Arrhythmia-related mortality among obese adults surged from 2018-2021 (AAPC +24.2%, p<0.001) before declining in 2021-2024 (-8.6%, p<0.001), with persistent disparities in NH Black populations.
Observational (n=108,173)
Arrhythmia-related mortality in the US surged between 2018 and 2021, with significant demographic and regional disparities highlighting the need for targeted interventions in high-risk groups.
Effect estimate: AAPC +24.2%
p-value: p=<0.001
average annual percent changes (AAPC), with stratification by sex, race, U.S. region, and urbanization.Results: Among 108,173 decedents, 54.8% were male.Deaths occurred in medical facilities (52.1%), at home (33.2%), in nursing homes (8.9%), hospice (1.9%), and other settings (3.8%).AAMR increased from 1999-2018 (AAPC: +5.8%, p < 0.001), surged in 2018-2021 (+24.2%,p < 0.001), then declined in 2021-2024 (-8.6%, p < 0.001).Men had higher AAMRs than women, peaking at 4.8 in 2021 vs. 3.3 for women.AAMRs were highest in NH Black (2.1) and lowest in NH Other (0.6).Hispanic adults saw the steepest rise in 2018-2021 (+31.6%,p < 0.001) and decline in 2021-2024 (-19.3%, p < 0.001).The Midwest had the highest AAMR, and rural areas had higher AAMRs (2.0) than urban areas (1.4).Conclusions: Arrhythmia-related mortality among obese adults rose sharply around 2018-2021 before declining.Persistent disparities were observed in NH Black and Hispanic populations, rural residents, and the Midwest.Targeted interventions are needed to reduce mortality in high-risk groups.
Hasan et al. (Wed,) conducted a observational in Arrhythmia-related mortality in obese adults (n=108,173). Arrhythmia-related mortality among obese adults surged from 2018-2021 (AAPC +24.2%, p<0.001) before declining in 2021-2024 (-8.6%, p<0.001), with persistent disparities in NH Black populations.