Epidemiology of atrial fibrillation in northeast China: a cross-sectional study, 2017–2019

ObjectiveTo evaluate the epidemiology of atrial fibrillation (AF) in northeast China.MethodsThis cross-sectional survey using a multistage, stratified and cluster random sampling method was conducted in Liaoning Province between September 2017 and March 2019. A total of 18 796 participants (28.9% ur...

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Published inHeart (British Cardiac Society) Vol. 106; no. 8; pp. 590 - 595
Main Authors Xing, Liying, Lin, Min, Du, Zhi, Jing, Li, Tian, Yuanmeng, Yan, Han, Ren, Guocheng, Dong, Yingna, Sun, Qun, Dai, Dong, Shi, Lei, Chen, Hongyun, Liu, Shuang
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd and British Cardiovascular Society 01.04.2020
BMJ Publishing Group LTD
Subjects
Adult
Aged
Aged, 80 and over
Anticoagulants
atrial fibrillation
Atrial Fibrillation - epidemiology
Cardiac arrhythmia
Cardiac risk factors and prevention
Cardiology
China - epidemiology
Cholesterol
Cross-Sectional Studies
Data collection
Epidemiology
Female
Humans
Hypertension
Laboratories
Lipids
Male
Medical prognosis
Middle Aged
Patients
Population
Prevalence
Questionnaires
Retrospective Studies
Risk Factors
Rural Population
Studies
China
United States > US
cardiac risk factors and prevention
epidemiology
atrial fibrillation
Online AccessGet full text
ISSN1355-6037
1468-201X
1468-201X
DOI10.1136/heartjnl-2019-315397

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Abstract ObjectiveTo evaluate the epidemiology of atrial fibrillation (AF) in northeast China.MethodsThis cross-sectional survey using a multistage, stratified and cluster random sampling method was conducted in Liaoning Province between September 2017 and March 2019. A total of 18 796 participants (28.9% urban, 71.1% rural) aged ≥40 years were included. All participants completed a questionnaire and underwent a physical examination and ECG. AF was diagnosed according to history and ECG findings.ResultsThe overall AF prevalence was 1.1%; it increased steeply with age. AF was more prevalent in men than in women (1.5% vs 0.9%, p<0.001); however, the difference between urban and rural areas was not significant (1.3% vs 1.1%, p=0.228). Among the AF population, the overall AF awareness rate was 52.6%, higher in women than in men (61.5% vs 44.1%, p=0.011); however, the difference between areas was not statistically significant (60.0% vs 49.0%, p=0.129). According to the CHA2DS-VASc score, almost all (90.2%, 194/215) of our subjects required oral anticoagulant (OAC) therapy; however, only 4.1% actually received it. Moreover, hypertension (66.5%), dyslipidaemia (32.6%) and diabetes (24.2%) were highly prevalent in patients with AF, but their control rates were unacceptably low (7.0%, 8.6% and 28.8%, respectively).ConclusionsThe burden of AF in northeast China was substantial. Underuse of OAC therapy and uncontrolled comorbidities will likely contribute to the cardiovascular outcomes of patients with AF in the coming decades. Long-term management strategies for AF and related risk factors are required in northeast China.
