Research Article

Predictors of Unfavorable Outcomes in Patients with Atrial Fibrillation and Concomitant Heart Failure with Different Ejection Fractions: RIF-CHF Register One-Year Follow-Up

Table 6

Univariate regression logistic analysis of the risk of hospitalization due to decompensation of HF.

Group of factorsFactorAF-HFpEFAF-HFmrEFAF-HFrEF
OR (2.5–97.5) valueOR (2.5–97.5) valueOR (2.5–97.5) value

Laboratory testsLDH1.007 (1.004–1.011)<0.001
Total bilirubin1.035 (1.005–1.07)0.031
Kreatinin1.008 (1.002–1.014)0.01

DemographyAge > 65 years2.329 (1.462–3.745)<0.0011.736 (1.17–2.584)0.006
Female gender1.866 (1.198–2.921)0.006

Habits and lifestyleSmoking (ever)1.852 (1.073–3.236)0.028
Bad habits2.009 (1.107–3.723)0.023
Alcohol usage history1.37 (1.038–1.828)0.028
Level of physical activity0.549 (0.274–1.081)0.0850.616 (0.399–0.944)0.027

Symptoms and syndromesThe number of specific signs of HF1.482 (1.146–1.946)0.003
Increase of venous pressure2.383 (1.02–5.847)0.048
The number of typical symptoms of HF2.275 (1.1–4.844)0.028

Concomitant diseasesDiabetes mellitus1.733 (1.048–2.908)0.034

CV system characteristicsArterial hypertension2.347 (1.524–3.663)<0.001
Duration of arterial hypertension1.03 (1.002–1.061)0.044
Degree of tricuspid insufficiency1.408 (1.027–1.949)0.036
Degree of aortal insufficiency1.721 (1.074–2.865)0.028
Degree of pulmonary insufficiency3.69 (1.46–10.87)0.01
Mitral insufficiency1.543 (0.937–2.54)0.087
Hemodynamically significant coronary artery stenosis2.166 (1.276–3.8)0.005
Cardiothoracic index (%)1.138 (1.047–1.244)0.003
Vascular disease1.73 (1.126–2.673)0.013
Prior stroke or TIA or thromboembolism1.866 (1.198–2.921)0.006

TherapyRegular use of antiarrhythmic drugs0.622 (0.393–0.978)0.041
Regular use of ACE inhibitors0.582 (0.371–0.907)0.017
Permanent AF therapy with calcium channel blockers0.505 (0.311–0.812)0.005
Regular use of angiotensin II receptor blocker0.466 (0.288–0.745)0.0020.587 (0.331–1.01)0.06
Regular use of anticoagulants0.389 (0.257–0.587)<0.001
Permanent AF therapy with beta-blockers0.279 (0.152–0.496)<0.001
Rational therapy of HF0.409 (0.271–0.611)<0.001
Regular use of aldosterone antagonist0.584 (0.361–0.942)0.027
Regular use of NOAC0.588 (0.377–0.907)0.017
Rate control strategy (versus rhythm control strategy)1.779 (1.156–2.747)0.0090.283 (0.125–0.599)0.001

AF/HF featuresHF developed after AF debut2.002 (1.049–3.879)0.037
AF duration1.005 (1.001–1.01)0.022
HF duration1.005 (1.002–1.009)0.003
EF0.958 (0.922–0.995)0.026
Persistent form of AF (versus paroxysmal form)0.464 (0.296–0.7220.0012.755 (1.451–5.405)0.002

Scales and risksCHA2DS2-VASc1.393 (1.215–1.608)<0.0011.191 (0.981–1.46)0.0831.215 (1.089–1.359)0.001
HAS-BLED1.461 (1.174–1.836)0.0011.196 (1.014–1.414)0.035