The Global Burden of Atrial Fibrillation and Stroke
| Autor: | Alena Shantsila, Ying Bai, Yan-Liang Wang, Gregory Y.H. Lip |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry Incidence (epidemiology) Warfarin Atrial fibrillation 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine medicine.disease 03 medical and health sciences 0302 clinical medicine Internal medicine Ischemic stroke Antithrombotic Epidemiology Medicine Cardiology and Cardiovascular Medicine business Risk assessment Intensive care medicine Stroke 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Chest. 152:810-820 |
| ISSN: | 0012-3692 |
| DOI: | 10.1016/j.chest.2017.03.048 |
| Popis: | Background Our previous review reported great variability in the incidence and prevalence of atrial fibrillation (AF) in non-Western cohorts, especially from Asian countries; in recent years, epidemiologic studies on AF have been increasingly reported from Asia. Methods The goal of this updated systematic review was to present the current knowledge base of AF epidemiology in Asian countries since our previous review. We also explored AF incidence and the risk of stroke in AF by using a meta-analysis, with I2 testing the heterogeneity. Third, "real-world" antithrombotic drug use for ischemic stroke (IS) prevention associated with AF was studied. Results A total of 58 articles from eight countries in Asia were included in the analysis. The summary annual incidence of AF was 5.38 (95% CI, 4.53-6.24; I2 = 99.5%; n = 10) per 1,000 person-years, and the IS annual risk in AF was 3.0% (1.60%-4.95%; I2 = 99.8%; n = 8) when meta-analysis was performed on hospital- and community-based studies. Hospital- and community-based AF prevalence ranged from 0.37% to 3.56% and 2.8% to 15.8%, respectively. IS prevalence in AF ranged from 1.9% to 6.0% and 0.36% to 28.3% in community- and hospital-based studies. Warfarin use in Chinese subjects is relatively low (1.0%-4.1%) compared with Japanese subjects (49.1%-70.0%) in community-based studies. The rate of warfarin use was Conclusions The incidence and prevalence of AF have increased in recent years, although great variability still exists in Asian countries. Variability in annual IS risk in patients with AF was apparent between hospital- and community-based studies. However, the rate of warfarin use was |
| Databáze: | OpenAIRE |
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