AbstractList To evaluate the epidemiology of atrial fibrillation (AF) in northeast China. This cross-sectional survey using a multistage, stratified and cluster random sampling method was conducted in Liaoning Province between September 2017 and March 2019. A total of 18 796 participants (28.9% urban, 71.1% rural) aged ≥40 years were included. All participants completed a questionnaire and underwent a physical examination and ECG. AF was diagnosed according to history and ECG findings. The overall AF prevalence was 1.1%; it increased steeply with age. AF was more prevalent in men than in women (1.5% vs 0.9%, p<0.001); however, the difference between urban and rural areas was not significant (1.3% vs 1.1%, p=0.228). Among the AF population, the overall AF awareness rate was 52.6%, higher in women than in men (61.5% vs 44.1%, p=0.011); however, the difference between areas was not statistically significant (60.0% vs 49.0%, p=0.129). According to the CHA DS-VASc score, almost all (90.2%, 194/215) of our subjects required oral anticoagulant (OAC) therapy; however, only 4.1% actually received it. Moreover, hypertension (66.5%), dyslipidaemia (32.6%) and diabetes (24.2%) were highly prevalent in patients with AF, but their control rates were unacceptably low (7.0%, 8.6% and 28.8%, respectively). The burden of AF in northeast China was substantial. Underuse of OAC therapy and uncontrolled comorbidities will likely contribute to the cardiovascular outcomes of patients with AF in the coming decades. Long-term management strategies for AF and related risk factors are required in northeast China.
To evaluate the epidemiology of atrial fibrillation (AF) in northeast China.OBJECTIVETo evaluate the epidemiology of atrial fibrillation (AF) in northeast China.This cross-sectional survey using a multistage, stratified and cluster random sampling method was conducted in Liaoning Province between September 2017 and March 2019. A total of 18 796 participants (28.9% urban, 71.1% rural) aged ≥40 years were included. All participants completed a questionnaire and underwent a physical examination and ECG. AF was diagnosed according to history and ECG findings.METHODSThis cross-sectional survey using a multistage, stratified and cluster random sampling method was conducted in Liaoning Province between September 2017 and March 2019. A total of 18 796 participants (28.9% urban, 71.1% rural) aged ≥40 years were included. All participants completed a questionnaire and underwent a physical examination and ECG. AF was diagnosed according to history and ECG findings.The overall AF prevalence was 1.1%; it increased steeply with age. AF was more prevalent in men than in women (1.5% vs 0.9%, p<0.001); however, the difference between urban and rural areas was not significant (1.3% vs 1.1%, p=0.228). Among the AF population, the overall AF awareness rate was 52.6%, higher in women than in men (61.5% vs 44.1%, p=0.011); however, the difference between areas was not statistically significant (60.0% vs 49.0%, p=0.129). According to the CHA2DS-VASc score, almost all (90.2%, 194/215) of our subjects required oral anticoagulant (OAC) therapy; however, only 4.1% actually received it. Moreover, hypertension (66.5%), dyslipidaemia (32.6%) and diabetes (24.2%) were highly prevalent in patients with AF, but their control rates were unacceptably low (7.0%, 8.6% and 28.8%, respectively).RESULTSThe overall AF prevalence was 1.1%; it increased steeply with age. AF was more prevalent in men than in women (1.5% vs 0.9%, p<0.001); however, the difference between urban and rural areas was not significant (1.3% vs 1.1%, p=0.228). Among the AF population, the overall AF awareness rate was 52.6%, higher in women than in men (61.5% vs 44.1%, p=0.011); however, the difference between areas was not statistically significant (60.0% vs 49.0%, p=0.129). According to the CHA2DS-VASc score, almost all (90.2%, 194/215) of our subjects required oral anticoagulant (OAC) therapy; however, only 4.1% actually received it. Moreover, hypertension (66.5%), dyslipidaemia (32.6%) and diabetes (24.2%) were highly prevalent in patients with AF, but their control rates were unacceptably low (7.0%, 8.6% and 28.8%, respectively).The burden of AF in northeast China was substantial. Underuse of OAC therapy and uncontrolled comorbidities will likely contribute to the cardiovascular outcomes of patients with AF in the coming decades. Long-term management strategies for AF and related risk factors are required in northeast China.CONCLUSIONSThe burden of AF in northeast China was substantial. Underuse of OAC therapy and uncontrolled comorbidities will likely contribute to the cardiovascular outcomes of patients with AF in the coming decades. Long-term management strategies for AF and related risk factors are required in northeast China.
