TY - JOUR
T1 - Low consultation rate of general population with atrial fibrillation
T2 - From the ibara-AF study
AU - Ibara-AF Investigators
AU - Matsumi, Hiroaki
AU - Nakamura, Kazufumi
AU - Eguchi, Eri
AU - Miyoshi, Toru
AU - Nakagawa, Koji
AU - Nishii, Nobuhiro
AU - Watanabe, Atsuyuki
AU - Ueoka, Akira
AU - Yoshida, Masashi
AU - Tokunaga, Naoto
AU - Amioka, Naofumi
AU - Yamada, Nobuyuki
AU - Saito, Daiji
AU - Morita, Hiroshi
AU - Ogino, Keiki
AU - Ito, Hiroshi
N1 - Funding Information:
This work was supported in part by a grant from Chugoku Occupational Health Association (H24). We thank Kaoru Akazawa, Megumi Kondo, Masayo Ohmori, and members of Ibara City Hospital for their excellent technical assistance.
Funding Information:
From the 1Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan, 2Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan, 3Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima, Japan, 4Department of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan and 5Department of Cardiovascular Medicine, Ibara City Hospital, Ibara, Japan. This work was supported in part by a grant from Chugoku Occupational Health Association (H24). Address for correspondence: Kazufumi Nakamura, MD, Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan. E-mail: ichibun@cc.okayama-u.ac.jp Received for publication January 29, 2019. Revised and accepted May 16, 2019. Released in advance online on J-STAGE November 15, 2019. doi: 10.1536/ihj.19-062 All rights reserved by the International Heart Journal Association.
Publisher Copyright:
© 2019, International Heart Journal Association. All rights reserved.
PY - 2019
Y1 - 2019
N2 - In order to prevent ischemic stroke, it is important to identify and treat patients with atrial fibrillation (AF) who do not consult a doctor in a medical institution. The aim of this study was to determine the consultation rate at medical institutions for patients with AF in group medical examinations conducted in a city in western Japan. Of 6101 examinees of group medical examinations (40 years of age or older) conducted in Ibara City, Okayama Prefecture, Japan, from 2012 to 2014, 4338 participants (71.1%) who were evaluated by electrocardiogram (ECG) gave written informed consent and responded to surveys in the form of questionnaires through a personal interview conducted by nurses were included in the Ibara-AF study. A cumulative total of 82 subjects were diagnosed as having AF by ECG (prevalence of AF = 1.89%), and 51 individuals had AF during the three-year period. 15 (29.4%) of the 51 patients with AF did not regularly visit medical institutions. Among them, 46.7% (n = 7) and 53.3% (n = 8) of the patients were symptomatic and asymptomatic, respectively, and 73.3% of the patients had a CHADS2 score of more than one point. There were no significant differences in patients’ characteristics between regular and non-regular visit groups. In conclusion, about one-third of the patients with AF did not regularly see a doctor in a medical institution and most of them had a CHADS2 score of more than one point in a Japanese rural area. Educating the public about the risks of AF is required.
AB - In order to prevent ischemic stroke, it is important to identify and treat patients with atrial fibrillation (AF) who do not consult a doctor in a medical institution. The aim of this study was to determine the consultation rate at medical institutions for patients with AF in group medical examinations conducted in a city in western Japan. Of 6101 examinees of group medical examinations (40 years of age or older) conducted in Ibara City, Okayama Prefecture, Japan, from 2012 to 2014, 4338 participants (71.1%) who were evaluated by electrocardiogram (ECG) gave written informed consent and responded to surveys in the form of questionnaires through a personal interview conducted by nurses were included in the Ibara-AF study. A cumulative total of 82 subjects were diagnosed as having AF by ECG (prevalence of AF = 1.89%), and 51 individuals had AF during the three-year period. 15 (29.4%) of the 51 patients with AF did not regularly visit medical institutions. Among them, 46.7% (n = 7) and 53.3% (n = 8) of the patients were symptomatic and asymptomatic, respectively, and 73.3% of the patients had a CHADS2 score of more than one point. There were no significant differences in patients’ characteristics between regular and non-regular visit groups. In conclusion, about one-third of the patients with AF did not regularly see a doctor in a medical institution and most of them had a CHADS2 score of more than one point in a Japanese rural area. Educating the public about the risks of AF is required.
KW - CHADS2 score
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=85075724352&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85075724352&partnerID=8YFLogxK
U2 - 10.1536/ihj.19-062
DO - 10.1536/ihj.19-062
M3 - Article
C2 - 31735770
AN - SCOPUS:85075724352
SN - 1349-2365
VL - 60
SP - 1303
EP - 1307
JO - International Heart Journal
JF - International Heart Journal
IS - 6
ER -