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Using Global Burden Disease (GBD) 2021 data and Bayesian age\u2010period\u2010cohort (BAPC) modeling, we analyzed trends and projected disease burden through 2045. Age\u2010standardized incidence and prevalence rose by 5.4% and 14.5%, respectively, while mortality and disability\u2010adjusted life year (DALY) rates declined by 12.2% and 3.8%. By 2045, prevalent cases may reach 23.04 million, with 1.93 million new cases, 220\u2009000 deaths, and 4.21 million DALYs. Key risk factors include hypertension, smoking, high\u2010sodium diet, and obesity. Sex disparities emerged, with females showing better mortality\/DALY improvements than males. Population aging and metabolic risks will drive future burden. Targeted interventions (blood pressure control, smoking cessation, sodium reduction) and sex\u2010\/age\u2010specific strategies are critical. Innovations in digital health (AI monitoring) and tiered healthcare networks could mitigate risks. Prioritizing China\u2010specific prevention frameworks is essential to address this escalating public health challenge.\n                    <jats:bold>Geriatr Gerontol Int 2025; 25: 1047\u20131057<\/jats:bold>\n                    .\n                  <\/jats:p>","DOI":"10.1111\/ggi.70089","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:16:09Z","timestamp":1750896969000},"page":"1047-1057","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Aging China's cardiac challenge: Projected growth of atrial arrhythmia cases and healthcare preparedness through 2045 \u2014 A global burden disease analysis"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9877-618X","authenticated-orcid":false,"given":"Junpeng","family":"Xiong","sequence":"first","affiliation":[{"name":"Department of Cardiology National Cardiovascular Disease Regional Center for Anhui, 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