Evidence map›Paper›PMID 38631726›Full record

ArticleBMJ (Clinical research ed.)2024

Temporal trends in lifetime risks of atrial fibrillation and its complications between 2000 and 2022: Danish, nationwide, population based cohort study.

Nicklas Vinter, Pia Cordsen, Søren Paaske Johnsen, Laila Staerk, Emelia J Benjamin, Lars Frost, Ludovic Trinquart

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
33.0field-weighted citation impact, top 1% of its field
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

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Article
  6. Dynamic Risk Assessment for the Development of Persistent Atrial Fibrillation Using Statistical and Machine Learning Approaches.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026
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  15. Comprehensive assessment of novel cardiovascular biomarkers in AF.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
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  17. Review
  18. MATR3 regulates METTL3-Mediated mJournal of bioenergetics and biomembranes · 2026
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  20. Review

7 more citing papers are in PubMed but not listed here.

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

7 authors at 4 institutions in 2 countries.

Nicklas VinterDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark nicvin@rm.dk.ORCID 0000-0003-0558-8483
Pia CordsenDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.ORCID 0000-0001-6775-2782
Søren Paaske JohnsenDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.ORCID 0000-0002-2787-0271
Laila StaerkDepartment of Clinical Medicine, Copenhagen University Hospital-Amager and Hvidovre, Copenhagen, Denmark.ORCID 0000-0001-8001-8240
Emelia J BenjaminDepartment of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.ORCID 0000-0003-4076-2336
Lars FrostDiagnostic Centre, University Clinic for Development of Innovative Patient Pathways, Silkeborg Regional Hospital, Silkeborg, Denmark.ORCID 0000-0001-9215-9796
Ludovic TrinquartDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.ORCID 0000-0002-3028-4900
Aalborg University · DKAarhus University · DKBoston University · USAmager Hospital · DK

Funding

IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
NHLBI NIH HHS R01 HL092577
6 · The paper itself

Abstract

objectivesTo examine how the lifetime risks of atrial fibrillation and of complications after atrial fibrillation changed over time.

designDanish, nationwide, population based cohort study.

settingPopulation of Denmark from 1 January 2000 to 31 December 2022.

participants3.5 million individuals (51.7% women and 48.3% men) who did not have atrial fibrillation at 45 years of age or older were followed up until incident atrial fibrillation, migration, death, or end of follow-up, whichever came first. All 362 721 individuals with incident atrial fibrillation (46.4% women and 53.6% men), but with no prevalent complication, were further followed up until incident heart failure, stroke, or myocardial infarction.

main outcome measuresLifetime risk of atrial fibrillation and lifetime risks of complications after atrial fibrillation over two prespecified periods (2000-10

resultsThe lifetime risk of atrial fibrillation increased from 24.2% in 2000-10 to 30.9% in 2011-22 (difference 6.7% (95% confidence interval 6.5% to 6.8%)). After atrial fibrillation, the most frequent complication was heart failure with a lifetime risk of 42.9% in 2000-10 and 42.1% in 2011-22 (-0.8% (-3.8% to 2.2%)). Individuals with atrial fibrillation lost 14.4 years with no heart failure. The lifetime risks of stroke and of myocardial infarction after atrial fibrillation decreased slightly between the two periods, from 22.4% to 19.9% for stroke (-2.5% (-4.2% to -0.7%)) and from 13.7% to 9.8% for myocardial infarction (-3.9% (-5.3% to -2.4%). No evidence was reported of a differential decrease between men and women.

conclusionLifetime risk of atrial fibrillation increased over two decades of follow-up. In individuals with atrial fibrillation, about two in five developed heart failure and one in five had a stroke over their remaining lifetime after atrial fibrillation diagnosis, with no or only small improvement over time. Stroke risks and heart failure prevention strategies are needed for people with atrial fibrillation.

Indexed as

Atrial FibrillationHeart FailureMyocardial InfarctionStrokeCohort StudiesDenmarkFemaleHumansIncidenceMaleRisk Factors

Identifiers

PMID38631726
PMCPMC11019491
OpenAlexW4394676160

What OpenQuestion holds

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LicenceCC BY-NC
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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.