ArticleThe American journal of medicine2015
Decade-long trends in atrial fibrillation incidence and survival: a community study.
Article in The American journal of medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05130268 (Pragmatic Randomized Clinical Trial of Early Dronedarone Versus Usual Care to Change and Improve Outcomes in Persons With First-Detected Atrial Fibrillation), which is not on this map. Cited by 57 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pragmatic Randomized Clinical Trial of Early Dronedarone Versus Usual Care to Change and Improve Outcomes in Persons With First-Detected Atrial Fibrillation
Who cites it
57 citing papers in PubMed.
- Left atrial structure and function and the risk of death or heart failure in atrial fibrillation.European journal of heart failure · 2019Trial
- The Prognostic Significance of Cardiac Structure and Function in Atrial Fibrillation: The ENGAGE AF-TIMI 48 Echocardiographic Substudy.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2016Trial
- Conventional and Emerging Biomarkers for Predicting Post-Ablation Atrial Fibrillation Recurrence: An Updated Systematic Review.Cardiology research · 2026Review
- Validating ICD code case definitions for condition case ascertainment in multimorbidity measurement: a retrospective chart review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Prediction of Heart Failure With Reduced Ejection Fraction With Artificial Intelligence Electrocardiography in Patients With Atrial Fibrillation.Mayo Clinic proceedings. Digital health · 2026Article
- Multimorbidity in Atrial Fibrillation: Impact on Outcomes.Journal of the American Heart Association · 2026Article
- Causes of Myocardial Infarction in Younger Patients: Troponin-Elevation in Persons ≤65 Years Old in Olmsted County.Journal of the American College of Cardiology · 2025Article
- Clinical outcomes in recently diagnosed atrial fibrillation related to mitral stenosis compared to non-valvular atrial fibrillation.Frontiers in cardiovascular medicine · 2025Article
- The effect of SGLT2 inhibitor in patients with type 2 diabetes and atrial fibrillation.PloS one · 2025Observational
- Article
- Incremental value of diastolic wall strain in predicting heart failure events in patients with atrial fibrillation.Heart and vessels · 2024Article
- 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2024Review
- Temporal trends of cause-specific mortality after diagnosis of atrial fibrillation.European heart journal · 2023Article
- HHeart and vessels · 2023Article
- Contemporary prevalence estimates of undiagnosed and diagnosed atrial fibrillation in the United States.Clinical cardiology · 2023Article
- Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association.Circulation · 2023Review
- Article
- All-cause mortality trends in patients hospitalized for atrial fibrillation in Sweden: Role of age, stroke risk, and education.International journal of cardiology. Heart & vasculature · 2022Article
- Frequency of Arrhythmias and Postural Orthostatic Tachycardia Syndrome in Patients With Marfan Syndrome: A Nationwide Inpatient Study.Journal of the American Heart Association · 2022Article
- Associations of Atrial Fibrillation After Noncardiac Surgery With Stroke, Subsequent Arrhythmia, and Death : A Cohort Study.Annals of internal medicine · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundContemporary data on temporal trends in incidence and survival after atrial fibrillation are scarce.
methodsResidents of Olmsted County, Minn., with a first-ever atrial fibrillation or atrial flutter event between 2000 and 2010 were identified. Age- and sex-adjusted incidence rates were standardized to the 2010 US population, and the relative risk of atrial fibrillation in 2010 versus 2000 was calculated using Poisson regression. Standardized mortality ratios of observed versus expected survival were calculated, and time trends in survival were examined using Cox regression.
resultsWe identified 3344 patients with incident atrial fibrillation/atrial flutter events (52% were male, mean age 72.6 years, 95.7% were white). Incidence did not change over time (age- and sex-adjusted rate ratio, 1.01; 95% confidence interval [CI], 0.91-1.13 for 2010 vs 2000). Within the first 90 days, the risk of all-cause mortality was greatly elevated compared with individuals of a similar age and sex distribution in the general population (standardized mortality ratios 19.4 [95% CI, 17.3-21.7] and 4.2 [95% CI, 3.5-5.0] for the first 30 days and 31 to 90 days after diagnosis, respectively). Survival within the first 90 days did not improve over the study period (adjusted hazard ratio, 0.96; 95% CI, 0.71-1.32 for 2010 vs 2000); likewise, no difference in mortality between 2010 and 2000 was observed among 90-day survivors (hazard ratio, 1.05; 95% CI, 0.85-1.31).
conclusionsIn the community, atrial fibrillation incidence and survival have remained constant over the last decade. A dramatic and persistent excess risk of death was observed in the 90 days after atrial fibrillation diagnosis, underscoring the importance of early risk stratification.
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