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Yücel Karabay C, Taşolar H, Ülgen Kunak A, Çap M, Ali Astarcıoğlu M, Şen T, Kaplan M, Said Coşgun M, Vatansever Ağca F, Arslan U, Açıksarı G, Er F, Uğur Mert K, Özdoğan Ö, Çalışkan S, Akşit E, Seyda Yılmaz A, Aksakal E, Şimşek Z, Çağan Efe S, Aktüre G, Böyük F, Başaran Ö, Ballı M, Oğuz Aslan A, Babur Güler G, Batgerel U, Özkalaycı F, Caner Kaya B, Gönenç Kanar B, Karakayalı M, Erdoğan E, İş G, Kalkan S, Demirel S, Aksu U, Güray Ü, Aydın Baş H, Gök M, Fatih Yılmaz M, Şimşek B, Kolak Z, Öz M, Uluköksal U, Emre Kuloğlu H, Çabuk G, Köksal F, Cem Nizam A, Çoldur R, Şaylık F, Halil Tanboğa İ. Turkish Real Life Atrial Fibrillation in Clinical Practice: TRAFFIC Study. Anatol J Cardiol 2024; 28:87-93. [PMID: 38168008 PMCID: PMC10837672 DOI: 10.14744/anatoljcardiol.2023.3616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 10/03/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia worldwide and is associated with an increased risk of thromboembolism, ischemic stroke, impaired quality of life, and mortality. The latest research that shows the prevalence and incidence of AF patients in Türkiye was the Turkish Adults' Heart Disease and Risk Factors study, which included 3,450 patients and collected data until 2006/07.The Turkish Real Life Atrial Fibrillation in Clinical Practice (TRAFFIC) study is planned to present current prevalence data, reveal the reflection of new treatment and risk approaches in our country, and develop new prediction models in terms of outcomes. METHODS The TRAFFIC study is a national, prospective, multicenter, observational registry. The study aims to collect data from at least 1900 patients diagnosed with atrial fibrillation, with the participation of 40 centers from Türkiye. The following data will be collected from patients: baseline demographic characteristics, medical history, vital signs, symptoms of AF, ECG and echocardiographic findings, CHADS2-VASC2 and HAS-BLED (1-year risk of major bleeding) risk scores, interventional treatments, antithrombotic and antiarrhythmic medications, or other medications used by the patients. For patients who use warfarin, international normalized ratio levels will be monitored. Follow-up data will be collected at 6, 12, 18, and 24 months. Primary endpoints are defined as systemic embolism or major safety endpoints (major bleeding, clinically relevant nonmajor bleeding, and minor bleeding as defined by the International Society on Thrombosis and Hemostasis). The main secondary endpoints include major adverse cardiovascular events (systemic embolism, myocardial infarction, and cardiovascular death), all-cause mortality, and hospitalizations due to all causes or specific reasons. RESULTS The results of the 12-month follow-up of the study are planned to be shared by the end of 2023. CONCLUSION The TRAFFIC study will reveal the prevalence and incidence, demographic characteristics, and risk profiles of AF patients in Türkiye. Additionally, it will provide insights into how current treatments are reflected in this population. Furthermore, risk prediction modeling and risk scoring can be conducted for patients with AF.
