Atrial fibrillation epidemiology and demographics: Difference between revisions
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*The [[prevalence]] of [[patients]] with [[atrial fibrillation]] in individuals over the age of 80 is about 10-17%. While only 3.7%–4.2% of [[patients]] aged 60–70 year have [[atrial fibrillation]].<ref name="pmid24966695">{{cite journal| author=Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S| title=Epidemiology of atrial fibrillation: European perspective. | journal=Clin Epidemiol | year= 2014 | volume= 6 | issue= | pages= 213-20 | pmid=24966695 | doi=10.2147/CLEP.S47385 | pmc=4064952 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24966695 }} </ref> | *The [[prevalence]] of [[patients]] with [[atrial fibrillation]] in individuals over the age of 80 is about 10-17%. While only 3.7%–4.2% of [[patients]] aged 60–70 year have [[atrial fibrillation]].<ref name="pmid24966695">{{cite journal| author=Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S| title=Epidemiology of atrial fibrillation: European perspective. | journal=Clin Epidemiol | year= 2014 | volume= 6 | issue= | pages= 213-20 | pmid=24966695 | doi=10.2147/CLEP.S47385 | pmc=4064952 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24966695 }} </ref> | ||
*[[Patients]] with [[atrial fibrillation]] have a [[median]] age of 75 years. | *[[Patients]] with [[atrial fibrillation]] have a [[median]] age of 75 years. | ||
*The proportion of [[patients]] with [[atrial fibrillation]] who are between 65 and 85 years of age is 70%.<ref name="pmid7864703">{{cite journal |author=Feinberg WM, Blackshear JL, Laupacis A, Kronmal R, Hart RG |title=Prevalence, age distribution, and gender of patients with atrial fibrillation. Analysis and implications |journal=Arch. Intern. Med. |volume=155 |issue=5 |pages=469–73 |year=1995 |month=March |pmid=7864703 |doi= |url=http://archinte.ama-assn.org/cgi/pmidlookup?view=long&pmid=7864703 | *The proportion of [[patients]] with [[atrial fibrillation]] who are between 65 and 85 years of age is 70%.<ref name="pmid7864703">{{cite journal |author=Feinberg WM, Blackshear JL, Laupacis A, Kronmal R, Hart RG |title=Prevalence, age distribution, and gender of patients with atrial fibrillation. Analysis and implications |journal=Arch. Intern. Med. |volume=155 |issue=5 |pages=469–73 |year=1995 |month=March |pmid=7864703 |doi= |url=http://archinte.ama-assn.org/cgi/pmidlookup?view=long&pmid=7864703}}</ref> | ||
===Race=== | ===Race=== |
Revision as of 21:29, 25 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Atrial fibrillation is the most common arrhythmia found in clinical practice. It accounts for 1/3 of hospital admissions for cardiac rhythm disturbances, and the rate of admissions for AF has risen in recent years.
Epidemiology and Demographics
Incidence
Research has shown that the incidence of AF increased from less than 0.1% per year in those under 40 years of age to greater than 1.5% per year in women over 80 age and greater than 2% per year in men over 80 years of age. The age-adjusted incidence in the Framingham Heart Study found that in 38 years of follow-up, 20.6% of men and 26.0% of women who had developed AF had congestive heart failure at inclusion versus 3.2% and 2.9%, respectively, of those without AF. Among patients referred for treatment of heart failure, the 2-to-3-year incidence of AF was 5% to 10%. There was some evidence to suggest that incidence of AF may be lower in heart failure patients with pharmacologic intervention.[1]
Prevalence
- The prevalence in the general population is 0.4%.[2]
- The prevalence of atrial fibrillation has been increased during the last decades, due to various causes such as improved diagnostic tools, increased in age average in some populations and higher rate of successful treatment in cardiac patients.[3]
- Prevalence of atrial fibrillation has been estimated to be even more, since many cases of atrial fibrillation remain asymptomatic for a long time.[4]
Case-fatality rate/Mortality rate
- In [year], the incidence of [disease name] is approximately [number range] per 100,000 individuals with a case-fatality rate/mortality rate of [number range]%.
Approximately 2.2 million individuals in the United States and 4.5 million in the European Union have AF.[1][5]
Age
- The incidence of atrial fibrillation increases with age.[6][7]
- The prevalence of patients with atrial fibrillation in individuals over the age of 80 is about 10-17%. While only 3.7%–4.2% of patients aged 60–70 year have atrial fibrillation.[3]
- Patients with atrial fibrillation have a median age of 75 years.
- The proportion of patients with atrial fibrillation who are between 65 and 85 years of age is 70%.[8]
Race
- Prevalence of atrial fibrillation has been reported to be higher among Caucasians.
