Atrial Fibrillation in Heart Failure:

Naccarelli, Gerald V.; Hynes, B. John; Wolbrette, Deborah L.; Bhatta, Luna; Khan, M. Rashid; Samii, Soraya; Luck, Jerry C.

doi:10.1046/j.1540-8167.2003.90404.x

Cited by 35 publications

(2 citation statements)

References 80 publications

(147 reference statements)

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“…The incidence of AF is higher in the older generation 12,13, and its prevalence accordingly increases with a shift to the aging population 14. As with COPD, the development of AF is thought to be involved in systemic inflammation 15, and known risk factors are aging 16,17, cardiac disease 18, hypertension 19, obesity 20, smoking 21,22, and hypoxia 23. A couple of cohort studies on the relationship between AF and COPD are available 24-26, however, their conflicting results make any conclusions difficult.…”

Section: Introductionmentioning

confidence: 99%

Impairment of Pulmonary Function is an Independent Risk Factor for Atrial Fibrillation: The Takahata Study

Shibata

Watanabe²,

Osaka³

et al. 2011

Int. J. Med. Sci.

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Background: Chronic pulmonary disorders, such as chronic obstructive pulmonary disease (COPD) and fibrosing lung diseases, and atrial fibrillation (AF), are prevalent in elderly people. The impact of cardiac co-morbidities in the elderly, where pulmonary function is impaired, cannot be ignored as they influence mortality. The relationship between the prevalence of AF and pulmonary function is unclear. The aim of this study was to evaluate this relationship in participants in a health check. Methods: Subjects aged 40 or older (n = 2,917) who participated in a community-based annual health check in Takahata, Japan, from 2004 through to 2005, were enrolled in the study. We performed blood pressure measurements, blood sampling, electrocardiograms, and spirometry on these subjects. Results: The mean FEV 1 % predicted and FVC % predicted in AF subjects was significantly lower than in non-AF subjects. The prevalence of AF was higher in those subjects with airflow limitation or lung restriction than in those without. Furthermore, AF prevalence was higher in those subjects with severe airflow obstruction (FEV 1 %predicted < 50) than in those who had mild or moderate airflow obstruction (FEV 1 %predicted ≥ 50), although there was no difference between the prevalence of AF in subjects with 70≤ FVC %predicted <80 lung restriction and those with FVC %predicted <70. Multiple logistic regression analysis revealed that FEV 1 %predicted and FVC %predicted are independent risk factors for AF (independent of age, gender, left ventricular hypertrophy, and serum levels of B-type natriuretic peptide). Conclusion: Impaired pulmonary function is an independent risk factor for AF in the Japanese general population.

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Section: Introductionmentioning

confidence: 99%

Impairment of Pulmonary Function is an Independent Risk Factor for Atrial Fibrillation: The Takahata Study

Shibata

Watanabe²,

Osaka³

et al. 2011

Int. J. Med. Sci.

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“…Both AF and CHF are prevalent cardiac disorders that often present together in patients [ 35 ]. However, the prognostic significance of using AF as a risk factor in predicting CHF is still debated [ 36 ]. Many previous studies have attempted to investigate their correlation to help determine treatment options when patients present with both conditions, especially since one will often exacerbate the other resulting in a continuous cycle.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors Associated With Atrial Fibrillation in Elderly Patients

et al. 2023

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Background Atrial fibrillation (AF) is the most common arrhythmia with a growing prevalence worldwide, especially in the elderly population. Patients with AF are at higher risk of serious life-threatening events and complications that may lead to long-term sequelae and reduce quality of life. The aim of our study was to examine the association of additional risk factors and comorbid medical conditions with AF in patients 65 years, or older. Methods We performed a retrospective electronic medical record review of patients aged 65 years and older, who visited our internal medicine office between July 1, 2020 and June 30, 2021. Results Among 2,433 patients, 418 patients (17.2%) had AF. Our analysis showed that for each unit increased in age, there was a 4.5% increase in the odds of AF (95% confidence interval (CI) 2.2-6.9%; P < 0.001). Compared to patients of Caucasian descent, African-American patients had significantly decreased odds of AF (odds ratio (OR) 0.274, 95% CI 0.141 - 0.531; P < 0.001). Patients with hypertension had 2.241 greater odds of AF (95% CI 1.421 - 3.534; P = 0.001). Additional comorbidities with significantly greater odds of AF included other cardiac arrhythmias (OR 2.523, 95% CI 1.720 - 3.720; P < 0.001), congestive heart failure (OR 3.111, 95% CI 1.674 - 5.784; P < 0.001), osteoarthritis (OR 3.014, 95% CI 2.138 - 4.247; P < 0.001), liver disease (OR 2.129, 95% CI 1.164 - 3.893; P = 0.014), and colorectal disease (OR 1.500 95% CI 1.003 - 2.243; P = 0.048). Comorbidities with significantly decreased odds of AF included other rheumatological disorder (OR 0.144, 95% CI 0.086 - 0.243; P < 0.001), non-steroidal anti-inflammatory drugs (NSAIDs) use (OR 0.206, 95% CI 0.125 - 0.338; P < 0.001), and corticosteroid use (OR 0.553, 95% CI 0.374 - 0.819; P = 0.003). Conclusions Increasing age, hypertension, presence of other cardiac arrhythmias, congestive heart failure, osteoarthritis, liver disease, and colorectal disease are associated with increased odds of having AF.

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Electrocardiographic monitoring for cardiovascular dysfunction

Winkler

2015

Critical Care Nursing

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Atrial Fibrillation in Heart Failure:

Cited by 35 publications

References 80 publications

Impairment of Pulmonary Function is an Independent Risk Factor for Atrial Fibrillation: The Takahata Study

Impairment of Pulmonary Function is an Independent Risk Factor for Atrial Fibrillation: The Takahata Study

Risk Factors Associated With Atrial Fibrillation in Elderly Patients

Electrocardiographic monitoring for cardiovascular dysfunction

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