Department of Internal Medicine, Mercy St Vincent Medical Center, Toledo, OH, United States.
Department of Critical Care Medicine, St John's Medical College Hospital, Bengaluru, Karnataka, India.
Heart Lung. 2020 Jul-Aug;49(4):393-397. doi: 10.1016/j.hrtlng.2020.02.001. Epub 2020 Feb 19.
Atrial fibrillation is the most frequently occurring and studied arrhythmia. There is a limited data on young patients presenting with atrial fibrillation.
The objective of this research article was to assess the trend of hospitalization, epidemiological characteristics and economic burden in the young adult, aged 18-45 years, presenting with atrial fibrillation.
Hospitalization data from the National Inpatient Sample between 2005 and 2015 were used to analyze prevalence of risk factors and financial burden in young adults with atrial fibrillation.
From 2005 to 2015, a total of 260,080 admissions were included in the study. From 2005 to 2015, there was a decreasing trend of total admissions with atrial fibrillation among the age group of 18-45 years compared to total admissions due to atrial fibrillation and total population. However, there was an increasing trend of admission observed in young females, white and black population. The frequency of hypertension, diabetes and obesity among young adults admitted with atrial fibrillation nearly doubled from 2005 to 2015. There was also a marked increase in the frequency of obstructive sleep apnea, alcohol abuse and drug abuse among patients admitted with atrial fibrillation. Furthermore, there was an increase in the mean cost of hospitalization from $7363 in 2005 to $7924 in 2015, P < 0.001.
In conclusion, increased cardiovascular risk factors among young adult with admissions for atrial fibrillation warrants controlling of the risk factors to further curtail hospitalizations.
心房颤动是最常见和研究最多的心律失常。目前关于 18-45 岁年轻患者发生心房颤动的数据有限。
本研究旨在评估 18-45 岁年轻成人中发生心房颤动的住院趋势、流行病学特征和经济负担。
利用 2005 年至 2015 年国家住院患者样本中的住院数据，分析年轻成人中发生心房颤动的危险因素和经济负担。
从 2005 年至 2015 年，共纳入 260080 例住院患者。与因心房颤动和总人口住院相比，18-45 岁年龄组的总住院人数呈下降趋势。然而，年轻女性、白人和黑人的住院人数呈上升趋势。与 2005 年相比，2015 年轻成年人因心房颤动入院的高血压、糖尿病和肥胖的频率几乎翻了一番。与因心房颤动入院的患者的阻塞性睡眠呼吸暂停、酗酒和药物滥用的频率也明显增加。此外，住院费用从 2005 年的 7363 美元增加到 2015 年的 7924 美元，P<0.001。
总之，年轻成人因心房颤动住院的心血管危险因素增加，需要控制这些危险因素，以进一步减少住院。