- Important genetic determinants may play a role since the age-adjusted risk of developing atrial fibrillation among African-Americans is less than half that in Caucasians.[9][10] [11]
Gender
- Atrial fibrillation is more common in males compared to females.[3]
- The male to female ratio has been reported as 1.2:1 in atrial fibrillation patients.
- There are more elderly women with atrial fibrillation, compared to men which is due to longer life among female patients.[11][12]
Region
The following table is a summary of how rate of atrial fibrillation differs among various regions: [3]
Regions | Prevalence |
---|---|
Italy | 1.9 % |
England | 1.9 % |
Iceland | 1.9 % |
Germany | 2.3 % |
Sweden | 2.9% |
Developed Countries
In developed countries, the number of patients with atrial fibrillation is likely to increase during the next 50 years, due to the growing proportion of elderly individuals.[13]
Developing Countries
- Prevalence of atrial fibrillation in developing countries has estimated as 0.4 % in female and 0.6% in male populations.[3]
References
- ↑ 1.0 1.1 PMID 16908781 (PMID 16908781)
Citation will be completed automatically in a few minutes. Jump the queue or expand by hand - ↑ OSTRANDER LD, BRANDT RL, KJELSBERG MO, EPSTEIN FH (1965). "ELECTROCARDIOGRAPHIC FINDINGS AMONG THE ADULT POPULATION OF A TOTAL NATURAL COMMUNITY, TECUMSEH, MICHIGAN". Circulation. 31: 888–98. PMID 14297523. Unknown parameter
|month=
ignored (help) - ↑ 3.0 3.1 3.2 3.3 3.4 Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S (2014). "Epidemiology of atrial fibrillation: European perspective". Clin Epidemiol. 6: 213–20. doi:10.2147/CLEP.S47385. PMC 4064952. PMID 24966695.
- ↑ Rho RW, Page RL (2005). "Asymptomatic atrial fibrillation". Prog Cardiovasc Dis. 48 (2): 79–87. doi:10.1016/j.pcad.2005.06.005. PMID 16253649.
- ↑ Go AS, Hylek EM, Phillips KA; et al. (2001). "Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study". JAMA. 285 (18): 2370–5. doi:10.1001/jama.285.18.2370. PMID 11343485.
- ↑ Fuster V, Rydén LE, Asinger RW; et al. (2001). "ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to develop guidelines for the management of patients with atrial fibrillation) developed in collaboration with the North American Society of Pacing and Electrophysiology". Eur. Heart J. 22 (20): 1852–923. doi:10.1053/euhj.2001.2983. PMID 11601835. Unknown parameter
|month=
ignored (help) - ↑ Furberg CD, Psaty BM, Manolio TA, Gardin JM, Smith VE, Rautaharju PM (1994). "Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study)". Am. J. Cardiol. 74 (3): 236–41. doi:10.1016/0002-9149(94)90363-8. PMID 8037127.
- ↑ Feinberg WM, Blackshear JL, Laupacis A, Kronmal R, Hart RG (1995). "Prevalence, age distribution, and gender of patients with atrial fibrillation. Analysis and implications". Arch. Intern. Med. 155 (5): 469–73. PMID 7864703. Unknown parameter
|month=
ignored (help) - ↑ Flegel KM, Shipley MJ, Rose G (1987). "Risk of stroke in non-rheumatic atrial fibrillation". Lancet. 1 (8532): 526–9. Unknown parameter
|month=
ignored (help) - ↑ Wolf PA, Abbott RD, Kannel WB (1991). "Atrial fibrillation as an independent risk factor for stroke: the Framingham Study". Stroke. 22 (8): 983–8. PMID 1866765. Unknown parameter
|month=
ignored (help) - ↑ 11.0 11.1 Furberg CD, Psaty BM, Manolio TA, Gardin JM, Smith VE, Rautaharju PM (1994). "Prevalence of atrial fibrillation in elderly subjects (the Cardiovascular Health Study)". Am. J. Cardiol. 74 (3): 236–41. PMID 8037127. Unknown parameter
|month=
ignored (help) - ↑ Kannel WB, Abbott RD, Savage DD, McNamara PM (1983). "Coronary heart disease and atrial fibrillation: the Framingham Study". Am. Heart J. 106 (2): 389–96. PMID 6869222. Unknown parameter
|month=
ignored (help) - ↑ Go AS, Hylek EM, Phillips KA, Chang Y, Henault LE, Selby JV, Singer DE (2001). "Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study". JAMA. 285 (18): 2370–5. doi:10.1001/jama.285.18.2370. PMID 11343485. PMID 11343485