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Updated: Aug 15, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
American Indians and atrial fibrillation
José M Sanchez1, Gregory M Marcus2
1Department of Cardiology and Electrophysiology, Kaiser Permanente of Colorado, Aurora, Colorado.
American Indians face the highest risk of atrial fibrillation (AF) and related strokes. This review synthesizes current research on AF within this population, highlighting knowledge gaps and the need for further study.
Area of Science:
- Cardiology
- Public Health
- Health Disparities
Background:
- American Indians experience disproportionately high rates of cardiovascular disease.
- This population exhibits increased vulnerability to severe health outcomes.
- Lower access to quality healthcare contributes to poorer overall health status.
Purpose of the Study:
- To provide an up-to-date summary of the literature on race, ethnicity, and atrial fibrillation (AF).
- To specifically focus on the prevalence and impact of AF in the American Indian population.
- To identify existing research gaps concerning AF in American Indians.
Main Methods:
- Systematic review of relevant scientific literature.
- Analysis of studies examining race, ethnicity, and atrial fibrillation.
- Focus on publications addressing the American Indian demographic.
Main Results:
- American Indians have the highest risk of atrial fibrillation (AF) compared to other racial and ethnic groups.
- This population also faces the highest risk of stroke related to AF.
- Existing research on AF specifically within the American Indian population is notably scarce.
Conclusions:
- Atrial fibrillation (AF) and its complications represent a significant health concern for American Indians.
- Further research is critically needed to understand and address AF in this demographic.
- Addressing health disparities is crucial for improving cardiovascular outcomes in American Indians.
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