Key result
Hypertensive heart disease is associated with varying incidences of auricular fibrillation, with historical reports ranging from rare occurrences to 13% in a series of 708 cases.
Historical perspectives on the incidence of atrial fibrillation in hypertensive heart disease show significant variation among early 20th-century experts.
Historical AF incidence in hypertensive heart disease varies widely; leaves open precise contemporary prevalence estimates.
Various opinions exist regarding the incidence, the time of onset and the relation of auricular fibrillation to the course of hypertensive heart disease. Janeway¹stated that of 212 deceased patients with hypertensive cardiovascular disease (nephritis included) only eight had auricular fibrillation, and of 246 living patients only two had this arrhythmia. White²reported that, in a group of 708 cases of hypertensive heart disease, auricular fibrillation was present in ninety-two (13 per cent), in fourteen of which it was paroxysmal in type. Under a discussion of the cardiac manifestations of essentialhypertension, Lewis³stated that established auricular fibrillation occurs in a number of cases but is observed particularly late in the disease. Fahr⁴differed with this opinion and stated that in some cases the onset of auricular fibrillation brings forth clinical evidence of heart failure. He added that it is the most common form of arrhythmia
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Nathan Flaxman (1937) conducted a review in Auricular fibrillation in hypertensive heart disease. Hypertensive heart disease is associated with varying incidences of auricular fibrillation, with historical reports ranging from rare occurrences to 13% in a series of 708 cases.
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