Accumulated hypertension burden on atrial fibrillation risk in diabetes mellitus: a nationwide population study
Authors' conclusion
Accumulated hypertension burden was associated with an increased risk of incident AF in patients with diabetes. Strict BP control should be emphasized for these patients.
Study context
- Population
- Patients with DM who underwent three consecutive health examinations 2009–2012, Korean National Health Insurance Service
- Participants
- 526,384 patients
- Exposure
- Accumulated hypertension burden 1–9 vs burden 0
- Outcome
- Incident AF
- Follow-up
- Mean 6.7 ± 1.7 years
Methodological detailsKorean National Health Insurance Service data, three consecutive health examinations 2009–2012
- Korean National Health Insurance Service data
- Three consecutive health examinations 2009–2012
Main finding
As reported in the abstract
Increase in risk of incident AF vs burden 0
Burden 1 to 9 vs 0: progressively increasing risk, respectively
6%, 11%, 16%, 24%, 28%, 41%, 46%, 57%, and 67%
Cluster 1-3 vs burden 0
10%
Cluster 4-6 vs burden 0
26%
Cluster 7-9 vs burden 0
45%
Observational data: associations, not effects.
Further findings
Incident atrial fibrillation (AF), overall · mean follow-up 6.7 ± 1.7 years
- Newly diagnosed AF
- 18,561 (3.5%)
Original publication
Accumulated hypertension burden on atrial fibrillation risk in diabetes mellitus: a nationwide population study. Cardiovasc Diabetol. Published 19 January 2023. doi:10. 1186/ s12933-023-01736-4
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