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Incidence, prevalence, and mortality estimates for chronic atrial fibrillation in Turkish adults

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dc.contributor.author Uyarel, H.
dc.contributor.author Onat, A.
dc.contributor.author Yüksel, H.
dc.contributor.author Can, G.
dc.contributor.author Ordu, S.
dc.contributor.author Dursunoǧlu, Dursun.
dc.date.accessioned 2019-08-16T12:16:40Z
dc.date.available 2019-08-16T12:16:40Z
dc.date.issued 2008
dc.identifier.issn 10165169 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/7151
dc.description.abstract Objectives: We investigated the incidence, prevalence, and mortality of chronic atrial fibrillation (AF) in Turkish adults. Study design: In a prospective and cross-sectional design, we analyzed 3,450 eligible participants (1707 men, 1743 women; mean age 52±13 years) of the Turkish Adult Risk Factor Study, who had been surveyed until 2006/07. Those who were dead and were found to have AF at base-line were excluded in the estimation of AF prevalence and incidence, respectively. Results: Atrial fibrillation was determined in 67 participants. The total follow-up was 34,100 person-years (mean 9.9 years). There were 43 prevalent and 46 incident cases, which corresponded to 1.25% and 1.35 per 1000 person-years, respectively. For age brackets of 32-59, 60-69, and ≥70 years, the prevalence rates were 0.46%, 2.09%, and 2.49%, and the incidence rates were 0.31, 1.98, and 3.50 per 1000 person-years, respectively. Both were higher in women of all age groups, with female-to-male ratios for overall prevalence and incidence being 1.69 and 1.19, respectively. Survival after onset of AF was 5 to 9 years and overall mortality was 6.8 per 100 person-years. Hypertension was the most common cause of AF, followed by advanced age. Contrary to expectations, waist circumference of men with AF was smaller by 1.9 cm than that of women. Serum C-reactive protein levels in men with AF (mean 1.21 mg/I) were significantly lower than women with AF (mean 2.62 mg/l) and than males without AF (mean 1.78 mg/l). Conclusion: In Turkish adults, the current incidence and prevalence of chronic AF can be extrapolated to be 35,000 per year (22,000 in women) and 310,000 (200,000 in women), respectively. Considering the low incidence in males, it seems that inflammatory processes may play a minor role in the development of AF in Turkish men.
dc.language.iso Turkish
dc.rights info:eu-repo/semantics/closedAccess
dc.subject Atrial fibrillation/epidemiology
dc.subject Cohort studies
dc.subject Incidence
dc.subject Prevalence
dc.subject Sex distribution
dc.subject Turkey/epidemiology
dc.subject C reactive protein
dc.subject adult
dc.subject aged
dc.subject aging
dc.subject article
dc.subject chronic disease
dc.subject cross-sectional study
dc.subject female
dc.subject heart atrium fibrillation
dc.subject human
dc.subject hypertension
dc.subject incidence
dc.subject male
dc.subject metabolism
dc.subject middle aged
dc.subject mortality
dc.subject prevalence
dc.subject prospective study
dc.subject risk factor
dc.subject sex difference
dc.subject Turkey (republic)
dc.subject Adult
dc.subject Aged
dc.subject Aging
dc.subject Atrial Fibrillation
dc.subject C-Reactive Protein
dc.subject Chronic Disease
dc.subject Cross-Sectional Studies
dc.subject Female
dc.subject Humans
dc.subject Hypertension
dc.subject Male
dc.subject Middle Aged
dc.subject Prospective Studies
dc.subject Risk Factors
dc.subject Sex Factors
dc.subject Turkey
dc.title Incidence, prevalence, and mortality estimates for chronic atrial fibrillation in Turkish adults
dc.type Article
dc.relation.journal Turk Kardiyoloji Dernegi Arsivi
dc.contributor.authorID 0000-0002-5232-7078
dc.identifier.volume 36
dc.identifier.issue 4
dc.identifier.startpage 214
dc.identifier.endpage 222
dc.relation.publicationCategory Uluslararası Hakemli Dergi
dc.identifier.index Scopus

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