Evidence map›Paper›PMID 40497508›Full record

ArticleJournal of the American Heart Association2025

Decades of Shifting Trends: Arrhythmia-Related Mortalities in the United States (1968-2021) With 2040 Projections.

Mohammed Mhanna, Ahmad Al-Abdouh, Ashraf Alzahrani, Ahmad Jabri, Abdulmajeed Al-Harbi, Azizullah Beran, Mahmoud Barbarawi, Shareef Mansour, Paari Dominic

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

9 authors.

Mohammed MhannaDivision of Cardiology, Department of Medicine University of Iowa Iowa City IA USA.ORCID 0000-0003-1443-7177
Ahmad Al-AbdouhDepartment of Internal Medicine University of Kentucky Lexington KY USA.ORCID 0000-0002-2836-0687
Ashraf AlzahraniDivision of Cardiology, Department of Medicine University of Iowa Iowa City IA USA.ORCID 0009-0007-7335-6349
Ahmad JabriDivision of Cardiovascular Medicine William Beaumont University Hospital Royal Oak MI USA.ORCID 0000-0003-0161-2378
Abdulmajeed Al-HarbiDivision of Cardiology, Department of Medicine Tufts Medical Center Boston MA USA.
Azizullah BeranDepartment of Internal Medicine Indiana University Indianapolis IN USA.ORCID 0000-0002-4161-942X
Mahmoud BarbarawiDepartment of Cardiology University of Connecticut Farmington CT USA.ORCID 0000-0001-8218-2466
Shareef MansourDivision of Cardiology, Department of Medicine University of Iowa Iowa City IA USA.
Paari DominicDivision of Cardiology, Department of Medicine University of Iowa Iowa City IA USA.ORCID 0000-0002-7843-375X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArrhythmias are a significant public health concern, and understanding their evolving patterns is vital for informed health care planning. This study explores trends and disparities in arrhythmia-related mortality rates in the United States from 1968 to 2021, projecting up to 2040.

methodsWe examined national death records for cardiovascular deaths linked to arrhythmia among individuals aged 15 to 84 years, using the Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research. Age-adjusted mortality rates (AAMRs) were calculated, and trends were evaluated. Subgroup analyses were conducted on the basis of arrhythmia subtypes, age, sex, race, and geographic regions. AAMRs for 2040 were projected using Autoregressive Integrated Moving Average forecasting.

resultsOverall AAMRs increased from 1968 to 2021, peaking in 1988 before declining, then slightly increasing after 2006. Atrial fibrillation- or flutter-related fatalities surpassed cardiac arrest-related deaths after 2006. Sex disparities decreased, with men maintaining higher crude mortality rates, but the gap narrowed. Younger populations witnessed an upward trend in AAMRs after 2006. Racial disparities persisted, with Black populations experiencing higher AAMRs than White populations.

conclusionsThis study provides insights into evolving arrhythmia-related death. While overall AAMRs may stabilize by 2040, the projected rise in atrial fibrillation-related deaths, particularly among younger populations, necessitates further investigation. Additional research is needed to determine whether this trend reflects a true epidemiologic shift or improvements in detection and reporting. Furthermore, identifying underlying risk factors and developing targeted interventions will be crucial in mitigating AF-related death in younger adults. Persistent racial disparities underscore the importance of equitable health care strategies.

Indexed as

Arrhythmias, CardiacAdolescentAdultAgedAged, 80 and overCause of DeathFemaleForecastingHealth Status DisparitiesHumansMaleMiddle AgedRisk FactorsTime FactorsUnited StatesYoung Adultarrhythmiaatrial fibrillationcardiac arrestdeathdisparitypublic healthtrend

Identifiers

PMID40497508
PMCPMC12229120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.