Arrhythmias & electrophysiology

Prevalence, Management, and Comorbidities of Adults With Atrial Fibrillation in the United States, 2019 to 2023

JACC AdvPublished Retrospective cohort study

Authors' conclusion

The findings of this geographically diverse and nationally representative investigation align with recent prevalence studies, highlighting the increased burden of atrial fibrillation on the United States health care system.

Study context

Population
US adults aged ≥18 years, Epic Cosmos platform, 2019–20234,834,977 with AF
Participants
124,247,691 adults
Outcome
Prevalence and management of AF
Methodological detailsmulticentre, population-based
  • Multicentre
  • Population-based

Main finding

As reported in the abstract

Overall AF prevalence
Overall prevalence of AF
3.89%
Prevalence in adults <50 years
0.26%
Prevalence in adults ≥90 years
24.58%
Prevalence, rural areas
5.29%
Prevalence, urban areas
3.66%

Observational data: associations, not effects.

Further findings

AF cohort characteristics

Mean age (years)
76
Male
55.43%
Non-Hispanic White
83.05%

Anticoagulation

Individuals with AF not receiving anticoagulant medication
Roughly 30%

Original publication

Prevalence, Management, and Comorbidities of Adults With Atrial Fibrillation in the United States, 2019 to 2023. JACC Adv. Published 10 October 2024. doi:10.1016/j.jacadv.2024.101330

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