Prevalence of Atrial Fibrillation in China and Its Risk Factors

被引:51
|
作者
Li Ying [1 ,2 ]
Wu Yang Feng [1 ,2 ,3 ]
Chen Ke Ping [1 ,2 ]
Li Xian [1 ,2 ,4 ]
Zhang Xing [1 ,2 ]
Xie Gao Qiang [1 ,2 ,3 ]
Wang Fang Zheng [1 ,2 ]
Zhang Shu [1 ,2 ]
机构
[1] Chinese Acad Med Sci, Fuwai Hosp, Natl Ctr Cardiovasc Dis, State Key Lab Cardiovasc Dis, Beijing 100037, Peoples R China
[2] Peking Union Med Coll, Beijing 100037, Peoples R China
[3] Peking Univ, Clin Res Inst, Beijing 100191, Peoples R China
[4] Peking Univ, Hlth Sci Ctr, George Inst Global Hlth, Beijing 100088, Peoples R China
关键词
Atrial fibrillation; Epidemiology; Risk factors; Chinese population; ALCOHOL-CONSUMPTION; FOLLOW-UP; POPULATION; STROKE; OBESITY; ADULTS; TRENDS; COST;
D O I
10.3967/0895-3988.2013.09.001
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Objective To study the prevalence of atrial fibrillation (AF) and the relation with its risk factors in China. Methods A total of 19 363 participants (8635 males and 10 728 females) aged >= 35 years in geographically dispersed urban and rural regions of China were included in this cross-sectional survey. All participants received questionnaire, physical and blood examination. Echocardiography were performed for AF patients found in the survey. Results Of the 19 363 participants, 199 were diagnosed with AF. The estimated age-standardized prevalence of AF was 0.78% in men and 0.76% in women. The prevalence of AF in participants aged < 60 years was 0.41% in men and 0.43% in women, and was 1.83% in both men and women aged >= 60 years. About 19.0% of males and 30.9% of females with AF were diagnosed with valve disease. Age-and sex-adjusted multivariable logistic regression analysis revealed that myocardial infarction, left ventricular hypertrophy (LVH), obesity, and alcohol consumption were associated with a increased risk of AF(P<0.05). Conclusion The age standardized prevalence of AF is 0.77% in the participants enrolled in the present study. The number of AF cases aged >= 35 years is 5.26 million according to 2010 Chinese Census. Most risk factors for AF, identified mainly in Western countries, are also detected in China.
引用
收藏
页码:709 / 716
页数:8
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