ObjectiveTo evaluate the epidemiology of atrial fibrillation (AF) in northeast China.MethodsThis cross-sectional survey using a multistage, stratified and cluster random sampling method was conducted in Liaoning Province between September 2017 and March 2019. A total of 18 796 participants (28.9% urban, 71.1% rural) aged ≥40 years were included. All participants completed a questionnaire and underwent a physical examination and ECG. AF was diagnosed according to history and ECG findings.ResultsThe overall AF prevalence was 1.1%; it increased steeply with age. AF was more prevalent in men than in women (1.5% vs 0.9%, p<0.001); however, the difference between urban and rural areas was not significant (1.3% vs 1.1%, p=0.228). Among the AF population, the overall AF awareness rate was 52.6%, higher in women than in men (61.5% vs 44.1%, p=0.011); however, the difference between areas was not statistically significant (60.0% vs 49.0%, p=0.129). According to the CHA2DS-VASc score, almost all (90.2%, 194/215) of our subjects required oral anticoagulant (OAC) therapy; however, only 4.1% actually received it. Moreover, hypertension (66.5%), dyslipidaemia (32.6%) and diabetes (24.2%) were highly prevalent in patients with AF, but their control rates were unacceptably low (7.0%, 8.6% and 28.8%, respectively).ConclusionsThe burden of AF in northeast China was substantial. Underuse of OAC therapy and uncontrolled comorbidities will likely contribute to the cardiovascular outcomes of patients with AF in the coming decades. Long-term management strategies for AF and related risk factors are required in northeast China.
Author Sun, Qun
Chen, Hongyun
Dai, Dong
Xing, Liying
Yan, Han
Dong, Yingna
Jing, Li
Lin, Min
Shi, Lei
Du, Zhi
Ren, Guocheng
Tian, Yuanmeng
Liu, Shuang
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  organization: Department of Cardiology, Central Hospital of Ben Xi City, Ben Xi, Liaoning, Benxi, China
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  organization: Department of Cardiology, The First Hospital of China Medical University, Shenyang, People’s Republic of China
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  organization: Department of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Shenyang, People’s Republic of China
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  organization: Department of Chronic Disease, Liaoning Provincial Center for Disease Control and Prevention, Shenyang, People’s Republic of China
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  organization: Department of Disease Control and Preventive, Central Hospital of Chao Yang City, Chaoyang, People’s Republic of China
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  fullname: Chen, Hongyun
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  surname: Liu
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  organization: Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shenyang, China
BackLink https://www.ncbi.nlm.nih.gov/pubmed/31611327$$D View this record in MEDLINE/PubMed
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atrial fibrillation
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Snippet ObjectiveTo evaluate the epidemiology of atrial fibrillation (AF) in northeast China.MethodsThis cross-sectional survey using a multistage, stratified and...
To evaluate the epidemiology of atrial fibrillation (AF) in northeast China. This cross-sectional survey using a multistage, stratified and cluster random...
To evaluate the epidemiology of atrial fibrillation (AF) in northeast China.OBJECTIVETo evaluate the epidemiology of atrial fibrillation (AF) in northeast...
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StartPage 590
SubjectTerms Adult
Aged
Aged, 80 and over
Anticoagulants
atrial fibrillation
Atrial Fibrillation - epidemiology
Cardiac arrhythmia
Cardiac risk factors and prevention
Cardiology
China - epidemiology
Cholesterol
Cross-Sectional Studies
Data collection
Epidemiology
Female
Humans
Hypertension
Laboratories
Lipids
Male
Medical prognosis
Middle Aged
Patients
Population
Prevalence
Questionnaires
Retrospective Studies
Risk Factors
Rural Population
Studies
Title Epidemiology of atrial fibrillation in northeast China: a cross-sectional study, 2017–2019
URI https://heart.bmj.com/content/106/8/590.full
https://www.ncbi.nlm.nih.gov/pubmed/31611327
https://www.proquest.com/docview/2383331611
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Volume 106
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