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September 15, 2018International Journal of CardiologyOpen Access

Chronic obstructive pulmonary disease and the development of atrial fibrillation

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Why the study?

Does COPD increase the risk of incident atrial fibrillation in a population-based cohort?

Population

10,943 subjects from a population-based cohort (Rotterdam Study)

Comparison

Chronic obstructive pulmonary disease (COPD) vs Subjects without COPD

Design

Cohort

Follow-up

long-term

Key result

COPD was associated with a 28% increased risk of incident atrial fibrillation compared to subjects without COPD (HR 1.28; 95% CI 1.04-1.57).

Authors

MGMaxim GrymonprezVVVincent VakaetMKMaryam Kavousi

Discussion

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Member takes

Overview

COPD-associated AF risk elevation may warrant clinical vigilance; leaves open whether targeted interventions improve outcomes.

Study Design

Type

Cohort (n=10,943)

Structured PICO

Does COPD increase the risk of incident atrial fibrillation in a population-based cohort?

P
Population
10,943 subjects from a population-based cohort with long-term follow-up to evaluate the effect of COPD on incident atrial fibrillation.
E
Exposure
Chronic obstructive pulmonary disease (COPD)
C
Comparator
Subjects without COPD
O
Outcome
Incident atrial fibrillation (AF)hard clinical

Main Result

Hazard Ratio: 1.28 (95% CI 1.04–1.57)

Absolute Event Rate: 14% vs 8%

COPD is an independent risk factor for incident atrial fibrillation, with the risk further elevated by frequent exacerbations, enlarged left atrium, and systemic inflammation.

Cite This Study

Grymonprez et al. (2018) conducted a cohort in Chronic obstructive pulmonary disease and atrial fibrillation (n=10,943). Chronic obstructive pulmonary disease (COPD) vs. Subjects without COPD was evaluated on Incident atrial fibrillation (HR 1.28, 95% CI 1.04-1.57). COPD was associated with a 28% increased risk of incident atrial fibrillation compared to subjects without COPD (HR 1.28; 95% CI 1.04-1.57).

synapsesocial.com/papers/6a40220bbc5541264908fa67https://doi.org/10.1016/j.ijcard.2018.09.056
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