Shanafelt, Tait D., Parikh, Sameer A., Noseworthy, Peter A., Goede, Valentin, Chaffee, Kari G., Bahlo, Jasmin, Call, Timothy G., Schwager, Susan M., Ding, Wei, Eichhorst, Barbara, Fischer, Kirsten, Leis, Jose F., Chanan-Khan, Asher Alban, Hallek, Michael, Slager, Susan L. and Kay, Neil E. (2017). Atrial fibrillation in patients with chronic lymphocytic leukemia (CLL). Leuk. Lymphoma, 58 (7). S. 1630 - 1640. ABINGDON: TAYLOR & FRANCIS LTD. ISSN 1029-2403

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Abstract

Although preliminary data suggests that ibrutinib may increase risk of atrial fibrillation (AF), the incidence of AF in a general cohort of chronic lymphocytic leukemia (CLL) patients is unknown. We evaluated the prevalence of AF at CLL diagnosis and incidence of AF during follow-up in 2444 patients with newly diagnosed CLL. A prior history of AF was present at CLL diagnosis in 148 (6.1%). Among the 2292 patients without history of AF, 139 (6.1%) developed incident AF during follow-up (incidence approximately 1%/ year). Older age (p <. 0001), male sex (p = .01), valvular heart disease (p = .001), and hypertension (p = .04) were associated with risk of incident AF on multivariate analysis. A predictive model for developing incident AF constructed from these factors stratified patients into 4 groups with 10-year rates of incident AF ranging from 4% to 33% (p <. 0001). This information provides context for interpreting rates of AF in CLL patients treated with novel therapies.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Shanafelt, Tait D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Parikh, Sameer A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Noseworthy, Peter A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Goede, ValentinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chaffee, Kari G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bahlo, JasminUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Call, Timothy G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schwager, Susan M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ding, WeiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eichhorst, BarbaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fischer, KirstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Leis, Jose F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chanan-Khan, Asher AlbanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hallek, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Slager, Susan L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kay, Neil E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-246545
DOI: 10.1080/10428194.2016.1257795
Journal or Publication Title: Leuk. Lymphoma
Volume: 58
Number: 7
Page Range: S. 1630 - 1640
Date: 2017
Publisher: TAYLOR & FRANCIS LTD
Place of Publication: ABINGDON
ISSN: 1029-2403
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
NATURAL-HISTORY; RISK-FACTORS; OPEN-LABEL; INITIAL THERAPY; LIFETIME RISK; IBRUTINIB; STROKE; COHORT; TRIAL; CYCLOPHOSPHAMIDEMultiple languages
Oncology; HematologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/24654

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