoun - Habib hospital Thameur
Wajih Smati - University of Gafsa
Samir Tlili - Hedi Jaballah Hosp, Tozeur, Tunisia
Karim Zoughi - Hôpital La Rabta
Jawher Zemni - Essalem Clin, Tunis, Tunisia
Mahmoud Cheikh Bouhlel - Hôpital La Rabta
Sanaa Islem - Hop La Rabta, Tunis, Tunisia
Rym Jemli - Hop La Rabta, Tunis, Tunisia
Anissa Joulak - LAC
Khadija Mzoughi
Hela Naanea - Tunis El Manar University
Leila Hached - Institut Pasteur de Tunis
Moufid Hadrich - Institut Pasteur de Tunis
Mohamed Hmem - LAC
Slim Kacem - Carthage Clin, Monastir, Tunisia
Ikram Kammoun - Abderrahmane Mami Hospital
Rawdha Othmani - Hôpital La Rabta
Amel Ouerghi - AMEN
Syrine Abid - LAC
Ridha Ennouri - El Alya Polyclin, Sfax, Tunisia
Sandrine Haidar - University of Sousse
Sihem Heraiech - Tunis El Manar University
Monia Jammali - Tunis El Manar University
Mourad Jarrar - University of Sousse
Leila Riahi - Cardiovasc Clin, Tunis, Tunisia
Basma Trimech - University of Sousse
Med Ali Azaiez - University of Sousse
Foued Azzouzi - Tunis El Manar University
Khaled Ben Jemaa - Djerba Clin, Medenine, Tunisia
Oussema Ben Rejab - Hôpital Farhat Hached
Rim Chrigui - Institut Pasteur de Tunis
Wejdene Wechtati - Hôpital Charles-Nicolle
Essia Boughzela - University of Sousse
Gouider Jridi - Farhat Hached Univ Hosp, Sousse, Tunisia
Leila Bezdah - Hôpital Charles-Nicolle
Sondes Kraiem - Habib hospital Thameur
Habiba Drissa - Hôpital La Rabta
Soraya Ben Youssef - Marsa Internal Secur Forces Hosp, La Marsa, Tunisia
Wafa Fehri - Institut des Hautes Études de Tunis
Salem Kachboura - Abderrahmane Mami Hospital
Habib Gamra - Hospital Fatuma Bourguiba Monastir
Samir Kammoun - Hopital Universitaire Hedi Chaker
Mohamed Sami Mourali - Hôpital La Rabta
Faouzi Addad - Abderrahmane Mami Hospital
Leila Abid - Hopital Universitaire Hedi Chaker
Publication Details: Clinical cardiology (Mahwah, N.J.), Vol.44(4), pp.501-510
Publisher: Wiley
Number of pages: 10
Identifiers: 9915933508331
Academic Unit: Imam Mohammad Ibn Saud Islamic University (IMSIU)
Language: English
Resource Type: Journal article