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Global epidemiology of atrial fibrillation: An increasing epidemic and public health challenge.
International Journal of Stroke ( IF 6.7 ) Pub Date : 2020-01-19 , DOI: 10.1177/1747493019897870
Giuseppe Lippi 1 , Fabian Sanchis-Gomar 2 , Gianfranco Cervellin
Affiliation  

BACKGROUND Atrial fibrillation is the most frequent cardiac arrhythmia. It has been estimated that 6-12 million people worldwide will suffer this condition in the US by 2050 and 17.9 million people in Europe by 2060. Atrial fibrillation is a major risk factor for ischemic stroke and provokes important economic burden along with significant morbidity and mortality. AIM We provide here comprehensive and updated statistics on worldwide epidemiology of atrial fibrillation. METHODS An electronic search was conducted for atrial fibrillation. The epidemiologic information was retrieved from the Global Health Data Exchange database, which is regarded as one of the most comprehensive worldwide catalogs of surveys, censuses, vital statistics, and other health-related data. RESULTS A total of 3.046 million new cases of atrial fibrillation worldwide were registered in the database during 2017. The estimated incidence rate for 2017 (403/millions inhabitants) was 31% higher than the corresponding incidence in 1997. The worldwide prevalence of atrial fibrillation is 37,574 million cases (0.51% of worldwide population), increased also by 33% during the last 20 years. The highest burden is seen in countries with high socio-demographic index, though the largest recent increased occurred in middle socio-demographic index countries. Future projections suggest that absolute atrial fibrillation burden may increase by >60% in 2050. CONCLUSIONS Our analyses suggest that atrial fibrillation incidence and prevalence have increased over the last 20 years and will continue to increase over the next 30 years, especially in countries with middle socio-demographic index, becoming one of the largest epidemics and public health challenges.

中文翻译:

心房颤动的全球流行病学:日益严重的流行病和公共卫生挑战。

背景技术心房颤动是最常见的心律失常。据估计,到 2050 年,全世界将有 6-1200 万人在美国患有这种疾病,到 2060 年,在欧洲将有 1790 万人患有这种疾病。心房颤动是缺血性中风的主要危险因素,并会引起重大的经济负担以及显着的发病率和死亡率. 目的 我们在此提供全球房颤流行病学的全面和最新统计数据。方法 对心房颤动进行电子搜索。流行病学信息取自全球健康数据交换数据库,该数据库被认为是全球最全面的调查、人口普查、生命统计和其他健康相关数据目录之一。结果共3条。2017 年全球共有 0.46 亿新发心房颤动病例登记在数据库中。2017 年的估计发病率(4.03/百万居民)比 1997 年的相应发病率高 31%。全球心房颤动患病率为 375.74 亿例。 0.51% 的全球人口),在过去 20 年中也增加了 33%。社会人口指数高的国家的负担最高,尽管最近增加的幅度最大的是社会人口指数中等的国家。未来的预测表明,到 2050 年,房颤的绝对负担可能增加 > 60%。
更新日期:2020-01-19
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