Risk Factors for Symptomatic Atrial Fibrillation-Analysis of an Outpatient Database
Year: 2019
Type: article
Study design: Observational Study
Abstract: Atrial fibrillation (AF) is the most common sustained arrhythmia encountered in practice and is the leading cause of debilitating strokes with significant economic burden. It is currently not known whether asymptomatic undiagnosed AF should be treated if detected by various screening methods. Currently, United States guidelines have no recommendations for identifying patients with asymptomatic undiagnosed AF due to lack of evidence. The American Heart Association Center for Health Technology & Innovation undertook a plan to identify tools in 3 phases that may be useful in improving outcomes in patients with undiagnosed AF. In phase I we sought to identify AF risk factors that can be used to develop a risk score to identify high-risk patients using a large commercial insurance dataset. The principal findings of this study show that individuals at high risk for AF are those with advanced age, the presence of heart failure, coronary artery disease, hypertension, metabolic disorders, and hyperlipidemia. Our analysis also found that chronic respiratory failure was a significant risk factor for those over 65 years of age and chronic kidney disease for those less than 65 years of age.
Source: Journal of Atrial Fibrillation
DOI: 10.4022/jafib.2141
Institutions: Rush University Medical Center, American Heart Association, Walden University, University Hospitals of Cleveland, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cedars-Sinai Medical Center, Brigham and Women's Hospital, VA Palo Alto Health Care System, Stanford University, Pennsylvania State University
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W2978333271