Evidence map›Paper›PMID 38293361›Full record

ArticleHeliyon2024

Global burden of atrial fibrillation/flutter: Trends from 1990 to 2019 and projections until 2044.

Qunchao Ma, Jinyun Zhu, Pingping Zheng, Jiaru Zhang, Xiangyang Xia, Yun Zhao, Qingqiang Cheng, Ning Zhang

Abstract read
In one paragraph

Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Review
  3. Epicardial muscle bundles in persistent atrial fibrillation: from overlooked bystanders to arrhythmogenic modulators.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Atrial fibrillation in the Americas.Lancet regional health. Americas · 2025
    Review
  9. Journal of thoracic disease · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Qunchao MaDepartment of Cardiology, Second Affiliated Hospital, Zhejiang University College of Medicine, 88 Jiefang Rd, Hangzhou, Zhejiang Province, 310009, PR China.
Jinyun ZhuDepartment of Cardiology, Second Affiliated Hospital, Zhejiang University College of Medicine, 88 Jiefang Rd, Hangzhou, Zhejiang Province, 310009, PR China.
Pingping ZhengDepartment of Emergency, The Affiliated Hangzhou First People's Hospital, College of Medicine, Westlake University, Hangzhou, Zhejiang Province, 310006, PR China.
Jiaru ZhangDepartment of Cardiology, the First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian Province, 350000, PR China.
Xiangyang XiaDepartment of Cardiology, Second Affiliated Hospital, Zhejiang University College of Medicine, 88 Jiefang Rd, Hangzhou, Zhejiang Province, 310009, PR China.
Yun ZhaoDepartment of Ultrasound, Second Affiliated Hospital of Shandong First Medical University, Taian, Shandong Province, 271000, PR China.
Qingqiang ChengDepartment of Cardiology, the Affiliated Hangzhou First People's Hospital, College of Medicine, Westlake University, Hangzhou, Zhejiang Province, 310006, PR China.
Ning ZhangDepartment of Cardiology, the Affiliated Hangzhou First People's Hospital, College of Medicine, Westlake University, Hangzhou, Zhejiang Province, 310006, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Atrial fibrillation/atrial flutter (AF/AFL) is a critical public health issue worldwide, and its epidemiological patterns have changed over the decades. This work aimed to assess the global trends of AF/AFL and attributable risks from 1990 to 2019. Methods and results: The present study utilized data from the Global Burden of Disease Study 2019 to examine the temporal trends, attributable risks, and projections of AF/AFL. The estimated annual percentage change (EAPC) and age-standardized rate (ASR) were employed for this purpose. The findings revealed that in 2019, AF/AFL accounted for 4.72 million incident cases, 59.70 million prevalent cases, 0.32 million deaths, and 8.39 million disability-adjusted life years (DALYs). Furthermore, the results indicated that males under 70 years of age had a higher incidence, prevalence, and DALYs than females, while the rates were similar for both genders between 70 and 74 years. However, this pattern was reversed in individuals over the age of 75, with females exhibiting a higher total incidence, prevalence, and DALYs than males. The age-standardized rates (ASRs) of prevalence, incidence, mortality, and DALYs increased with an increase in the socio-demographic index (SDI). The three primary contributors to AF/AFL were high systolic blood pressure, high body-mass index, and smoking. Majority of risk factors exhibited a unimodal distribution, with a peak between the ages of 50 and 70. Conclusions: The disease burden of AF/AFL is still severe worldwide and getting worse. To encourage prevention and treatment, systematic regional surveillance of AF/AFL should be put in place.

Indexed as

Age-standardized rateAtrial fibrillation/atrial flutterDisease burdenEstimated annual percentage changePredictionRisk factors

Identifiers

PMID38293361
PMCPMC10825430

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.