Cited by 192Atrial Fibrillation Management and OutcomesHeart Failure Treatment and ManagementCardiac Health and Mental Health

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Incidence and mortality risk of congestive heart failure in atrial fibrillation patients: a community-based study over two decades

Miyasaka, Yoko, Barnes, Marion E., Gersh, Bernard J., Cha, Stephen S., Bailey, Kent R., Abhayaratna, Walter, Seward, James B., Iwasaka, Toshiji, Tsang, Teresa S.M.·2006·European Heart Journal

DOI 10.1093/eurheartj/ehi694

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Abstract

AIMS: We sought to determine whether the incidence of and survival following congestive heart failure (CHF) in patients with atrial fibrillation (AF) have changed over time. METHODS AND RESULTS: Olmsted County, Minnesota residents diagnosed with first AF during 1980-2000 were identified and followed in medical records to 2004. The trends of incidence and survival of CHF over time were assessed. Of the 3288 subjects (mean age 71+/-15 years) diagnosed with first AF and without CHF prior to or at AF diagnosis, 790 (24%) developed a first CHF during a mean follow-up of 6.1+/-5.2 years (unadjusted incidence, 44 per 1000 person years). Age- and sex-adjusted CHF incidence was unrelated to calendar year of AF diagnosis (P = 0.86). The age- and sex-adjusted mortality risk following CHF was higher than that in patients without CHF (hazard ratio 3.4, 95% confidence interval 3.1-3.8, P < 0.0001). There were no detectable changes over time with respect to the absolute (P = 0.94) or the relative (P = 0.68) mortality risk after CHF diagnosis. CONCLUSION: In this study spanning two decades, there appeared to have been no significant reduction in terms of the incidence and mortality risk of CHF following first AF diagnosis.

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Miyasaka Y, Barnes ME, Cha SS, Bailey KR, Seward JB, Abhayaratna WP, Gersh BJ, Tsang TSM. Pharmacological therapy following first atrial fibrillation: data from two decades (1980–2000). (Abstract). J Am Coll Cardiol2005;45:334A.
Miyasaka Y, Barnes ME, Cha SS, Gersh BJ, Seward JB, Abhayaratna WP, Bailey KR, Tsang TSM. Trends in incidence of atrial fibrillation in Olmsted County, Minnesota (1980–2000). (Abstract). J Am Coll Cardiol2005;45:333A.

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Authors: Miyasaka, Y., Barnes, M. E., Gersh, B. J., Cha, S. S., Bailey, K. R., Abhayaratna, W., Seward, J. B., Iwasaka, T., & Tsang, T. S. M.
Affiliations: Mayo Clinic (US)
Kansai Medical University (JP)
Corresponding author: Miyasaka, Yoko
ORCID: Miyasaka, Yoko
Barnes, Marion E.
Gersh, Bernard J.
Bailey, Kent R.
Abhayaratna, Walter
Tsang, Teresa S.M.
Venue: European Heart Journal
Publisher: Oxford University Press (OUP)
Published: 2006-01-06
Volume: 27
Issue: 8
Pages: 936-941
ISSN: 0195-668X (ISSN-L)
1522-9645
DOI: 10.1093/eurheartj/ehi694
OpenAlex: W2069444518
Cited by: 192
References: 27
Citations by year: 2026: 5 · 2025: 5 · 2024: 12 · 2023: 16 · 2022: 14 · 2021: 8 · 2020: 6 · 2019: 11 · 2018: 12 · 2017: 13 · 2016: 11 · 2015: 8 · 2014: 11 · 2013: 14 · 2012: 9
FWCI: 5.38
Type: journal article
Language: en
Open access: closed
Locations: European Heart Journal (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: American Heart Association
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords: congestive heart failure, atrial fibrillation, heart failure incidence, heart failure mortality, temporal trends, Olmsted County, Minnesota
MeSH terms: Aged, Atrial Fibrillation, Epidemiologic Methods, Female, Heart Failure, Humans, Male, Minnesota, Mortality, Prognosis, Sex Distribution

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Incidence and mortality risk of congestive heart failure in atrial fibrillation patients: a community-based study over two decades

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