Key result
Peripheral artery disease was associated with a 31% increased risk of incident atrial fibrillation compared to normal ABI.
Why the study?
Does the presence of peripheral artery disease (measured by abnormal ankle-brachial index) increase the risk of incident atrial fibrillation in general population cohorts?
Meta-Analysis (n=26,505)
Yes
Does the presence of peripheral artery disease (measured by abnormal ankle-brachial index) increase the risk of incident atrial fibrillation in general population cohorts?
Answers are grounded in this paper and cite their sources.
This pooled meta-analysis of 26,505 subjects confirms a strong inverse dose-response relationship between low ankle-brachial index (<1.00, including borderline values) and incident atrial fibrillation, while demonstrating no significant association for high ABI (>1.40).
Peripheral artery disease (PAD) is largely prevalent and evident among the general population. 1 PAD recognizes multiple risk factors, and it is associated with an increased risk of morbidity and mortality. 1 Similarly, atrial fibrillation (AF) is the most prevalent and incident arrhythmia, associated with an increased risk for stroke and major cardiovascular outcomes. 2 In recent years, accumulating evidence suggests that a strong relationship exists between PAD and AF. 3 Both the conditions share similar major risk factors and common epidemiologic characteristics. Also, it is largely known that the concomitant presence of these conditions significantly increases the risk of major adverse events.(3)
No takes yet. Share an insight, caveat, or question.
Proietti et al. (2018) conducted a meta-analysis in Peripheral artery disease (PAD) and incident atrial fibrillation (AF) (n=26,505). Peripheral artery disease (ABI <1.00 or ABI >1.40) vs. Non-PAD (normal ABI 1.00-1.40) was evaluated on Incident atrial fibrillation (AF) (HR 1.31, 95% CI 1.20-1.44). Peripheral artery disease was associated with a 31% increased risk of incident atrial fibrillation compared to normal ABI.
Synapse has enriched 10 related papers. Consider them for comparative context: