Arrhythmias & electrophysiology

Sex- and age-specific differences in the use of antiarrhythmic therapies among atrial fibrillation patients: a nationwide cohort study

EuropacePublished Retrospective cohort study

Authors' conclusion

Women used more AAD than men in all age groups but underwent fewer cardioversion and ablation procedures when aged <65 years.

Study context

Population
Patients with new-onset atrial fibrillation (AF) in Finland, 2007–201850% females
Participants
229,565 patients
Exposure
Women vs men
Outcome
Initiation of antiarrhythmic therapies: antiarrhythmic drugs, cardioversion or catheter ablation
Methodological detailsnationwide, registry-based linkage study
  • Nationwide
  • Registry-based linkage study

Main finding

As reported in the abstract

Antiarrhythmic therapy use by sex and age group
Women vs MenAdjusted subdistribution hazard ratio (95% CI)
Antiarrhythmic drugs, all age groups
1.223(1.187–1.261)
Cardioversion, aged <65 years
0.722(0.695–0.749)
Cardioversion, aged ≥ 75 years
1.166(1.108–1.227)
Ablation, aged <65 years
0.908(0.826–0.998)
Ablation, aged ≥75 years
0.521(0.354–0.766)

Observational data: associations, not effects.

Further findings

Baseline age

Original publication

Sex- and age-specific differences in the use of antiarrhythmic therapies among atrial fibrillation patients: a nationwide cohort study. Europace. Published 9 October 2024. doi:10.1093/europace/euae264

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