Evidence map›Paper›PMID 42471207›Full record

ArticleHeart rhythm2026

Accumulation of chronic conditions in patients aged <65 years diagnosed with atrial fibrillation.

Walker J Tordsen, Peter S Salama, Sheila M Manemann, Peter A Noseworthy, Bernard J Gersh, Alvaro Alonso, Lisa E Vaughan, Jill M Killian, Konstantinos C Siontis, Alanna M Chamberlain

Abstract read
In one paragraph

Article in Heart rhythm, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Walker J TordsenUniversity of Minnesota Medical School, Minneapolis, Minnesota.
Peter S SalamaUniversity of Minnesota Medical School, Minneapolis, Minnesota.
Sheila M ManemannDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
Peter A NoseworthyDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Bernard J GershDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Alvaro AlonsoDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Lisa E VaughanDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
Jill M KillianDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota.
Konstantinos C SiontisDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Alanna M ChamberlainDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota; Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota. Electronic address: chamberlain.alanna@mayo.edu.

Funding

Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR33AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2020 to 2022
$2.4M
Multimorbidity, Rurality, and Outcomes in Atrial Fibrillation in the CommunityR21AG062580 · NIA · MAYO CLINIC ROCHESTER · PI CHAMBERLAIN, ALANNA M · 2019 to 2020
$451k
Interdisciplinary Infrastructure for Aging Research: Rochester Epidemiology ProjectR21AG058738 · NIA · MAYO CLINIC ROCHESTER · PI LEBRASSEUR, NATHAN K, OLSON, JANET E · 2018 to 2019
$437k
NIA NIH HHS R21 AG058738NIA NIH HHS R21 AG062580NIA NIH HHS R33 AG058738
6 · The paper itself

Abstract

backgroundMultimorbidity is common in atrial fibrillation (AF), particularly in older patients who generally have multiple cardiovascular (CV) and non-CV conditions.

objectiveTo describe how chronic conditions accumulate in younger patients with AF.

methodsPatients aged <65 years with incident AF from 2013 to 2019 (N = 3462) were matched 1:1 on age (±5 years) and sex to referents from the same community. Onset of 20 chronic conditions (6 CV-related and 14 non-CV) was ascertained from 3 years before index through December 31, 2022. Andersen-Gill models estimated associations between AF or referent status and accumulation of conditions.

resultsThe mean age was 55.1 (8.8) years for both patients with AF and referents; 70.9% were male. Before index, 24.8% of patients with AF had no chronic conditions, whereas 32.3% of referents had 0 conditions. The accumulation of conditions was accelerated in patients with AF compared with referents, with the strongest associations within the first year after diagnosis/index for both CV-related (hazard ratio [HR], 3.80; 95% confidence interval [CI], 3.30-4.37) and non-CV conditions (HR, 2.42; 95% CI, 2.14-2.74). Stronger associations were observed for CV-related conditions, in women, and in the youngest age group. After 1 year, increased accumulation of CV-related conditions for patients with AF was observed in women (HR, 1.36; 95% CI, 1.13-1.63) but not men, and for those aged <50 (HR, 1.50; 95% CI, 1.13-1.99) and 50-54 years (HR, 1.43; 95% CI, 1.09-1.86) only.

conclusionPatients aged <65 years with AF have an increased accumulation of chronic conditions compared with those without AF, in particular within the first year after AF diagnosis.

Indexed as

Atrial fibrillationAtrial flutterCardiovascularChronic conditionsElectronic health recordsMultimorbidity

Identifiers

PMID42471207
PMCPMC13539459

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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.