Epidemiology of Atrial Fibrillation in the 21st Century Novel Methods and New Insights

被引：989

作者：

Kornej, Jelena ^{[1
,2
]}

Borschel, Christin S. ^{[4
,5
]}

Benjamin, Emelia ^{[1
,2
,3
]}

Schnabel, Renate B. ^{[4
,5
]}

机构：

[1] NHLBI, Framingham Heart Study, Framingham, MA USA

[2] Boston Univ, Sch Med, Sect Cardiovasc Med & Prevent Med, Boston Med Ctr, Boston, MA 02118 USA

[3] Boston Univ, Sch Med, Dept Epidemiol, Boston, MA 02118 USA

[4] Univ Heart & Vasc Ctr Hamburg Eppendorf, Dept Gen & Intervent Cardiol, Hamburg, Germany

[5] German Ctr Cardiovasc Res DZHK, Partner Site Hamburg Kiel Lubeck, Hamburg, Germany

来源：

CIRCULATION RESEARCH | 2020年 / 127卷 / 01期

基金：

欧盟地平线“2020”; 欧洲研究理事会;

关键词：

artificial intelligence; atrial fibrillation; incidence; prevalence; risk factors; ACUTE MYOCARDIAL-INFARCTION; CONGESTIVE-HEART-FAILURE; OBSTRUCTIVE SLEEP-APNEA; QUALITY-OF-LIFE; RISK-FACTORS; PHYSICAL-ACTIVITY; ATHEROSCLEROSIS RISK; PULMONARY-EMBOLISM; FOLLOW-UP; METABOLIC SYNDROME;

D O I：

10.1161/CIRCRESAHA.120.316340

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Accompanying the aging of populations worldwide, and increased survival with chronic diseases, the incidence and prevalence of atrial fibrillation (AF) are rising, justifying the term global epidemic. This multifactorial arrhythmia is intertwined with common concomitant cardiovascular diseases, which share classical cardiovascular risk factors. Targeted prevention programs are largely missing. Prevention needs to start at an early age with primordial interventions at the population level. The public health dimension of AF motivates research in modifiable AF risk factors and improved precision in AF prediction and management. In this review, we summarize current knowledge in an attempt to untangle these multifaceted associations from an epidemiological perspective. We discuss disease trends, preventive opportunities offered by underlying risk factors and concomitant disorders, current developments in diagnosis and risk prediction, and prognostic implications of AF and its complications. Finally, we review current technological (eg, eHealth) and methodological (artificial intelligence) advances and their relevance for future prevention and disease management.

引用

页码：4 / 20

页数：17

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