4.5 Article

Frequency of Cardiac Rhythm Abnormalities in a Half Million Adults

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出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1161/CIRCEP.118.006273

关键词

atrial fibrillation; bradycardia; heart failure; tachycardia, supraventricular; tachycardia, ventricular

资金

  1. National Institutes of Health [K23HL114724, 1R01HL139731, 2R01HL092577, 1R01HL128914, K24HL105780]
  2. National Heart, Lung, and Blood Institute [HHS-N268201500001I, N01-HC-25195]
  3. Doris Duke Charitable Foundation Clinical Scientist Development Award [2014105]
  4. American Heart Association Postdoctoral Fellowship Award [17POST33660226]
  5. American Heart Association Established Investigator Award [13EIA14220013]
  6. Fondation Leducq [14CVD01]
  7. Clinical Research Mentorship grant from the Doris Duke Charitable Foundation [2017039]

向作者/读者索取更多资源

BACKGROUND: The frequency of cardiac rhythm abnormalities and their risk factors in community-dwelling adults are not well characterized. METHODS: We determined the frequency of rhythm abnormalities in the UK Biobank, a national prospective cohort. We tested associations between risk factors and incident rhythm abnormalities using multivariable proportional hazards regression. RESULTS: Of 502 627 adults (median age, 58 years [interquartile range, 13]; 54.4% women), 2.35% had a baseline rhythm abnormality. The prevalence increased with age with 4.84% of individuals aged 65 to 73 years affected. During 3 368 332 person-years of follow-up, 15 906 new rhythm abnormalities were detected (4.72 per 1000 person-years; 95% confidence interval [CI]: 4.65-4.80). Atrial fibrillation (3.11 per 1000 person-years; 95% CI: 3.05-3.17), bradyarrhythmias (0.89 per 1000 person-years; 95% CI: 0.86-0.92), and conduction system diseases (1.06 per 1000 person-years; 95% CI: 1.02-1.09) were more common than supraventricular (0.51 per 1000 person-years; 95% CI: 0.48-0.53) and ventricular arrhythmias (0.57 per 1000 person-years; 95% CI: 0.55-0.60). Older age (hazard ratio [HR]: 2.35 per 10-year increase; 95% CI: 2.29-2.41; P<0.01), male sex (HR: 1.83; 95% CI: 1.76-1.89; P<0.01), hypertension (HR: 1.49; 95% CI: 1.44-1.54; P<0.01), chronic kidney disease (HR: 1.95; 95% CI: 1.67-2.27; P<0.01), and heart failure (HR: 1.99; 95% CI: 1.76-2.26; P<0.01) were associated with new rhythm abnormalities. CONCLUSIONS: The frequency of rhythm abnormalities in middle-aged to older community-dwelling adults is substantial. Atrial fibrillation, bradyarrhythmias, and conduction system diseases account for most rhythm conditions.

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