Major adverse cardiovascular and bleeding outcomes in paroxysmal vs. non-paroxysmal atrial fibrillation: an individual patient-level data analysis of a large cohort of patients from the COMBINE-AF

Compared to non-PAF, adjusted risks in PAF patients were lower for stroke/systemic embolic event and all-cause death, and higher for major or clinically relevant non-major bleeding and myocardial infarction.These findings highlight clinically important differences in outcomes by AF type that may have clinical applications for AF patients.

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Publication Details

Journal
European Journal of Internal Medicine
Published
2026-02-01
DOI
https://doi.org/10.1016/j.ejim.2026.106774
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
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article

Major adverse cardiovascular and bleeding outcomes in paroxysmal vs. non-paroxysmal atrial fibrillation: an individual patient-level data analysis of a large cohort of patients from the COMBINE-AF

Anthony Carnicelli, Michael G. Palazzolo, Christian Ruff, Christopher B. Granger et al.
European Journal of Internal Medicine
Atrial Fibrillation Management and Outcomes
article

Major adverse cardiovascular and bleeding outcomes in paroxysmal vs. non-paroxysmal atrial fibrillation: an individual patient-level data analysis of a large cohort of patients from the COMBINE-AF

Anthony Carnicelli, Michael G. Palazzolo, Christian Ruff, Christopher B. Granger, John Eikelboom, Kenneth W. Mahaffey, Andreas Goette, Robert P. Giugliano, George Ntaios, Manesh Patel, Mark S. Link, Lars Wallentin
article en

Abstract

Compared to non-PAF, adjusted risks in PAF patients were lower for stroke/systemic embolic event and all-cause death, and higher for major or clinically relevant non-major bleeding and myocardial infarction.These findings highlight clinically important differences in outcomes by AF type that may have clinical applications for AF patients.

European Journal of Internal Medicine
Uppsala University (SE), Brigham and Women's Hospital (US), Harvard University (US), Medical University of South Carolina (US), Duke University (US), AHEPA University Hospital (GR), Clinical Research Institute (US), Stanford Medicine (US), Center for Clinical Research (United States) (US), Thrombolysis in Myocardial Infarction Study Group (US), The University of Texas Southwestern Medical Center (US), Otto-von-Guericke-Universität Magdeburg (DE), McMaster University (CA)
Good health and well-being
Openalex Percentile: Top 54%
Atrial Fibrillation Management and Outcomes
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