Arrhythmias & electrophysiology

Sex difference in genetic risk in the prevalence of atrial fibrillation

Heart RhythmPublished cross-sectional data from the Tohoku Medical Megabank Project Community-Based Cohort Study

Authors' conclusion

Our study is the first to show a sex difference in the association of AF-PRS and AF prevalence. AF-PRS is more closely associated with the prevalence of AF in men than in women.

Study context

Population
Participants of a community-based cohort study in Japanmean age 63.4 years, 5182, 30.7% men
Participants
16,853 participants
Exposure
Sex differences in the association of AF-PRS with the prevalence of atrial fibrillation (AF)
  • Menn = 5,182
Outcome
Prevalence of AF

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeMenWomenOdds ratio
AFMen8.2
AFWomen9.4
Area under the receiver operating characteristic curve for AF, integrating AF-PRS into the CHARGE-AF score
CHARGE-AF score0.6390.710
CHARGE-AF score + AF-PRS0.7490.733

Area under the receiver operating characteristic curve for AF, integrating AF-PRS into the Cohorts for Heart and Aging Research in Genomic Epidemiology Atrial Fibrillation (CHARGE-AF) score

Significantly enhanced in men but not in women

Original publication

Sex difference in genetic risk in the prevalence of atrial fibrillation. Heart Rhythm. Published 23 March 2025. doi:10.1016/j.hrthm.2025.03.1974

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