Arrhythmias & electrophysiology

Day-to-day home blood pressure variability and risk of atrial fibrillation in a general Japanese population: the Hisayama Study

Eur J Prev CardiolPublished Prospective cohort study

Main finding · Incident AFResult — go to the resultHazard ratio 2.20 95% CI 1.18–4.08

Authors' conclusion

The present findings suggest that increased day-to-day home BPV levels are associated with a higher risk of the development of AF in a general Japanese population.

Study context

Population
Community-dwelling Japanese aged ≥40 years without prior AF (Hisayama Study)134 developed new-onset AF
Participants
2,829 participants
Exposure
Quartiles of day-to-day home systolic blood pressure (SBP) variability
Outcome
New-onset AF
Follow-up
10 years (2007-17)
Methodological detailscommunity-dwelling, 10-year follow-up
  • Community-dwelling
  • 10-year follow-up

Main finding

Incident AF

Hazard ratio

2.20

95% CI 1.18–4.08

By group

Q4 vs Q1
HR 2.20 (95% CI 1.18–4.08)

As reported in the abstract

Crude incidence trend across quartiles
P for trend < 0.01
Adjusted risk trend across quartiles
P for trend = 0.02

Observational data: associations, not effects.

Original publication

Day-to-day home blood pressure variability and risk of atrial fibrillation in a general Japanese population: the Hisayama Study. Eur J Prev Cardiol. Published 29 January 2024. doi:10.1093/eurjpc/zwae035

Summarised from the published abstract; every number is checked against it

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