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Affiliation(s)
- Can Yücel Karabay
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Hakan Taşolar
- Department of Cardiology, İnönü University Faculty of Medicine, Malatya, Türkiye
| | | | - Murat Çap
- Department of Cardiology, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Türkiye
| | - Mehmet Ali Astarcıoğlu
- Department of Cardiology, University of Health Sciences, Evliya Çelebi Training and Research Hospital, Kütahya, Türkiye
| | - Taner Şen
- Department of Cardiology, University of Health Sciences, Evliya Çelebi Training and Research Hospital, Kütahya, Türkiye
| | - Mehmet Kaplan
- Department of Cardiology, Gaziantep University Faculty of Medicine, Gaziantep, Türkiye
| | - Muharrem Said Coşgun
- Department of Cardiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Türkiye
| | - Fahriye Vatansever Ağca
- Department of Cardiology, Bursa High Specialization Training and Research Hospital, Bursa, Türkiye
| | - Uğur Arslan
- Department of Cardiology, Samsun Training and Research Hospital, Samsun, Türkiye
| | - Gönül Açıksarı
- Department of Cardiology, İstanbul Medeniyet University Göztepe Training and Research Hospital, İstanbul, Türkiye
| | - Fahri Er
- Department of Cardiology, Ağrı Training and Research Hospital, Ağrı, Türkiye
| | - Kadir Uğur Mert
- Department of Cardiology, Eskişehir Osmangazi University Faculty of Medicine, Eskişehir, Türkiye
| | - Öner Özdoğan
- Department of Cardiology, İzmir Tepecik Training and Research Hospital, İzmir, Türkiye
| | - Serhat Çalışkan
- Department of Cardiology, İstanbul Bahçelievler Public Hospital, İstanbul, Türkiye
| | - Ercan Akşit
- Department of Cardiology, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale, Türkiye
| | - Ahmet Seyda Yılmaz
- Department of Cardiology, Recep Tayyip Erdoğan University Faculty of Medicine, Rize, Türkiye
| | - Emrah Aksakal
- Department of Cardiology, Erzurum Regional Training and Research Hospital, Erzurum, Türkiye
| | - Zeki Şimşek
- Department of Cardiology, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye
| | - Süleyman Çağan Efe
- Department of Cardiology, Kartal Koşuyolu High Specialization Training and Research Hospital, İstanbul, Türkiye
| | - Gülşah Aktüre
- Department of Cardiology, Düzce University Training and Research Hospital, Düzce, Türkiye
| | - Ferit Böyük
- Department of Cardiology, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Özcan Başaran
- Department of Cardiology, Muğla Sıtkı Kocaman University Faculty of Medicine, Muğla, Türkiye
| | - Mehmet Ballı
- Department of Cardiology, Mersin City Training and Research Hospital, Mersin, Türkiye
| | - Ahmet Oğuz Aslan
- Department of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Türkiye
| | - Gamze Babur Güler
- Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | | | - Flora Özkalaycı
- Department of Cardiology, Hisar Hospital Intercontinental, İstanbul, Türkiye
| | - Bedri Caner Kaya
- Department of Cardiology, Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Türkiye
| | - Batur Gönenç Kanar
- Department of Cardiology, Marmara University Pendik Training and Research Hospital, İstanbul, Türkiye
| | - Muammer Karakayalı
- Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Türkiye
| | - Emrah Erdoğan
- Department of Cardiology, Van Yüzüncü Yıl University Faculty of Medicine, Van, Türkiye
| | - Gürkan İş
- Department of Cardiology, Lösante Children’s and Adult Hospital, Ankara, Türkiye
| | - Sedat Kalkan
- Department of Cardiology, Pendik State Hospital, İstanbul, Türkiye
| | - Sinan Demirel
- Department of Cardiology, Pendik State Hospital, İstanbul, Türkiye
| | - Uğur Aksu
- Department of Cardiology, Afyonkarahisar Health Sciences University Faculty of Medicine, Afyonkarahisar, Türkiye
| | - Ümit Güray
- Department of Cardiology, Ankara Bilkent City Hospital, Ankara, Türkiye
| | - Hasan Aydın Baş
- Department of Cardiology, Isparta City Hospital, Isparta, Türkiye
| | - Murat Gök
- Department of Cardiology, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Mehmet Fatih Yılmaz
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Barış Şimşek
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Zeynep Kolak
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Melih Öz
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Utku Uluköksal
- Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Türkiye
| | - Hüseyin Emre Kuloğlu
- Department of Cardiology, İnönü University Faculty of Medicine, Malatya, Türkiye
| | - Gizem Çabuk
- Department of Cardiology, İzmir Tepecik Training and Research Hospital, İzmir, Türkiye
| | - Fatma Köksal
- Department of Cardiology, Mersin City Training and Research Hospital, Mersin, Türkiye
| | - Ahmet Cem Nizam
- Department of Cardiology, Marmara University Pendik Training and Research Hospital, İstanbul, Türkiye
| | - Rabia Çoldur
- Department of Cardiology, Van Yüzüncü Yıl University Faculty of Medicine, Van, Türkiye
| | - Faysal Şaylık
- Department of Cardiology, Van Training and Research Hospital, Van, Türkiye
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