Acute cardiac care & resuscitation

Investigating the Association Between Atrial Fibrillation and Out-of-Hospital Cardiac Arrest: A Danish Nationwide Matched Cohort Study

JACC Clin ElectrophysiolPublished Danish, nationwide matched cohort study

Main finding · OHCAResult — go to the resultAdjusted hazard ratio 1.66 95% CI 1.62–1.70

Authors' conclusion

Findings suggest that AF remains a risk factor for OHCA, even after adjustments for ischemic heart disease and heart failure. Future studies should explore subsets of patients with AF at highest risk of OHCA to tailor preventive efforts toward this patient group.

Study context

Population
Individuals aged 18 to 85 years in the Danish Cardiac Arrest Registry (June 1, 2001, to December 31, 2022)individuals included, of whom 368,639 had atrial fibrillation (AF), 309,010 newly diagnosed AF patients matched to 1,236,040 non-AF patients
Participants
6.47 million individuals
Exposure
AF patients vs non-AF patients
  • AF patientsn = 309,010
  • non-AF patientsn = 1,236,040reference
Outcome
Out-of-hospital cardiac arrest (OHCA)
Methodological details1:4 matching, multivariable Cox regression
  • 1:4 matching
  • Multivariable Cox regression

Main finding

As reported in the abstract

Adjusted hazard ratio

1.66

95% CI 1.62–1.70

AF patientsvs non-AF patients
Adjusted HR 1.66 (95% CI 1.62–1.70)

Observational data: associations, not effects.

Further findings

OutcomeAdjusted HR (95% CI)
All-cause mortalityMatched cohort1.79 (1.78–1.81)

Original publication

Investigating the Association Between Atrial Fibrillation and Out-of-Hospital Cardiac Arrest: A Danish Nationwide Matched Cohort Study. JACC Clin Electrophysiol. Published 24 July 2026. doi:10.1016/j.jacep.2026.06.009

Composed by AI from the published abstract and checked against it. How Briefs are made →

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