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INTRODUCCIÓN: REVISIÓN CRITICA DEL PROBLEMA

INTRODUCCIÓN: REVISIÓN CRITICA DEL PROBLEMA

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CAPÍTULO IV<br />

Comparisons of characteristics between individual with or without AF were<br />

performed with Student's t or Mann–Whitney U test for continuous variables and<br />

Pearson's χ2 for categorical variables. Continuous data from more than two<br />

groups were compared with one-way ANOVA. To study the correlation between<br />

quantitative variables, Pearson's test was used. Variables statistically associated<br />

to AF in the univariate analysis and those with clinical relevance were entered into<br />

a forward stepwise logistic-regression model to identify variables independently<br />

associated with AF. A p value < 0.05 was considered as statistically significant.<br />

Results<br />

a) Baseline patient characteristics<br />

The basal characteristics of patients are detailed in Table 1, on the basis of the<br />

presence or absence of AF. In AF group, subjects had a statistically significant<br />

higher prevalence of previous mitral surgery, LA distension and renal failure. AF<br />

patients showed a statistical trend to be older, and more prevalence of<br />

hypertension and preserved LVEF. Likewise, patients with AF had statistically<br />

significant higher plasma levels of fructosamine, HbA1c, fluorescent AGEs and<br />

sRAGE. With regard to pharmacotherapy, AF group received less angiotensin<br />

converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB)<br />

(p=0.025) and showed a trend to be less treated with statins (p=0.185).<br />

b) DM, AGEs and AF<br />

Table 2 shows the characteristics of diabetic and non-diabetic patients with and<br />

without AF. Among the 59 patients without DM, 24 (40.7%) had AF. This group of<br />

patients, compared with those in SR, was older and presented higher proportion of<br />

hypertension, renal failure and preserved LVEF. Plasma levels of fluorescent<br />

AGEs and sRAGE were higher in non-diabetic AF group versus non-diabetic SR<br />

group, but we did not observe any statistically significant differences between<br />

these groups with respect to HbA1c or fructosamine values. Within the group of<br />

diabetic patients (n=38), 13 presented AF (34.2%). These patients showed higher<br />

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