Key result
Female sex is linked to lower AF prevalence but worse symptoms and higher heart rates.
Women with atrial fibrillation present with more symptoms and higher heart rates compared to men, despite a lower overall prevalence.
May inform sex-specific AF symptom evaluation; leaves open mechanisms behind prevalence and presentation differences.
Atrial fibrillation (AF) is the most common arrhythmia in clinical practice both in women and men, and is associated with an important socioeconomic burden. Epidemiological data predict an increase in AF prevalence by a factor of two to three in the next few decades. The purpose of this article is to provide insight into the epidemiology of AF in women, to describe the risk factors associated with AF in women, and to focus on the implications of female gender on the presentation and management of AF. The prevalence of AF varies widely between different age groups in both women and men. However, in every age group, AF is less frequent in women than in men. The risk of AF associated with blood pressure, obesity or structural heart disease is similar in women and men. However, the different prevalence across genders leads to differing attributable risk estimates for these risk factors. Women are more symptomatic when AF occurs and episodes are often associated with higher heart rates. Women with AF also appe...
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Kühne et al. (2010) conducted a review in Atrial fibrillation. Female gender vs. Male gender was evaluated. Female gender is associated with a lower prevalence of atrial fibrillation compared to men across all age groups, but women experience more symptoms and higher heart rates during episodes.
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