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Original Research

Independent Contribution of Diabetes to Increased Prevalence and Incidence of Atrial Fibrillation

  1. Gregory A. Nichols, PHD1,
  2. Kyndaron Reinier, PHD2 and
  3. Sumeet S. Chugh, MD2
  1. 1Kaiser Permanente Center for Health Research, Portland, Oregon;
  2. 2Heart Institute, Cedars-Sinai Health System, Los Angeles, California.
  1. Corresponding author: Gregory A. Nichols, greg.nichols{at}kpchr.org.
Diabetes Care 2009 Oct; 32(10): 1851-1856. https://doi.org/10.2337/dc09-0939
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    Figure 1

    Prevalence of atrial fibrillation by age and diabetes status. A: Data for all subjects. B: Data for men only. C: Data for women only.

  • Figure 2
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    Figure 2

    Cumulative age- and sex-adjusted incidence of atrial fibrillation by diabetes status among patients who did not have atrial fibrillation at baseline. A: Data for all subjects. B: Data for men only. C: Data for women only.

Tables

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  • Table 1

    Baseline characteristics of patients with and without diabetes

    DiabetesNo diabetesP
    n17,37217,372—
    Age (years)58.4 ± 11.558.4 ± 11.5—
    Sex (% male)51.251.2—
    Ethnicity (% nonwhite)11.96.4<0.0001
    Ever smoked (%)22.225.4<0.0001
    Diabetes duration (years)2.6 ± 3.8——
    BMI (kg/m2)33.6 ± 7.328.9 ± 5.7<0.0001
    Systolic blood pressure (mmHg)136 ± 19132 ± 18<0.0001
    Diastolic blood pressure (mmHg)80 ± 1079 ± 10<0.0001
    LDL cholesterol (mg/dl)118 ± 34132 ± 37<0.0001
    HDL cholesterol (mg/dl)44 ± 1352 ± 16<0.0001
    Triglycerides (mg/dl)225 ± 211164 ± 108<0.0001
    Estimated glomerular filtration rate (ml/min)90 ± 3084 ± 23<0.0001
    A1C (%)7.8 ± 1.7——
    Comorbidities (%)
        Ischemic heart disease10.69.80.014
        History of stroke4.42.9<0.0001
        Valvular disease1.71.70.834
        Hypertension47.126.9<0.0001
        Heart failure4.41.8<0.0001
        History of depression15.811.7<0.0001
    • Data are means ± SD or %.

  • Table 2

    Cox regression analysis of time to atrial fibrillation among patients without atrial fibrillation or stroke at baseline

    Men and women
    Men only
    Women only
    HR (96% CI)PHR (96% CI)PHR (96% CI)P
    Diabetes1.16 (1.05–1.28)0.0031.09 (0.96–1.24)0.1701.26 (1.08–1.46)0.003
    Age ≥65 years3.10 (2.81–3.43)<0.0012.69 (2.37–3.07)<0.0013.80 (3.24–4.46)<0.001
    Male sex1.37 (1.24–1.50)<0.001————
    White race1.60 (1.30–1.96)<0.0011.58 (1.20–2.07)0.0011.61 (1.18–2.19)0.002
    Ever smoked1.02 (0.91–1.15)0.7511.02 (0.88–1.18)0.8121.02 (0.84–1.24)0.845
    BMI ≥30 kg/m21.22 (1.11–1.34)<0.0011.29 (1.13–1.46)<0.0011.13 (0.97–1.31)0.115
    Systolic blood pressure ≥140 mmHg1.24 (1.13–1.36)<0.0011.29 (1.13–1.46)<0.0011.17 (1.01–1.35)0.032
    Ischemic heart disease1.71 (1.53–1.93)<0.0011.62 (1.40–1.88)<0.0011.93 (1.60–2.33)<0.001
    Valvular disease2.18 (1.73–2.74)<0.0012.05 (1.50–2.81)<0.0012.40 (1.71–3.36)<0.001
    Hypertension1.32 (1.20–1.46)<0.0011.29 (1.13–1.46)<0.0011.34 (1.15–1.55)<0.001
    Heart failure2.33 (1.95–2.78)<0.0012.39 (1.86–3.07)<0.0012.18 (1.68–2.82)<0.001
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Diabetes Care: 32 (10)

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October 2009, 32(10)
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Independent Contribution of Diabetes to Increased Prevalence and Incidence of Atrial Fibrillation
Gregory A. Nichols, Kyndaron Reinier, Sumeet S. Chugh
Diabetes Care Oct 2009, 32 (10) 1851-1856; DOI: 10.2337/dc09-0939

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Independent Contribution of Diabetes to Increased Prevalence and Incidence of Atrial Fibrillation
Gregory A. Nichols, Kyndaron Reinier, Sumeet S. Chugh
Diabetes Care Oct 2009, 32 (10) 1851-1856; DOI: 10.2337/dc09-0939
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