Health

Atrial fibrillation is more common and dangerous in younger people than previously thought, study finds

Atrial fibrillation (Afib) is a common type of arrhythmia that is on the rise among people under the age of 65, but this increasingly younger population may be at greater risk than previously thought. That's according to a new study published today, December 11, 2018. Circulatory arrhythmia and electrophysiology Written by physician-scientists at UPMC Heart and Vascular Institute.

This study is one of the first to examine a large group of patients with atrial fibrillation under the age of 65 in the United States, finding that these younger patients are more likely to be hospitalized with heart failure, stroke, or heart attack, and have fewer complications. It was found that the rate of complications was significantly higher. Mortality compared with similar age and gender-matched people without atrial fibrillation.

“The consensus among cardiologists is that atrial fibrillation is very rare and not harmful in people under 65 years of age, but there was really no data to support that,” said the lead author. said Aditya Bhonsale, MD, MHS, UPMC. She is a cardiac electrophysiologist in the HVI Department of Cardiology and an assistant professor at the University of Pittsburgh School of Medicine.

“At UPMC, we have been seeing more young patients with atrial fibrillation in recent years and are interested in understanding the actual clinical course of these patients. UPMC has patient records across more than 40 hospitals. As a payment institution with a large number of companies, we were in a unique position to be able to ask this question that no one had been able to ask before,” Bonsale added.

Researchers looked at electronic medical records of 67,221 UPMC patients who sought treatment for atrial fibrillation from 2010 to 2019, more than a quarter (17,335) of whom were under the age of 65. This was in stark contrast to the commonly estimated prevalence of 2%. This higher rate likely reflects the increased burden of cardiovascular risk factors among younger Americans, Bonserre said.

Over a 10-year period, the UPMC team found that men with atrial fibrillation were 1.3 to 1.5 times more likely to survive and women with atrial fibrillation were 1.82 to 3.16 times more likely to survive compared to age-matched patients without atrial fibrillation. I discovered that it was bad. The patients studied had high rates of cardiovascular disease risk factors, including smoking, obesity, high blood pressure, and sleep apnea, which lead to structural and electrical changes in the heart over time. This is a cause of damage.

“We are optimistic that the data from this study will facilitate future research to evaluate the optimal treatment for patients with atrial fibrillation,” said Dr. said lead author Sandeep Jain, M.D., Ph.D., professor of medicine at the same university. of Pittsburgh.

Other authors of this study are Jianhui Zhu, MD, Floyd Thoma, Steve Koscumb, Krishna Kancharla, MD, Andrew Voigt, MD, Jared Magnani, MD, NA Estes, MD, Samir Saba, MD, Oscar Marroquin, MD, Suresh Mulukutla, MD, UPMC Everyone.

Sources

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2/ https://www.sciencedaily.com/releases/2024/04/240422120618.htm

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