Cardiovascular Health and Atrial Fibrillation or Flutter: A Cross-Sectional Study from ELSA-Brasil.

Santos, Itamar S ORCID: 0000-0003-3212-8466, Lotufo, Paulo A, Goulart, Alessandra C, Brant, Luisa CC ORCID: 0000-0002-7317-1367, Pinto Filho, Marcelo M ORCID: 0000-0002-6646-1163, Pereira, Alexandre C, Barreto, Sandhi M, Ribeiro, Antonio LP ORCID: 0000-0002-2740-0042, Thomas, G Neil, Lip, Gregory YH
et al (show 49 more authors) (2022) Cardiovascular Health and Atrial Fibrillation or Flutter: A Cross-Sectional Study from ELSA-Brasil. Arquivos brasileiros de cardiologia, 119 (5). S0066-782X2022005016205.

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<h4>Background</h4>The association between ideal cardiovascular health (ICVH) status and atrial fibrillation or flutter (AFF) diagnosis has been less studied compared to other cardiovascular diseases.<h4>Objective</h4>To analyze the association between AFF diagnosis and ICVH metrics and scores in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).<h4>Methods</h4>This study analyzed data from 13,141 participants with complete data. Electrocardiographic tracings were coded according to the Minnesota Coding System, in a centralized reading center. ICVH metrics (diet, physical activity, body mass index, smoking, blood pressure, fasting plasma glucose, and total cholesterol) and scores were calculated as proposed by the American Heart Association. Crude and adjusted binary logistic regression models were built to analyze the association of ICVH metrics and scores with AFF diagnosis. Significance level was set at 0.05.<h4>Results</h4>The sample had a median age of 55 years and 54.4% were women. In adjusted models, ICVH scores were not significantly associated with prevalent AFF diagnosis (odds ratio [OR]:0.96; 95% confidence interval [95% CI]:0.80-1.16; p=0.70). Ideal blood pressure (OR:0.33; 95% CI:0.15-0.74; p=0.007) and total cholesterol (OR:1.88; 95% CI:1.19-2.98; p=0.007) profiles were significantly associated with AFF diagnosis.<h4>Conclusions</h4>No significant associations were identified between global ICVH scores and AFF diagnosis after multivariable adjustment in our analyses, at least partially due to the antagonistic associations of AFF with blood pressure and total cholesterol ICVH metrics. Our results suggest that estimating the prevention of AFF burden using global ICVH scores may not be adequate, and ICVH metrics should be considered in separate.

Item Type: Article
Uncontrolled Keywords: NIHR Global Health Research Group on Atrial Fibrillation Management
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 07 Oct 2022 10:18
Last Modified: 18 Jan 2023 20:41
DOI: 10.36660/abc.20210970
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