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

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
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DOI:
10.1001/jama.285.18.2370
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发表时间:
2001-05-09
影响因子:
120.7
通讯作者:
Singer, DE
Singer, DE
中科院分区:
医学1区
文献类型:
--
作者:
Go, AS;Hylek, EM;Singer, DE

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背景房颤是老年人最常见的心律失常,也是卒中的一个潜在危险因素。然而,最近的患病率和预测的未来人数心房颤动的人没有很好地描述。目的估计房颤的患病率和美国国家对到2050年房颤患者数量的预测,设计、设置和患者横断面研究在1996年7月1日至1997年12月31日期间在加州一个大型健康维护组织登记的20岁及以上的成年人中诊断为房颤,主要结果测量研究人群中189万房颤患病率;预测1995-2050年美国房颤患者的数量。结果在研究期间,共有17974名诊断为房颤的成年人被确诊;45%的人年龄在75岁及以上。房颤患病率为0.95%(95%可信区间0.94%-0.96%)。房颤在男性中比在女性中更常见(1.1% vs 0.8%
Context Atrial fibrillation is the most common arrhythmia in elderly persons and a potent risk factor for stroke. However, recent prevalence and projected future numbers of persons with atrial fibrillation are not well described.Objective To estimate prevalence of atrial fibrillation and US national projections of the numbers of persons with atrial fibrillation through the year 2050,Design, Setting, and Patients Cross-sectional study of adults aged 20 years or older who were enrolled in a large health maintenance organization in California and who had atrial fibrillation diagnosed between July 1, 1996, and December 31, 1997,Main Outcome Measures Prevalence of atrial fibrillation in the study population of 1.89 million; projected number of persons in the United States with atrial fibrillation between 1995-2050.Results A total of 17974 adults with diagnosed atrial fibrillation were identified during the study period; 45% were aged 75 years or older. The prevalence of atrial fibrillation was 0.95% (95% confidence interval, 0.94%-0.96%). Atrial fibrillation was more common in men than in women (1.1% vs 0.8%; P