Evidence map›Paper›PMID 39790490›Full record

ArticleEuropean heart journal open2025

Causes of death in patients with atrial fibrillation in the UK: a nationwide electronic health record study.

Yongtong Lai, Hiroyuki Yoshimura, Nadine Zakkak, Eloi Marijon, Anwar Chahal, Gregory Y H Lip, Floriaan Schmidt, Rui Providencia

Abstract read
In one paragraph

Article in European heart journal open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Yongtong LaiInstitute of Health Informatics Research, University College London, 222 Euston Road, London NW1 2DA, UK.
Hiroyuki YoshimuraInstitute of Health Informatics Research, University College London, 222 Euston Road, London NW1 2DA, UK.ORCID https://orcid.org/0009-0009-1991-5001
Nadine ZakkakInstitute of Epidemiology and Health Care, University College London, 1-19 Torrington Pl, London WC1E 7HB, UK.
Eloi MarijonDivision of Cardiology, European Georges Pompidou Hospital, 20 Rue Leblanc, 75015 Paris, France.ORCID https://orcid.org/0000-0001-7227-3428
Anwar ChahalDepartment of Cardiovascular Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.
Gregory Y H LipLiverpool Centre for Cardiovascular Science at University of Liverpool, Liverpool John Moores University and Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool L14 3PE, UK.
Floriaan SchmidtInstitute of Cardiovascular Science, University College London, 62 Huntley St, London WC1E 6DD, UK.
Rui ProvidenciaInstitute of Health Informatics Research, University College London, 222 Euston Road, London NW1 2DA, UK.ORCID https://orcid.org/0000-0001-9141-9883

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Causes of death remain largely unexplored in the atrial fibrillation (AF) population. We aimed to (i) thoroughly assess causes of death in patients with AF, especially those associated with sudden cardiac death (SCD) and (ii) evaluate the potential association between AF and SCD. Methods and results: Linked primary and secondary care United Kingdom Clinical Practice Research Datalink dataset comprising 6 529 382 individuals aged ≥18. We identified 214 222 patients with newly diagnosed AF, and an equivalent number of non-AF patients matched for age, sex and primary care practice. The underlying primary cause of death for each patient was assessed in the form of International Classification of Diseases Tenth Revision (ICD-10) codes and also as part of broader disease categories (i.e. ICD-10 chapters). Findings: Over a median follow-up of 2.7 (interquartile range: 0.7-6.0) years, 124 781 (58.25%) patients with AF died. Sudden cardiac death occurred in 13 923 patients with AF [6.50% patients with AF vs. 2.01% non-AF patients; odds ratio (OR) = 3.38, 95% confidence interval (CI): 3.27-3.50, Interpretation: Conditions of the circulatory system are the main driver of mortality in the AF population. Females with AF experience higher cardiovascular and respiratory mortality but die less frequently of neoplasms. The risk of SCD is higher in the AF population, occurring more frequently in males.

Indexed as

ArrhythmiaCardiovascularEHR-WASMortalitySudden Cardiac DeathWomen

Identifiers

PMID39790490
PMCPMC11711847

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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.