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Updated: Mar 1, 2026

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Published on: February 26, 2013
Atrial fibrillation: the current epidemic
Carlos A Morillo1,2, Amitava Banerjee3, Pablo Perel4,5
1Department of Cardiac Sciences, Division of Cardiology, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada.
Insights
Atrial fibrillation (AF) is a growing global health concern, increasing stroke risk. This review examines the worldwide burden of AF and strategies for its detection and management.
Area of Science:
- Cardiology
- Public Health
Background:
- Atrial fibrillation (AF) is the most prevalent clinical arrhythmia.
- Untreated AF significantly elevates risks of stroke, systemic embolism, morbidity, and mortality.
- Population aging is projected to cause an epidemic of AF in coming decades.
Purpose of the Study:
- To review the global health burden of atrial fibrillation (AF).
- To examine worldwide strategies for improving AF detection, prevention, and risk stratification.
- To align with recent World Heart Federation recommendations.
Main Methods:
- Literature review of observational cohort studies.
- Analysis of global health trends and resource allocation for AF.
- Synthesis of recent recommendations for AF management.
Main Results:
- AF is increasing globally, particularly with aging populations.
- Significant health resources are dedicated to AF detection and management.
- Established strategies exist for AF risk stratification and prevention.
Conclusions:
- AF represents a substantial and growing worldwide health challenge.
- Global strategies are crucial for effective AF detection, prevention, and risk management.
- Implementing recommended strategies can mitigate the impact of AF.
Abstract:
Atrial fibrillation (AF) is the most common arrhythmia diagnosed in clinical practice. The consequences of AF have been clearly established in multiple large observational cohort studies and include increased stroke and systemic embolism rates if no oral anticoagulation is prescribed, with increased morbidity and mortality. With the worldwide aging of the population characterized by a large influx of "baby boomers" with or without risk factors for developing AF, an epidemic is forecasted within the next 10 to 20 years. Although not all studies support this evidence, it is clear that AF is on the rise and a significant amount of health resources are invested in detecting and managing AF. This review focuses on the worldwide burden of AF and reviews global health strategies focused on improving detection, prevention and risk stratification of AF, recently recommended by the World Heart Federation.
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