Prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast China
Abstract Little is known about the epidemiology and impact of atrial fibrillation (AF) on cardiovascular diseases (CVD) mortality among hypertensive elderly population in northeast China. The community‐based study included 4497 hypertensive elderly residents aged ≥65 years who lived in northeast Chi...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-05-01
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| Series: | The Journal of Clinical Hypertension |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jch.14483 |
| _version_ | 1797645157974147072 |
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| author | Zhenwei Xia Wei Dang Xue Yang Qun Sun Jixu Sun Lei Shi Shize Sun Le An Xiaojing Li Hongbo Peng Shuang Liu Ling Yue Hongyun Chen |
| author_facet | Zhenwei Xia Wei Dang Xue Yang Qun Sun Jixu Sun Lei Shi Shize Sun Le An Xiaojing Li Hongbo Peng Shuang Liu Ling Yue Hongyun Chen |
| author_sort | Zhenwei Xia |
| collection | DOAJ |
| description | Abstract Little is known about the epidemiology and impact of atrial fibrillation (AF) on cardiovascular diseases (CVD) mortality among hypertensive elderly population in northeast China. The community‐based study included 4497 hypertensive elderly residents aged ≥65 years who lived in northeast China from September 2017 to March 2019. Information on CVD deaths was obtained from baseline until July 31, 2021. Cox proportional hazard regression models were performed in the evaluation of CVD mortality. We identified 101 persons with AF. The prevalence of AF was 2.2% among elderly hypertensive population, which increased significantly with age. The prevalence of AF was higher in men than in women. The awareness rate was 51.5%, higher in urban areas than in rural areas (68.8% vs 43.5%, P = .018). Only 4.0% patients received oral anticoagulant (OAC) therapy among AF patients. Moreover, diabetes (26.7%) and dyslipidemia (37.6%) were highly prevalent in AF patients. Furthermore, 212 persons died due to CVD (14.7/1000 person‐years) during a median follow‐up of 3.2 years. AF patients had a 3.42 (95% CI: 2.07‐5.63) times higher risk of CVD mortality than the patients without AF in the fully adjusted model. Therefore, the burden of AF among hypertensive elderly population in northeast China was considerable. Long‐term screening and management strategies for AF and related risk factors are required among hypertensive elderly in northeast China. |
| first_indexed | 2024-03-11T14:42:08Z |
| format | Article |
| id | doaj.art-53a3d441937949d9b84d1fd1ec80be33 |
| institution | Directory Open Access Journal |
| issn | 1524-6175 1751-7176 |
| language | English |
| last_indexed | 2024-03-11T14:42:08Z |
| publishDate | 2022-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Journal of Clinical Hypertension |
| spelling | doaj.art-53a3d441937949d9b84d1fd1ec80be332023-10-30T13:26:49ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762022-05-0124563063710.1111/jch.14483Prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast ChinaZhenwei Xia0Wei Dang1Xue Yang2Qun Sun3Jixu Sun4Lei Shi5Shize Sun6Le An7Xiaojing Li8Hongbo Peng9Shuang Liu10Ling Yue11Hongyun Chen12Department of Cardiology Dalian Municipal Central Hospital Dalian Liaoning ChinaDepartment of Cardiology Dalian Municipal Central Hospital Dalian Liaoning ChinaDepartment of Cardiology Dalian Municipal Central Hospital Dalian Liaoning ChinaDepartment of Chronic Disease Disease Control and Prevention of Chaoyang City Chaoyang Liaoning ChinaDepartment of Chronic Disease Disease Control and Prevention of Dandong City Dandong Liaoning ChinaDepartment of Chronic Disease Disease Control and Prevention of Liaoyang City Liaoyang Liaoning ChinaDepartment of Cardiology Dalian Municipal Central Hospital Dalian Liaoning ChinaDepartment of Cardiology Dalian Municipal Central Hospital Dalian Liaoning ChinaDepartment of Cardiology Dalian Municipal Central Hospital Dalian Liaoning ChinaDepartment of Cardiology Dalian Municipal Central Hospital Dalian Liaoning ChinaDepartment of Ultrasound The Fourth Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Ultrasound The Fourth Hospital of China Medical University Shenyang Liaoning ChinaDepartment of Cardiology Dalian Municipal Central Hospital Dalian Liaoning ChinaAbstract Little is known about the epidemiology and impact of atrial fibrillation (AF) on cardiovascular diseases (CVD) mortality among hypertensive elderly population in northeast China. The community‐based study included 4497 hypertensive elderly residents aged ≥65 years who lived in northeast China from September 2017 to March 2019. Information on CVD deaths was obtained from baseline until July 31, 2021. Cox proportional hazard regression models were performed in the evaluation of CVD mortality. We identified 101 persons with AF. The prevalence of AF was 2.2% among elderly hypertensive population, which increased significantly with age. The prevalence of AF was higher in men than in women. The awareness rate was 51.5%, higher in urban areas than in rural areas (68.8% vs 43.5%, P = .018). Only 4.0% patients received oral anticoagulant (OAC) therapy among AF patients. Moreover, diabetes (26.7%) and dyslipidemia (37.6%) were highly prevalent in AF patients. Furthermore, 212 persons died due to CVD (14.7/1000 person‐years) during a median follow‐up of 3.2 years. AF patients had a 3.42 (95% CI: 2.07‐5.63) times higher risk of CVD mortality than the patients without AF in the fully adjusted model. Therefore, the burden of AF among hypertensive elderly population in northeast China was considerable. Long‐term screening and management strategies for AF and related risk factors are required among hypertensive elderly in northeast China.https://doi.org/10.1111/jch.14483atrial fibrillationcardiovascular diseaseshypertensionmortality |
| spellingShingle | Zhenwei Xia Wei Dang Xue Yang Qun Sun Jixu Sun Lei Shi Shize Sun Le An Xiaojing Li Hongbo Peng Shuang Liu Ling Yue Hongyun Chen Prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast China The Journal of Clinical Hypertension atrial fibrillation cardiovascular diseases hypertension mortality |
| title | Prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast China |
| title_full | Prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast China |
| title_fullStr | Prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast China |
| title_full_unstemmed | Prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast China |
| title_short | Prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast China |
| title_sort | prevalence of atrial fibrillation and the risk of cardiovascular mortality among hypertensive elderly population in northeast china |
| topic | atrial fibrillation cardiovascular diseases hypertension mortality |
| url | https://doi.org/10.1111/jch.14483 |
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