Incidence of atrial fibrillation/flutter, one-year re-admission rates, and practice patterns among patients <65 years of age: a Danish nationwide study
نویسندگان
چکیده
Abstract Background/Introduction The general atrial fibrillation/flutter (AF) population is well explored and described, but there sparse data on temporal changes in the incidence, AF-readmission rates, practice patterns patients with AF under 65 years of age from unselected cohorts. Purpose To investigate changes, readmission first-time diagnosed between 2000–2018. Methods Using Danish nationwide registries, we identified >18 <65 a AF-diagnosis cohort was categorized according to calendar periods; 2000–2002, 2003–2006, 2007–2010, 2011–2014 2015–2018. Incidence rate (IR) per 100,000 person (PY), AF-readmission, medical treatment, electrical cardioversion, catheter ablation investigated first year following AF-diagnosis. Results In this study 60,917 were included; 8,150 (13.4%) 11,898 (19.5%) 13,560 (22.3%) 14,167 (23.3%) 13,142 (21.6%) No major differences seen patient characteristics period. A stepwise increase, as Table, crude IR PY observed across periods, except for 2015–2018 (Crude [95% CI]: 2000–2002: 78.7 [77.0; 80.4], 2003–2006: 86.3 [84.7; 87.8], 2007–2010: 97.9 [96.3; 99.6], 2011–2014: 102.3 [100.7; 104.0], 2015–2018: 93.6 [92.0; 95.2], while no difference (AF-readmissions: 32.7%, 31.1%, 32.2%, 32.1% 31.7%), Figure, right panel. AF-diagnosis, cumulative incidence increased 1.2% 2000–2002 7.6% cardioversion 2.0% 8.7% (Figure, left panel). Treatment oral anticoagulant therapy (OAC) 28.5% 47.8% 2015–2018, change treatment rhythm or medication therapy. Conclusion From 2000–2018, found an increase 78.7/100,000 (PY) 93.6/100,000 use ablation, OAC rates stable over periods. Funding Acknowledgement Type funding sources: None.
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2022
ISSN: ['2634-3916']
DOI: https://doi.org/10.1093/eurheartj/ehac544.383