Thyroid disease

Does iodine fortification affect the risk of atrial fibrillation in incident hyperthyroidism? A national register‐based cohort

Clin Endocrinol (Oxf)Published Register-based cohort study

Main finding · RR of AF by calendar yearResult — go to the resultRelative risk 0.76 CI 0.62–0.94

Authors' conclusion

Results indicate that IF may reduce the risk of concomitant AF in hyperthyroid patients. If these results are confirmed, IF may not only reduce the population incidence of hyperthyroidism but also reduce the burden of morbidity in the remaining hyperthyroid patients.

Study context

Population
Patients with incident hyperthyroidism (first inpatient or outpatient diagnosis), Danish nationwide registers, 1997–2018
Participants
62,201 patients
Exposure
Atrial fibrillation (AF) risk by calendar year before vs after iodine fortification
Outcome
AF diagnosis within 3 months before to 6 months after the index date; RR of AF each calendar year
Methodological detailsnational, Danish nationwide registers, Poisson regression adjusted for age, sex, educational level, geographic region and comorbidities
  • National
  • Danish nationwide registers
  • Poisson regression adjusted for age, sex, educational level, geographic region and comorbidities

Main finding

RR of AF by calendar year

Relative risk

0.76

CI 0.62–0.94

2017vs 1997
RR 0.76 (CI 0.62–0.94)

As reported in the abstract

Observational data: associations, not effects.

Further findings

AF overall

Diagnosed with AF
7.9%

AF risk development by sex, age group or geographic region

No statistically significant differences by sex, age group or geographic region

Original publication

Does iodine fortification affect the risk of atrial fibrillation in incident hyperthyroidism? A national register‐based cohort. Clin Endocrinol (Oxf). Published 4 March 2024. doi:10.1111/cen.15042

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