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ATRIA
Anticoagulation and Risk factors In Atrial fibrillation
Ongoing trial
Author(s)
Go AS, Hylek EM, Phillips KA, Chang YC, Henault LE, Selby JV, Singer DE
Title(s)
Prevalence of diagnosed atrial fibrillation in adults
Reference(s)
JAMA 2001;285:2370-5
Disease
Atrial fibrillation
Purpose
To estimate prevalence of atrial fibrillation and US national projections of the numbers of persons with atrial fibrillation through the year 2050
Study design
Observational, retrospective
Follow-up
18-month period of database data
Patients
17,974 adults, aged ≥ 20 years, with non-transient atrial fibrillation diagnosed during the period July 1996 - December 1997
Treatment regimen
Observational
Results
The overall prevalence of atrial fibrillation was 0.95%. Prevalence ranged from 0.1% in adults aged < 55 years to 9.0% in those aged ≥ 80 years. Prevalence was greater in men than in women (1.1% vs 0.8%; p < 0.001). Prevalence was greater in whites than in blacks aged ≥ 50 years (2.2% vs 1.5%; p < 0.001). It was estimated that there are nearly 2.3 million US adults with atrial fibrillation. This was projected to rise to more than 5.6 million by the year 2050, with 88% aged ≥ 65 years and 53% ≥ 80 years. About half will be women
Comments
This study has been the basis for a number of publications. A selection of references:

Factor V Leiden polymorphism
– Go AS et al, J Thromb Thrombolysis 2003;15:41–6
Gender differences and target anticoagulation
– Fang MC et al, Circulation 2005;112:1687–91

Kidney disease and risk of thromboembolism
– Go AS et al, Circulation 2009;119:1363–9

Risk stratification
– Fang MC et al, J Am Coll Cardiol 2008;51:810–5
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