Frequency of Cardiac Rhythm Abnormalities in a Half Million Adults

The frequency of cardiac rhythm abnormalities and their risk factors in community-dwelling adults are not well characterized. We determined the frequency of rhythm abnormalities in the UK Biobank, a national prospective cohort. We tested associations between risk factors and incident rhythm abnormal...

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Vydáno v:	Circulation. Arrhythmia and electrophysiology Ročník 11; číslo 7; s. e006273
Hlavní autoři:	Khurshid, Shaan, Choi, Seung Hoan, Weng, Lu-Chen, Wang, Elizabeth Y, Trinquart, Ludovic, Benjamin, Emelia J, Ellinor, Patrick T, Lubitz, Steven A
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States 01.07.2018
Témata:	Action Potentials Age Factors Aged Arrhythmias, Cardiac - diagnosis Arrhythmias, Cardiac - epidemiology Arrhythmias, Cardiac - physiopathology Atrial Fibrillation - epidemiology Atrial Fibrillation - physiopathology Bradycardia - epidemiology Bradycardia - physiopathology Comorbidity Female Heart Conduction System - physiopathology Heart Rate Humans Incidence Life Style Male Middle Aged Prevalence Prospective Studies Risk Assessment Risk Factors United Kingdom - epidemiology United Kingdom heart failure atrial fibrillation tachycardia, ventricular bradycardia tachycardia, supraventricular
ISSN:	1941-3084, 1941-3084
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Abstract	The frequency of cardiac rhythm abnormalities and their risk factors in community-dwelling adults are not well characterized. We determined the frequency of rhythm abnormalities in the UK Biobank, a national prospective cohort. We tested associations between risk factors and incident rhythm abnormalities using multivariable proportional hazards regression. Of 502 627 adults (median age, 58 years [interquartile range, 13]; 54.4% women), 2.35% had a baseline rhythm abnormality. The prevalence increased with age with 4.84% of individuals aged 65 to 73 years affected. During 3 368 332 person-years of follow-up, 15 906 new rhythm abnormalities were detected (4.72 per 1000 person-years; 95% confidence interval [CI]: 4.65-4.80). Atrial fibrillation (3.11 per 1000 person-years; 95% CI: 3.05-3.17), bradyarrhythmias (0.89 per 1000 person-years; 95% CI: 0.86-0.92), and conduction system diseases (1.06 per 1000 person-years; 95% CI: 1.02-1.09) were more common than supraventricular (0.51 per 1000 person-years; 95% CI: 0.48-0.53) and ventricular arrhythmias (0.57 per 1000 person-years; 95% CI: 0.55-0.60). Older age (hazard ratio [HR]: 2.35 per 10-year increase; 95% CI: 2.29-2.41; <0.01), male sex (HR: 1.83; 95% CI: 1.76-1.89; <0.01), hypertension (HR: 1.49; 95% CI: 1.44-1.54; <0.01), chronic kidney disease (HR: 1.95; 95% CI: 1.67-2.27; <0.01), and heart failure (HR: 1.99; 95% CI: 1.76-2.26; <0.01) were associated with new rhythm abnormalities. The frequency of rhythm abnormalities in middle-aged to older community-dwelling adults is substantial. Atrial fibrillation, bradyarrhythmias, and conduction system diseases account for most rhythm conditions.
AbstractList	The frequency of cardiac rhythm abnormalities and their risk factors in community-dwelling adults are not well characterized. We determined the frequency of rhythm abnormalities in the UK Biobank, a national prospective cohort. We tested associations between risk factors and incident rhythm abnormalities using multivariable proportional hazards regression. Of 502 627 adults (median age, 58 years [interquartile range, 13]; 54.4% women), 2.35% had a baseline rhythm abnormality. The prevalence increased with age with 4.84% of individuals aged 65 to 73 years affected. During 3 368 332 person-years of follow-up, 15 906 new rhythm abnormalities were detected (4.72 per 1000 person-years; 95% confidence interval [CI]: 4.65-4.80). Atrial fibrillation (3.11 per 1000 person-years; 95% CI: 3.05-3.17), bradyarrhythmias (0.89 per 1000 person-years; 95% CI: 0.86-0.92), and conduction system diseases (1.06 per 1000 person-years; 95% CI: 1.02-1.09) were more common than supraventricular (0.51 per 1000 person-years; 95% CI: 0.48-0.53) and ventricular arrhythmias (0.57 per 1000 person-years; 95% CI: 0.55-0.60). Older age (hazard ratio [HR]: 2.35 per 10-year increase; 95% CI: 2.29-2.41; <0.01), male sex (HR: 1.83; 95% CI: 1.76-1.89; <0.01), hypertension (HR: 1.49; 95% CI: 1.44-1.54; <0.01), chronic kidney disease (HR: 1.95; 95% CI: 1.67-2.27; <0.01), and heart failure (HR: 1.99; 95% CI: 1.76-2.26; <0.01) were associated with new rhythm abnormalities. The frequency of rhythm abnormalities in middle-aged to older community-dwelling adults is substantial. Atrial