論文

2021年7月21日

Risk Prediction Model for Incident Atrial Fibrillation in a General Japanese Population - The Hisayama Study.

Circulation journal : official journal of the Japanese Circulation Society
  • Jun Hata
  • ,
  • Takuya Nagata
  • ,
  • Satoko Sakata
  • ,
  • Emi Oishi
  • ,
  • Yoshihiko Furuta
  • ,
  • Yoichiro Hirakawa
  • ,
  • Takanori Honda
  • ,
  • Daigo Yoshida
  • ,
  • Takanari Kitazono
  • ,
  • Toshiharu Ninomiya

85
8
開始ページ
1373
終了ページ
1382
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1253/circj.CJ-20-0794

BACKGROUND: The risk prediction of incident atrial fibrillation (AF) is useful to prevent AF and its complications. The aim of this study is to develop a new risk prediction model for incident AF using the prospective longitudinal data from a general Japanese population.Methods and Results:A total of 2,442 community-dwelling AF-free residents aged ≥40 years were followed up from 1988 to 2012 (46,422 person-years). The development of AF was confirmed by a standard 12-lead electrocardiogram at repeated health examinations and by medical records at clinics or hospitals. The risk prediction model for incident AF was developed using a Cox proportional hazards model. During the follow up, 230 AF events were confirmed. Age, sex, systolic blood pressure, waist circumference, estimated glomerular filtration rate, abnormal cardiac murmur, high R-wave amplitude, and arrhythmia other than AF were selected for inclusion in the model. This model showed good discrimination (Harrell's c statistics: 0.785) and calibration (Greenwood-Nam-D'Agostino test: P=0.87) for AF risk at 10 years. CONCLUSIONS: The new risk prediction model showed good performance on the individual risk assessment of the future onset of AF in a general Japanese population. As this model included commonly used clinical parameters, it may be useful for determining the requirements for the careful evaluation of AF, such as frequent electrocardiogram examinations in clinical settings, and subsequent reductions in the risk of AF-related complications.

リンク情報
DOI
https://doi.org/10.1253/circj.CJ-20-0794
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33627542
ID情報
  • DOI : 10.1253/circj.CJ-20-0794
  • PubMed ID : 33627542

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