Arrhythmias & electrophysiology

Rising burden of atrial fibrillation relative to other major cardiovascular diseases: nationwide trends over 2000–2022 and projections to 2040

Eur J Prev CardiolPublished Nationwide cohort study

Authors' conclusion

AF has become the most frequently diagnosed and prevalent major CVD, with a growing burden surpassing HF, MI, and stroke in older adults.

Study context

Population
Danish individuals aged 20–94 years, national registries
Exposure
Atrial fibrillation (AF) vs heart failure (HF) vs myocardial infarction (MI) vs Stroke
Outcome
Incidence and prevalence trends of AF, HF, MI and stroke, projected to 2040
Follow-up
2000 to 2022; projections to 2040
Methodological detailsregistry-based, age-period-cohort modelling with projections
  • Registry-based
  • Age-period-cohort modelling with projections

Main finding

As reported in the abstract

Incidence and prevalence, projected change by 2040
GroupIncidence changeNew casesPrevalence changePrevalent cases
AF28%20 683 to 26 37656%175 697 to 274 379
HFdecrease by 2%52%
MIdecline by 30%decrease by 3%
Strokedecrease by 2%31%

Incidence change

AF28%
HFdecrease by 2%
MIdecline by 30%
Strokedecrease by 2%

New cases

AF20 683 to 26 376
HF— not stated in the abstract
MI— not stated in the abstract
Stroke— not stated in the abstract

Prevalence change

AF56%
HF52%
MIdecrease by 3%
Stroke31%

Prevalent cases

AF175 697 to 274 379
HF— not stated in the abstract
MI— not stated in the abstract
Stroke— not stated in the abstract

Observational data: associations, not effects.

Further findings

New cases, age 65-94 years · 2040

New AF cases projected to surpass combined new cases of HF, MI and stroke

Original publication

Rising burden of atrial fibrillation relative to other major cardiovascular diseases: nationwide trends over 2000–2022 and projections to 2040. Eur J Prev Cardiol. Published 24 February 2026. doi:10.1093/eurjpc/zwag078

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