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March 1, 2025Clinical CardiologyOpen Access

National Trends in Mortality Due to Ischemic Stroke Among Older Adults With Atrial Fibrillation in the USA, 1999–2020

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Key result

Ischemic stroke with atrial fibrillation in U.S. adults aged ≥65 resulted in an age-adjusted mortality rate of 6.75 per 100,000 (95% CI 6.70-6.80) from 1999 to 2020, with rates rising after 2010.

Why the study?

Atrial fibrillation is a significant contributor to ischemic stroke risk and mortality in aging populations, prompting an evaluation of national mortality trends and disparities from 1999 to 2020.

Population

Individuals aged >= 65 years with death certificates listing ischemic stroke and AF in the US

Comparison

Demographic, urbanization, and geographic regional subgroups over time

Design

CDC WONDER database cross-sectional analysis

Authors

AAArfa Ahmed AssadAllama Iqbal Medical CollegeHAHamza AshrafAllama Iqbal Medical CollegeHFHanzala Ahmed FarooqiRiphah International University

Discussion

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Implication

May signal gaps in AF prevention for older adults; leaves open causal factors and intervention effects.

Study Design

Type

Cross-Sectional (n=62,443)

Multicenter

Yes

Structured PICO

P
Population
62,443 deaths among U.S. adults aged ≥ 65 years with ischemic stroke and atrial fibrillation analyzed from 1999 to 2020.
O
Outcome
Age-adjusted mortality rates (AAMR) from ischemic stroke secondary to atrial fibrillationhard clinical

Mortality rates from ischemic stroke with atrial fibrillation in older US adults have increased significantly since 2010, highlighting the need for improved stroke prevention strategies and addressing regional and demographic disparities.

Cite This Study

Assad et al. (2025) conducted a cross-sectional in Ischemic stroke with atrial fibrillation (n=62,443). Ischemic stroke with atrial fibrillation was evaluated on Age-adjusted mortality rate (AAMR) per 100,000 (95% CI 6.70-6.80). Ischemic stroke with atrial fibrillation in U.S. adults aged ≥65 resulted in an age-adjusted mortality rate of 6.75 per 100,000 (95% CI 6.70-6.80) from 1999 to 2020, with rates rising after 2010.

synapsesocial.com/papers/6a8c42ddc716e89f35df1b4dhttps://doi.org/10.1002/clc.70115

Topics

Atrial fibrillationPersistent AF managementAnticoagulation in AF
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