International Journal of Cardiology
Volume 139, Issue 2 , Pages 173-180 , 4 March 2010

Atrial fibrillation prevalence, incidence and risk of stroke and all-cause death among Chinese

  • Kuo-Liong Chien

      Affiliations

    • The Institute of Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan
    • Department of Internal Medicine, National Taiwan University Hospital, Taiwan
  • ,
  • Ta-Chen Su

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taiwan
  • ,
  • Hsiu-Ching Hsu

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taiwan
  • ,
  • Wei-Tien Chang

      Affiliations

    • Department of Emergency Medicine, National Taiwan University Hospital, Taiwan
  • ,
  • Pei-Chung Chen

      Affiliations

    • Institute of Environmental Medicine, National Taiwan University, Taipei, Taiwan
  • ,
  • Ming-Fong Chen

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taiwan
  • ,
  • Yuan-Teh Lee

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Internal Medicine, National Taiwan University Hospital, Taipei, 100, Taiwan. Tel.: +886 2 2356 2910; fax: +886 2 2392 0456.

Received 1 May 2008 ,Revised 15 July 2008 ,Accepted 12 October 2008.

References 

  1. Benjamin EJ, Levy D, Vaziri SM, et al. Independent risk factors for atrial fibrillation in a population-based cohort. The Framingham Heart Study. JAMA. 1994;271:840–844
  2. Kannel WB, Wolf PA, Benjamin EJ, et al. Prevalence, incidence, prognosis, and predisposing conditions for atrial fibrillation: population-based estimates. Am J Cardiol. 1998;82:2N–9N
  3. Stewart S, Hart CL, Hole DJ, et al. Population prevalence, incidence, and predictors of atrial fibrillation in the Renfrew/Paisley study. Heart. 2001;86:516–521
  4. Iqbal MB, Taneja AK, Lip GY, et al. Recent developments in atrial fibrillation. BMJ. 2005;330:238–243
  5. Go AS, Hylek EM, Phillips KA, et al. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA. 2001;285:2370–2375
  6. Psaty BM, Manolio TA, Kuller LH, et al. Incidence of and risk factors for atrial fibrillation in older adults. Circulation. 1997;96:2455–2461
  7. Wang TJ, Benjamin EJ. The epidemiology of atrial fibrillation. In:  Kowey P,  Naccarelli GV editor. Atrial fibrillation. New York: Macel Dekker; 2005;p. 1–25
  8. Chen LY, Shen WK. Epidemiology of atrial fibrillation: a current perspective. Heart Rhythm. 2007;4:S1–S6
  9. Huang CH, Chien KL, Chen WJ, et al. Impact of heart failure and left ventricular function on long-term survival—report of a community-based cohort study in Taiwan. Eur J Heart Fail. 2007;9:587–593
  10. Tsang TS, Barnes ME, Gersh BJ, et al. Risks for atrial fibrillation and congestive heart failure in patients >/=65 years of age with abnormal left ventricular diastolic relaxation. Am J Cardiol. 2004;93:54–58
  11. Khairallah F, Ezzedine R, Ganz LI, et al. Epidemiology and determinants of outcome of admissions for atrial fibrillation in the United States from 1996 to 2001. Am J Cardiol. 2004;94:500–504
  12. Krahn AD, Manfreda J, Tate RB, et al. The natural history of atrial fibrillation: incidence, risk factors, and prognosis in the Manitoba Follow-Up Study. Am J Med. 1995;98:476–484
  13. Chien KL, Hsu HC, Su TC, et al. Lipoprotein(a) and Cardiovascular Disease in Ethnic Chinese: The Chin-Shan Community Cardiovascular Cohort Study. Clin Chem. 2008;54:285–291
  14. Chien KL, Hsu HC, Sung FC, et al. Incidence of hypertension and risk of cardiovascular events among ethnic Chinese: report from a community-based cohort study in Taiwan. J Hypertens. 2007;25:1355–1361
  15. Chien KL, Hsu HC, Su TC, et al. Apolipoprotein B and non-high-density lipoprotein cholesterol and risk of coronary heart disease in Chinese. J Lipid Res. 2007;48:2499–2505
  16. Lee YT, Lin RS, Sung FC, et al. Chin-Shan Community Cardiovascular Cohort in Taiwan: baseline data and five-year follow-up morbidity and mortality. J Clin Epidemiol. 2000;53:836–846
  17. Chien KL, Sung FC, Hsu HC, et al. Left Ventricular Mass and Correlated Atherosclerotic Risk Factors in Young Adolescents: Report from Chin-Shan Community Cardiovascular Study in Taiwan. Atherosclerosis. 2001;155:431–437
  18. Devereux RB, Reichek N. Echocardiographic determination of left ventricular mass in man anatomic validation of the method. Circulation. 1977;55:613–618
  19. Chien KL, Sung FC, Hsu HC, et al. Apolipoprotein A1 & B, and stroke events in a community-based cohort in Taiwan: Report of Chin-Shan Community Cardiovascular Study. Stroke. 2002;33:39–44
  20. Gage BF, Waterman AD, Shannon W, et al. Validation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial Fibrillation. JAMA. 2001;285:2864–2870
