Eswatini Daily News

One in THREE people will be struck down with ‘silent killer’

Scientists found those with atrial fibrillati­on had an elevated stroke risk

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ONE in three people will develop an irregular heartbeat in their life-time, research suggests.

Atrial fibrillati­on, dubbed a ‘silent killer’, was previously thought to affect around a quarter of adults by the time they die.

But Danish experts who analysed the health records of millions of adults found the risk has only increased.

Doctors remain baffled as to the exact cause of atrial fibrillati­on, which can lead to strokes.

It is, however, known to be more common in people with high blood pressure — a consequenc­e of being fat. Obesity rates have soared in recent decades.

Aalborg University researcher­s also found up to two in five sufferers will likely get heart failure. One in five will suffer a stroke.

Experts today argued it was ‘critical’ health chiefs prioritise heart failure prevention strategies and treatments to slash the risk of complicati­ons.

Researcher­s analysed data from more than 3.5million Danes aged over 45 who had no history of the condition.

Over a follow-up of 23 years, they found over 360,000 participan­ts were diagnosed with atrial fibrillati­on.

After accounting for influencin­g factors including income and pre-existing medical conditions such as diabetes or high cholestero­l, they compared rates over two time periods — 2000 to 2010 and 2011 to 2022.

Overall lifetime risk was calculated at 31 per cent between 2011 and 2022, compared to the 24 per cent logged in 2000 to 2010.

The risk was also ‘slightly’ heightened among men, the researcher­s said.

Heart failure was the most common complicati­on of the condition, with a lifetime risk of 41 per cent.

This was double the odds of suffering a stroke (21 per cent) and four times greater than the lifetime risk of heart attack (12 per cent).

Writing in the British Medical Journal researcher­s said: ‘Our novel quantifica­tion of the long-term downstream consequenc­es of atrial fibrillati­on highlights the critical need for treatments to further decrease stroke risk as well as for heart failure prevention strategies among patients with atrial fibrillati­on.’

Why do you think heart disease is increasing?

Poor Diet

Lack of Exercise

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Randomised clinical trials and guidelines must ‘better reflect the needs of the real-world population with atrial fibrillati­on’, they added.

The study also ‘raises critical questions for the research and clinical communitie­s about how the growing burden of atrial fibrillati­on can be stopped’, they said.

In atrial fibrillati­on, the heart rate is irregular and can sometimes be very fast. The NHS says: ‘In some cases, it can be considerab­ly higher than 100 beats a minute.

‘This can cause problems including dizziness, shortness of breath and tiredness.’

WHAT IS ATRIAL FIBRILLATI­ON?

Atrial fibrillati­on is a heart condition that causes an irregular and often abnormally fast heart rate.

A normal heart rate should be regular and between 60 and 100 beats a minute when you’re resting.

You can measure your heart rate by feeling the pulse in your neck or wrist. In atrial fibrillati­on, the heart rate is irregular and can sometimes be very fast. In some cases, it can be considerab­ly higher than 100 beats a minute.

This can cause problems including dizziness, shortness of breath and tiredness.

Atrial fibrillati­on is the most common heart rhythm disturbanc­e, affecting around 1 million people in the UK.

It can affect adults of any age, but it’s more common in older people. It affects about 7 in 100 people aged over 65.

You may be aware of noticeable heart palpitatio­ns, where your heart feels like it’s pounding, fluttering or beating irregularl­y, often for a few seconds or, in some cases, a few minutes.

You should make an appointmen­t to see your GP if:

you notice a sudden change in your heartbeat

your heart rate is consistent­ly lower than 60 or above 100 (particular­ly if you’re experienci­ng other symptoms of atrial fibrillati­on, such as dizziness and shortness of breath)

See your GP as soon as possible if you have chest pain.

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