fibrillation, bradyarrhythmias, and conduction system diseases account for most rhythm conditions. The frequency of cardiac rhythm abnormalities and their risk factors in community-dwelling adults are not well characterized.BACKGROUNDThe frequency of cardiac rhythm abnormalities and their risk factors in community-dwelling adults are not well characterized.We determined the frequency of rhythm abnormalities in the UK Biobank, a national prospective cohort. We tested associations between risk factors and incident rhythm abnormalities using multivariable proportional hazards regression.METHODSWe determined the frequency of rhythm abnormalities in the UK Biobank, a national prospective cohort. We tested associations between risk factors and incident rhythm abnormalities using multivariable proportional hazards regression.Of 502 627 adults (median age, 58 years [interquartile range, 13]; 54.4% women), 2.35% had a baseline rhythm abnormality. The prevalence increased with age with 4.84% of individuals aged 65 to 73 years affected. During 3 368 332 person-years of follow-up, 15 906 new rhythm abnormalities were detected (4.72 per 1000 person-years; 95% confidence interval [CI]: 4.65-4.80). Atrial fibrillation (3.11 per 1000 person-years; 95% CI: 3.05-3.17), bradyarrhythmias (0.89 per 1000 person-years; 95% CI: 0.86-0.92), and conduction system diseases (1.06 per 1000 person-years; 95% CI: 1.02-1.09) were more common than supraventricular (0.51 per 1000 person-years; 95% CI: 0.48-0.53) and ventricular arrhythmias (0.57 per 1000 person-years; 95% CI: 0.55-0.60). Older age (hazard ratio [HR]: 2.35 per 10-year increase; 95% CI: 2.29-2.41; P<0.01), male sex (HR: 1.83; 95% CI: 1.76-1.89; P<0.01), hypertension (HR: 1.49; 95% CI: 1.44-1.54; P<0.01), chronic kidney disease (HR: 1.95; 95% CI: 1.67-2.27; P<0.01), and heart failure (HR: 1.99; 95% CI: 1.76-2.26; P<0.01) were associated with new rhythm abnormalities.RESULTSOf 502 627 adults (median age, 58 years [interquartile range, 13]; 54.4% women), 2.35% had a baseline rhythm abnormality. The prevalence increased with age with 4.84% of individuals aged 65 to 73 years affected. During 3 368 332 person-years of follow-up, 15 906 new rhythm abnormalities were detected (4.72 per 1000 person-years; 95% confidence interval [CI]: 4.65-4.80). Atrial fibrillation (3.11 per 1000 person-years; 95% CI: 3.05-3.17), bradyarrhythmias (0.89 per 1000 person-years; 95% CI: 0.86-0.92), and conduction system diseases (1.06 per 1000 person-years; 95% CI: 1.02-1.09) were more common than supraventricular (0.51 per 1000 person-years; 95% CI: 0.48-0.53) and ventricular arrhythmias (0.57 per 1000 person-years; 95% CI: 0.55-0.60). Older age (hazard ratio [HR]: 2.35 per 10-year increase; 95% CI: 2.29-2.41; P<0.01), male sex (HR: 1.83; 95% CI: 1.76-1.89; P<0.01), hypertension (HR: 1.49; 95% CI: 1.44-1.54; P<0.01), chronic kidney disease (HR: 1.95; 95% CI: 1.67-2.27; P<0.01), and heart failure (HR: 1.99; 95% CI: 1.76-2.26; P<0.01) were associated with new rhythm abnormalities.The frequency of rhythm abnormalities in middle-aged to older community-dwelling adults is substantial. Atrial fibrillation, bradyarrhythmias, and conduction system diseases account for most rhythm conditions.CONCLUSIONSThe frequency of rhythm abnormalities in middle-aged to older community-dwelling adults is substantial. Atrial fibrillation, bradyarrhythmias, and conduction system diseases account for most rhythm conditions.
Author	Khurshid, Shaan Weng, Lu-Chen Wang, Elizabeth Y Lubitz, Steven A Benjamin, Emelia J Ellinor, Patrick T Choi, Seung Hoan Trinquart, Ludovic
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Snippet	The frequency of cardiac rhythm abnormalities and their risk factors in community-dwelling adults are not well characterized. We determined the frequency of... The frequency of cardiac rhythm abnormalities and their risk factors in community-dwelling adults are not well characterized.BACKGROUNDThe frequency of cardiac...
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SubjectTerms	Action Potentials Age Factors Aged Arrhythmias, Cardiac - diagnosis Arrhythmias, Cardiac - epidemiology Arrhythmias, Cardiac - physiopathology Atrial Fibrillation - epidemiology Atrial Fibrillation - physiopathology Bradycardia - epidemiology Bradycardia - physiopathology Comorbidity Female Heart Conduction System - physiopathology Heart Rate Humans Incidence Life Style Male Middle Aged Prevalence Prospective Studies Risk Assessment Risk Factors United Kingdom - epidemiology
Title	Frequency of Cardiac Rhythm Abnormalities in a Half Million Adults
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