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Prevalence and Incidence of Atrial Fibrillation and Other Arrhythmias in the General Older Population: Findings From the Swedish National Study on Aging and Care
Blekinge Inst Technol, Karlskrona, Sweden;Blekinge Ctr Competence, Karlskrona, Sweden;Lund Univ, Lund, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Karolinska Inst, Stockholm, Sweden;Stockholm Univ, Stockholm, Sweden.ORCID iD: 0000-0003-0963-5750
Lund Univ, Lund, Sweden.
Karolinska Inst, Stockholm, Sweden;Stockholm Univ, Stockholm, Sweden.
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2019 (English)In: Gerontology and geriatric medicine, E-ISSN 2333-7214, Vol. 5, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Aim: To study the prevalence and cumulative incidence of arrhythmias in the general population of adults aged 60 and older over a 6-year period. Study Design and Setting: Data were taken from the Swedish National Study on Aging and Care (SNAC), a national, longitudinal, multidisciplinary study of the general elderly population (defined as 60 years of age or older). A 12-lead resting electrocardiography (ECG) was performed at baseline and 6-year follow-up. Results: The baseline prevalence of atrial fibrillation (AF) was 4.9% (95% confidence interval [CI] = [4.5%, 5.5%]), and other arrhythmias including ventricular premature complexes (VPCs), supraventricular tachycardia (SVT), and supraventricular extrasystole (SVES) were seen in 8.4% (7.7%, 9.0%) of the population. A first- or second-degree atrioventricular (AV) block was found in 7.1% of the population (95% CI = [6.5%, 7.7%]), and there were no significant differences between men and women in baseline arrhythmia prevalence. The 6-year cumulative incidence of AF was 4.1% (95% CI = [3.5%, 4.9%]), or 6.9/1,000 person-years (py; 95% CI = [5.7, 8.0]). The incidence of AF, other arrhythmias, AV block, and pacemaker-induced rhythm was significantly higher in men in all cohorts except for the oldest. Conclusion: Our data highlight the prevalence and incidence of arrhythmias, which rapidly increase with advancing age in the general population.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS INC , 2019. Vol. 5, p. 1-8
Keywords [en]
epidemiology, public health/public policy, cardiovascular diseases and risk, chronic diseases
National Category
Geriatrics Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:uu:diva-390814DOI: 10.1177/2333721419859687ISI: 000475381100001PubMedID: 31276022OAI: oai:DiVA.org:uu-390814DiVA, id: diva2:1343503
Available from: 2019-08-16 Created: 2019-08-16 Last updated: 2019-08-16Bibliographically approved

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