A survey of subjects with present or previous atrial fibrillation in a Swedish community.

Objective - A study of subjects with known atrial fibrillation (AF) in a Swedish community. Design - A survey of subjects with present, or previous, AF (at 30 September 1998) identified through medical records. Setting - A community in the Stockholm Metropolitan area. Results - Altogether 230 subjec...

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Publicado en:Scandinavian Journal of Primary Health Care Vol. 19; no. 1; pp. 20 - 25
Autor principal: Wändell PE
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Mar2001
Acceso en línea:Ver este registro en EBSCOhost
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      issn: 02813432
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      dt: Mar2001
      vid: 19
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: A survey of subjects with present or previous atrial fibrillation in a Swedish community.
      aug:
        au: Wändell PE
      sug:
        subj:
          Atrial Fibrillation Epidemiology
          Surveys
          Aged
          Anticoagulants Therapeutic Use
          Atrial Fibrillation Complications
          Atrial Fibrillation Drug Therapy
          Atrial Fibrillation Physiopathology
          Cerebral Ischemia Etiology
          Electrocardiography
          Female
          Logistic Regression
          Male
          Middle Age
          Sweden
          Urban Population
          Human
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective - A study of subjects with known atrial fibrillation (AF) in a Swedish community. Design - A survey of subjects with present, or previous, AF (at 30 September 1998) identified through medical records. Setting - A community in the Stockholm Metropolitan area. Results - Altogether 230 subjects, mean age 73 years, with a history of AF were identified (140 men and 90 women).One-hundred-and-fortynine patients were identified as having chronic, irreversible AF (65%). Of those with chronic AF, heart failure was noted in 53%, a valvular disease in 8%, hypertension in 32%, coronary heart disease in 36%, diabetes in 17% and an earlier ischaemic cerebrovascular episode in 30%. Hypertension was found as a significant factor for earlier ischaemic cerebrovascular episodes (OR 2.45, 95% CI 1.20-5.19). Anticoagulant treatment was prescribed in 32% out of those with chronic AF. The estimated overall occurrence of subjects with present, or a history of, AF was 0.7% in the community and 1.4% when standardising by age and sex to the whole Swedish population. Conclusion - AF is a common arrhythmia in Sweden, with an estimated occurrence of 1-1.5%, but despite a high rate of ischaemic cerebrovascular events in chronic AF (30%) a low prescription of anticoagulants.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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