  21. Hanley JA, McNeil BJ. A method of comparing the areas under receive operating characteristic curves derived from the same cases. Radiology. 1983;148:839–843
  22. Greiner M, Pfeiffer D, Smith RD. Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Prev vet med. 2000;45:23–41
  23. Ridker PM, Buring JE, Rifai N, et al. Development and validation of improved algorithms for the assessment of global cardiovascular risk in women: the Reynolds Risk Score. Jama. 2007;297:611–619
  24. Pencina MJ, D' Agostino RBS, D' Agostino RBJ, et al. Evaluating the added predictive ability of a new marker: from area under the ROC curve to reclassification and beyond. Stat Med. 2008;27:157–172
  25. Yates J. External correspondence: decomposition of the mean probability score. Organ Behav Hum Perform. 1982;30:132–156
  26. Schmid C, Griffith J. Multivariable classification rules: calibration and discrimination. In:  Armitage P,  Colton T editor. Encyclopedia of Biostatistics. Chichester, U.K.: Wiley; 1998;
  27. Kannel WB, Benjamin EJ. Status of the epidemiology of atrial fibrillation. Med Clin North Am. 2008;92:17–40ix
  28. Kaushal SS, DasGupta DJ, Prashar BS, et al. Electrocardiographic manifestations of healthy residents of a tribal Himalayan village. J Assoc Phys India. 1995;43:15–16
  29. Zhou ZQ, Hu DY, Chen J, et al. [An epidemiological survey of atrial fibrillation in China]. Zhonghua Nei Ke Za Zhi. 2004;43:491–494
  30. Ohsawa M, Okayama A, Okamura T, et al. Mortality risk attributable to atrial fibrillation in middle-aged and elderly people in the Japanese general population: nineteen-year follow-up in NIPPON DATA80. Circ J. 2007;71:814–819
  31. Friberg J, Scharling H, Gadsboll N, et al. Sex-specific increase in the prevalence of atrial fibrillation (The Copenhagen City Heart Study). Am J Cardiol. 2003;92:1419–1423
  32. Miyasaka Y, Barnes ME, Gersh BJ, et al. Secular trends in incidence of atrial fibrillation in Olmsted County, Minnesota, 1980 to 2000, and implications on the projections for future prevalence. Circulation. 2006;114:119–125
  33. Miyasaka Y, Barnes ME, Bailey KR, et al. Mortality trends in patients diagnosed with first atrial fibrillation: a 21-year community-based study. J Am Coll Cardiol. 2007;49:986–992
  34. Harmsen P, Lappas G, Rosengren A, et al. Long-term risk factors for stroke: twenty-eight years of follow-up of 7457 middle-aged men in Goteborg, Sweden. Stroke. 2006;37:1663–1667
  35. Wanahita N, Messerli FH, Bangalore S, et al. Atrial fibrillation and obesity—results of a meta-analysis. Am Heart J. 2008;155:310–315
  36. Frost L, Hune LJ, Vestergaard P. Overweight and obesity as risk factors for atrial fibrillation or flutter: the Danish Diet, Cancer, and Health Study. Am J Med. 2005;118:489–495
  37. Wang TJ, Parise H, Levy D, et al. Obesity and the risk of new-onset atrial fibrillation. JAMA. 2004;292:2471–2477
  38. Zacharias A, Schwann TA, Riordan CJ, et al. Obesity and risk of new-onset atrial fibrillation after cardiac surgery. Circulation. 2005;112:3247–3255
  39. Dublin S, French B, Glazer NL, et al. Risk of new-onset atrial fibrillation in relation to body mass index. Arch Intern Med. 2006;166:2322–2328
  40. Mitchell GF, Vasan RS, Keyes MJ, et al. Pulse pressure and risk of new-onset atrial fibrillation. Jama. 2007;297:709–715
  41. Kerr CR, Humphries K. Gender-related differences in atrial fibrillation. J Am Coll Cardiol. 2005;46:1307–1308
  42. Humphries KH, Kerr CR, Connolly SJ, et al. New-onset atrial fibrillation: sex differences in presentation, treatment, and outcome. Circulation. 2001;103:2365–2370
  43. Mozaffarian D, Psaty BM, Rimm EB, et al. Fish intake and risk of incident atrial fibrillation. Circulation. 2004;110:368–373
  44. Mukamal KJ, Tolstrup JS, Friberg J, et al. Alcohol consumption and risk of atrial fibrillation in men and women: the Copenhagen City Heart Study. Circulation. 2005;112:1736–1742
  45. Khumri TM, Idupulapati M, Rader VJ, et al. Clinical and echocardiographic markers of mortality risk in patients with atrial fibrillation. Am J Cardiol. 2007;99:1733–1736
  46. Page RL. Clinical practice. Newly diagnosed atrial fibrillation. N Engl J Med. 2004;351:2408–2416
  47. Coats AJ. Ethical authorship and publishing. Int J Cardiol. 2009;131:149–150

 This study was partially supported by the National Science Council (grant number: NSC 96-2314-B-002-155).

PII: S0167-5273(08)01073-5

doi: 10.1016/j.ijcard.2008.10.045

International Journal of Cardiology
Volume 139, Issue 2 , Pages 173-180 , 4 March 2010