Comprehensive nationwide incidence and prevalence trends of atrial fibrillation in Finland

Autor: Juha Hartikainen, Jukka Putaala, Jari Haukka, Juhani K E Airaksinen, Pirjo Mustonen, Miika Linna, Olli Halminen, Janne Kinnunen, Aapo Aro, Mika Lehto, Alex Luojus, Saga Itäinen-Strömberg, Elis Kouki, Jussi Niiranen, Paula Tiili
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Open Heart, Vol 9, Iss 2 (2022)
Druh dokumentu: article
ISSN: 2053-3624
DOI: 10.1136/openhrt-2022-002140
Popis: Objective Atrial fibrillation (AF) is a worldwide healthcare challenge owing to population ageing. In this study, we assessed the current trends in the incidence and prevalence of AF for the first time in an unselected, nationwide population.Methods In the Finnish Anticoagulation in Atrial Fibrillation study, we gathered comprehensive data including all primary, secondary and tertiary healthcare visits and drug reimbursement from national healthcare registers to identify all patients with incident AF between 2004 and 2018 in Finland. Incident AF was defined as new-onset AF occurring after 2007. Time trends for the incidence and prevalence of AF were calculated and stratified by sex and age.Results A total of 411 387 patients with AF diagnosis were documented in Finland during 2004–2018. In 2018, the incidence and prevalence of AF in the total Finnish population were 469/100 000 and 4.1%, respectively. The incidence of new-onset AF in the adult population (≥20 years) increased from 471/100 000 in 2007 to 604/100 000 in 2018, but the age-adjusted incidence remained stable. The prevalence of AF increased in the adult population from 2.5% to 5.2%, and was higher in men than in women (5.9% vs 4.6%, p
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