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Primary aldosteronism and thyroid disorders in atrial fibrillation: A Swedish nationwide case-control study

Artikel i vetenskaplig tidskrift
Författare Georgios Mourtzinis
Samuel Adamsson Eryd
Annika Rosengren
Lena Björck
Martin Adiels
Gudmundur Johannsson
Karin Manhem
Publicerad i European Journal of Preventive Cardiology
Volym 25
Nummer/häfte 7
Sidor 694-701
ISSN 2047-4873
Publiceringsår 2018
Publicerad vid Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition
Institutionen för medicin, avdelningen för molekylär och klinisk medicin
Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för hälsometri
Sidor 694-701
Språk en
Länkar https://doi.org/10.1177/20474873187...
Ämnesord Atrial fibrillation, hyperthyroidism, hypothyroidism, prevalence, primary aldosteronism, euro heart survey, hypertensive patients, population, prevalence, hyperthyroidism, risk, hypothyroidism, mortality, disease, mechanisms, Cardiovascular System & Cardiology
Ämneskategorier Kardiovaskulär medicin

Sammanfattning

Background Atrial fibrillation is associated with hyperthyroidism. Patients with primary aldosteronism have an increased prevalence of atrial fibrillation. However, the prevalence of primary aldosteronism in the atrial fibrillation population is unknown. Aim This nationwide case-control study aimed to compare the prevalence of primary aldosteronism and thyroid disorders in patients with atrial fibrillation with that of age- and sex-matched controls. Methods We identified all atrial fibrillation cases in Sweden between 1987 and 2013 (n=713,569) by using the Swedish National Patient Register. A control cohort without atrial fibrillation was randomly selected from the Swedish Total Population Register with a case to control ratio of 1:2. This control cohort was matched for age, sex and place of birth (n=1,393,953). Results The prevalence of primary aldosteronism in December 2013 was 0.056% in the atrial fibrillation cohort and 0.024% in controls. At the same time, the prevalence of hypothyroidism was 5.9% in the atrial fibrillation cohort and 3.7% in controls. The prevalence of hyperthyroidism was 2.3% in the atrial fibrillation cohort and 0.8% in controls. Conclusion This study shows, for the first time, a doubled prevalence of primary aldosteronism in a large cohort of patients with atrial fibrillation compared with the general population. There is also an increased prevalence of hypo- and hyper-thyroidism in patients with atrial fibrillation compared with the general population.

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