Publications by authors named "Hilde Espnes"

Background: Atrial fibrillation (AF) and heart failure (HF) often coexist and impact morbidity and mortality. There is limited knowledge on the association of AF subtypes with HF according to sex.

Objectives: The purpose of this study was to explore sex-specific associations between AF subtypes and subsequent HF, identifying HF risk factors in participants with AF, and exploring the combined impact on mortality.

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Article Synopsis
  • The study analyzed trends in atrial fibrillation (AF) incidence from 1994 to 2016 among men and women using data from the Tromsø Study involving nearly 28,000 participants.
  • AF incidence decreased in women (from 1.19 to 0.71 per 1000 person-years) and initially increased then declined in men (from 1.18 to 2.82, then 1.94 per 1000 person-years).
  • Key risk factors affecting these trends included changes in blood pressure for women and body mass index for men, accounting for 10.9% of the decrease in women and 44.7% of the increase in men.
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The aim of this study was to explore sex-specific associations between systolic blood pressure (SBP), hypertension, and the risk of incident atrial fibrillation (AF) subtypes, including paroxysmal, persistent, and permanent AF, in a general population. A total of 13,137 women and 11,667 men who participated in the fourth survey of the Tromsø Study (1994-1995) were followed up for incident AF until the end of 2016. Cox proportional hazards regression analysis was conducted using fractional polynomials for SBP to provide sex- and AF-subtype-specific hazard ratios (HRs) for SBP.

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