Temporal trends and patterns in atrial fibrillation incidence: A population-based study of 3·4 million individuals

Adherence to the Atrial Fibrillation Better Care (ABC) pathway and the risk of major outcomes in patients with atrial fibrillation: a post-hoc analysis from the prospective GLORIA-AF Registry

“…We defined two versions of the ABC pathway, which differed according to the ‘C’ criterion definition. For our primary analysis , we defined a ‘standard’ version of the ABC pathway, in which we evaluated adherence to ‘C’ according to the most common comorbidities found in patients with AF 23 , 24 ; for the exploratory secondary analysis on the ‘expanded’ version of the ABC pathway, we also evaluated 3 additional non-cardiovascular comorbidities (hyperthyroidism, hyperlipidaemia, dyspeptic disease).…”

Frailty assessment in the management of cardiovascular disease

“…In a primary care cohort, prescription rates of oral anticoagulation are actually higher in people with frailty,20 and there is now evidence of similar efficacy of direct oral anticoagulants (DOACs) compared with warfarin in people with frailty, although we lack precise estimates of the bleeding risk associated with DOAC for patients with severe frailty 21. The population incidence of AF is increasing, in part, due to an increasing burden of cardiovascular risk factors and population ageing 22…”

Atrial fibrillation, a contemporary sign of multimorbidity and irregular social inequity

“…In the current edition of The Lancet Regional Health-Europe , Wu and colleagues 2 present the temporal trends and patterns in AF incidence, in a population-based study of 3.4 million individuals in England. In this study the incidence of AF increased by 30% from 1998 to 2017 among individuals of the same age and sex.…”

“…Another important issue pointed out by Wu and colleagues, 2 is the socioeconomic discrepancy between the most deprived and affluent individuals and how this translates into cardiovascular morbidity. Individuals who were in the most deprived quintile had a significantly higher incidence of AF, while the prevalence of comorbidities was higher among these patients.…”