Atrial fibrillation and its association with type 2 diabetes and hypertension in a Swedish community

摘要: Aim: To explore the prevalence of atrial fibrillation in patients with hypertension and type 2 diabetes to identify possible mechanisms for development fibrillation. Methods: A community-based, cross-sectional observational study was conducted primary health care Skara, Sweden, 1739 subjects (798 men, 941 women) were surveyed. Patients categorized as those only (n ¼ 597); both 171), 147). In reference population, 824 normotensive without identified used controls. Participants examined cardiovascular risk factors including fasting blood glucose, serum insulin, pressure, lipids anthropometric measures. Resting electrocardiogram (ECG) recorded Minnesota-coded. Insulin resistance measured by homeostasis model assessment (HOMA). Results: Age-adjusted 2% only, 6% diabetes, 4% controls, respectively. Age sex adjusted odds ratios (OR) (95% CI) were; 0.7 (0.30–1.5), combined 3.3 (1.6–6.7), 2.0 (0.9–4.7). The association remained significant when disease (CVD) body mass index (BMI), attenuated adjustment ischemic ECG; 2.4 (1.1–5.0) lost significance insulin resistance; 1.3 (0.5–3.1). Conclusions: Atrial is associated occurrence hypertension. may be a common underlying mechanism.