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Simple Risk Model Predicts Incidence of Atrial Fibrillation in a Racially and Geographically Diverse Population: the CHARGE‐AF Consortium

Open access
Alonso, Alvaro, Krijthe, Bouwe P., Aspelund, Thor, Stepas, Katherine A., Pencina, Michael J., Moser, Carlee B., Sinner, Moritz F., Sotoodehnia, Nona, Fontes, João D., Janssens, A. Cecile J. W., Kronmal, Richard A., Magnani, Jared W., Witteman, Jacqueline C., Chamberlain, Alanna M., Lubitz, Steven A., Schnabel, Renate B., Agarwal, Sunil K., McManus, David D., Ellinor, Patrick T., Larson, Martin G., Burke, Gregory L., Launer, Lenore J., Hofman, Albert, Levy, Daniel, Gottdiener, John S., Kääb, Stefan, Couper, David, Harris, Tamara B., Soliman, Elsayed Z., Stricker, Bruno H. C., Gudnason, Vilmundur, Heckbert, Susan R., Benjamin, Emelia J.·2013·Journal of the American Heart Association

Abstract

Background: Tools for the prediction of atrial fibrillation ( AF ) may identify high‐risk individuals more likely to benefit from preventive interventions and serve as a benchmark to test novel putative risk factors. Methods and Results: Individual‐level data from 3 large cohorts in the U nited S tates (Atherosclerosis Risk in Communities [ ARIC ] study, the Cardiovascular Health Study [ CHS ], and the Framingham Heart Study [ FHS ]), including 18 556 men and women aged 46 to 94 years (19% A frican A mericans, 81% whites) were pooled to derive predictive models for AF using clinical variables. Validation of the derived models was performed in 7672 participants from the Age, Gene and Environment—Reykjavik study ( AGES ) and the Rotterdam Study ( RS ). The analysis included 1186 incident AF cases in the derivation cohorts and 585 in the validation cohorts. A simple 5‐year predictive model including the variables age, race, height, weight, systolic and diastolic blood pressure, current smoking, use of antihypertensive medication, diabetes, and history of myocardial infarction and heart failure had good discrimination (C‐statistic, 0.765; 95% CI , 0.748 to 0.781). Addition of variables from the electrocardiogram did not improve the overall model discrimination (C‐statistic, 0.767; 95% CI , 0.750 to 0.783; categorical net reclassification improvement, −0.0032; 95% CI , −0.0178 to 0.0113). In the validation cohorts, discrimination was acceptable ( AGES C‐statistic, 0.664; 95% CI , 0.632 to 0.697 and RS C‐statistic, 0.705; 95% CI , 0.664 to 0.747) and calibration was adequate. Conclusion: A risk model including variables readily available in primary care settings adequately predicted AF in diverse populations from the U nited S tates and E urope.

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Metadata

Authors
Alonso, A., Krijthe, B. P., Aspelund, T., Stepas, K. A., Pencina, M. J., Moser, C. B., Sinner, M. F., Sotoodehnia, N., Fontes, J. D., Janssens, A. C. J. W., Kronmal, R. A., Magnani, J. W., Witteman, J. C., Chamberlain, A. M., Lubitz, S. A., Schnabel, R. B., Agarwal, S. K., McManus, D. D., Ellinor, P. T., Larson, M. G., Burke, G. L., Launer, L. J., Hofman, A., Levy, D., Gottdiener, J. S., Kääb, S., Couper, D., Harris, T. B., Soliman, E. Z., Stricker, B. H. C., Gudnason, V., Heckbert, S. R., & Benjamin, E. J.
Venue
Journal of the American Heart Association
Published
2013-03-12
Volume
2
Issue
2
Pages
e000102-e000102
ISSN
2047-9980 (ISSN-L)
OpenAlex
W2097173178
Cited by
882
References
12
FWCI
29.45
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Simple Risk Model Predicts Incidence of Atrial Fibrillation in a Racially and Geographically Diverse Population: the CHARGE‐AF Consortium. https://app.cochat.ai/papers/10.1161/jaha.112.000102
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Alonso, A., Krijthe, B. P., Aspelund, T., Stepas, K. A., Pencina, M. J., Moser, C. B., Sinner, M. F., Sotoodehnia, N., Fontes, J. D., Janssens, A. C. J. W., Kronmal, R. A., Magnani, J. W., Witteman, J. C., Chamberlain, A. M., Lubitz, S. A., Schnabel, R. B., Agarwal, S. K., McManus, D. D., Ellinor, P. T., . . . Benjamin, E. J. (2013). Simple Risk Model Predicts Incidence of Atrial Fibrillation in a Racially and Geographically Diverse Population: the CHARGE‐AF Consortium. Journal of the American Heart Association. https://doi.org/10.1161/jaha.112.000102

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.