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February 20, 2016American Heart JournalOpen Access

Family history of atrial fibrillation is associated with earlier-onset and more symptomatic atrial fibrillation: Results from the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) registry

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Why the study?

Does a family history of atrial fibrillation affect the age of onset, symptom severity, and clinical outcomes in patients with atrial fibrillation?

Population

9,999 patients with atrial fibrillation from 176 US outpatient clinics

Comparison

Family history of atrial fibrillation vs No family history of atrial fibrillation

Design

Cohort

Authors

AGAnna GundlundCopenhagen University Hospital
Emil Loldrup Fosbøl
Emil Loldrup FosbølInterventional / Structural Cardiology
SKSunghee KimUnited States Food and Drug Administration

Discussion

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Member takes

Overview

May warrant earlier AF evaluation in familial cases; leaves open effects on progression or survival.

Structured PICO

Does a family history of atrial fibrillation affect the age of onset, symptom severity, and clinical outcomes in patients with atrial fibrillation?

P
Population
9,999 patients with atrial fibrillation from 176 US outpatient clinics
I
Intervention
Family history of atrial fibrillation (defined as AF in a first-degree family member, obtained by patient self-reporting)
C
Comparator
No family history of atrial fibrillation
O
Outcome
Incidence of cardiovascular outcomes, AF progression, all-cause hospitalization, and all-cause deathhard clinical

A family history of atrial fibrillation is associated with earlier disease onset and greater symptom burden, but does not independently worsen long-term clinical outcomes or AF progression.

Cite This Study

Gundlund et al. (2016) studied this question.

synapsesocial.com/papers/6a867ec1005d37d90fd09df7https://doi.org/10.1016/j.ahj.2016.01.020
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Identification of a Genetic Locus for Familial Atrial Fibrillation1997 · 559 citations
  2. 2A Contemporary Review on the Genetic Basis of Atrial Fibrillation2014 · 22 citations
  3. 3Heart rate is associated with progression of atrial fibrillation, independent of rhythm2015 · 66 citations
  4. 4Locus for Atrial Fibrillation Maps to Chromosome 6q14–162003 · 225 citations
  5. 5Obesity and the Risk of New-Onset Atrial Fibrillation2004 · 1,416 citations