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 7

Univariate regression logistic analysis of the risk of cardiovascular mortality.

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

Laboratory testsTotal cholesterol0.515 (0.291–0.851)0.014
International normalised ratio2.825 (1.353–7.937)0.013
NT-proBNР1.001 (1–1.002)0.055

Habits and lifestyleBalanced diet0.355 (0.102–1.279)0.099

Symptoms and syndromesAnemia5.618 (1.799–16.667)0.0024.219 (1.156–14.286)0.022
The number of specific signs of HF (pressure in the jugular veins, gallop rhythm, mixing the top of the jolt, wheezing in the lungs, and congestion in the lungs)2.299 (1.441–3.676)<0.0011.567 (0.924–2.653)0.0891.497 (1.163–1.927)0.002
The number of typical symptoms of HF (dyspnea, fatigue, orthopnea, low effort tolerance, fatigue, edema, and apnoea)1.961 (1.335–2.941)0.0011.346 (1.121–1.629)0.002

Concomitant diseasesEndoscopy presence of erosive ulcerative lesions gastrointestinal mucosa2.353 (0.951–5.464)0.053
Abnormal liver function5.291 (1.425–18.519)0.009
Renal disease4.184 (1.245–12.5)0.013

CV system characteristicsAortic valve insufficiency2.907 (0.915–10.101)0.075
Arterial hypertension2 (1.089–3.891)0.032
The duration of arterial hypertension (years)1.066 (1.017–1.116)0.006
Cardiothoracic index (%)1.597 (1.133–2.841)0.0361.161 (1.053–1.294)0.004
History of infarction and/or stroke3.521 (1.222–11.494)0.024
Degree of pulmonary insufficiency2.725 (1.269–5.882)0.009
Right atrium enlargement3.546 (1.235–14.925)0.04
Degree of tricuspid insufficiency1.37 (0.983–1.908)0.061
Echocardiographic signs of myocardial infarct (cicatricial changes and local conduction disturbance zones)3.636 (1.233–10.526)0.0161.957 (1.129–3.509)0.02
Enlarged pulmonary trunk2.375 (1.224–4.608)0.01
Prior major bleeding6.494 (2.174–19.231)0.0013.891 (1.073–13.158)0.03

TherapyRegular use of anticoagulants0.389 (0.225–0.666)0.001
Regular use of NOAC0.42 (0.202–0.806)0.013
Regular use of peripheral vasodilators4.587 (1.695–11.905)0.002
Regular use of statins0.254 (0.083–0.724)0.0110.627 (0.366–1.08)0.089
Regular use of ACE inhibitors0.22 (0.069–0.84)0.015
Permanent AF therapy with beta-blockers0.404 (0.213–0.791)0.006
Permanent AF therapy with calcium channel blockers0.172 (0.009–0.872)0.091
Rational therapy of HF0.432 (0.238–0.757)0.004

AF/HF featuresHF developed after AF debut0.463 (0.209–0.987)0.05
Age of AF debut1.037 (1.011–1.067)0.007
Heart rate more than 100 beats per second4.545 (0.917–33.333)0.081

Scales and risksCHA2DS2-VASc1.385 (1.029–1.869)0.0311.163 (1.01–1.342)0.037
HAS-BLED2.105 (1.305–3.425)0.0021.938 (1.238–3.175)0.0051.37 (1.098–1.715)0.006