Raad Mohamad, Lewis Christopher, Almajed Mohamed Ramzi, Makki Tarek, Refaat Marwan, Khan Arfaat, Lahiri Marc
Section of Electrophysiology, Division of Cardiology, Henry Ford Hospital, Detroit, MI, USA.
Department of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Am Heart J Plus. 2022 Oct 24;23:100221. doi: 10.1016/j.ahjo.2022.100221. eCollection 2022 Nov.
Atrial fibrillation (AF) is the most common sustained cardiac dysrhythmia in the United States, and its prevalence is expected to increase along with associated morbidity and economic burden. Prior research has demonstrated differing prevalence patterns of AF between racial and ethnic groups, with lower rates identified in Black patients. However, to date there have been no studies on AF prevalence in people of Middle Eastern descent within the United States. This retrospective cross-sectional study aimed to characterize prevalence patterns of AF in Middle Eastern patients in Southeast Michigan relative to White and Black patients. The final cohort included 919,454 patients with a median (IQR) age of 53 (33) years (515,902 [56 %] female). The overall prevalence of AF was approximately 5 %. We observed a lower prevalence of AF in Middle Eastern (2.8 %) and Black patients (3.4 %) than in White patients (6.5 %). Middle Eastern patients with AF were younger with a lower prevalence of cardiovascular risk factors than White patients. Multivariable analysis showed that Middle Eastern (OR 0.75; 95 % CI 0.71-0.80; P < 0.001) and Black racial identity (OR 0.48; 95 % CI 9.47-0.49; P < 0.001) were associated with a lower odds of AF, even after adjustment for traditional risk factors.
心房颤动（AF）是美国最常见的持续性心律失常，预计其患病率将随着相关发病率和经济负担的增加而上升。先前的研究表明，不同种族和族裔群体之间的房颤患病率模式存在差异，黑人患者的患病率较低。然而，迄今为止，美国尚未有关于中东血统人群房颤患病率的研究。这项回顾性横断面研究旨在描述密歇根州东南部中东患者相对于白人和黑人患者的房颤患病率模式。最终队列包括919,454名患者，年龄中位数（IQR）为53（33）岁（515,902名[56%]为女性）。房颤的总体患病率约为5%。我们观察到中东患者（2.8%）和黑人患者（3.4%）的房颤患病率低于白人患者（6.5%）。患有房颤的中东患者比白人患者年轻，心血管危险因素的患病率也较低。多变量分析表明，即使在调整了传统危险因素后，中东种族（OR 0.75；95%CI 0.71-0.80；P<0.001）和黑人种族身份（OR 0.48；95%CI 9.47-0.49；P<0.001）与房颤发生几率较低相关。
