{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T12:03:18Z","timestamp":1773489798356,"version":"3.50.1"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"19","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2020,10,6]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>BACKGROUND<\/jats:title>\n            <jats:p xml:lang=\"en\">Limited studies have evaluated population\u2010level temporal trends in mortality and cause of death in patients with contemporary managed atrial fibrillation. This study reports the temporal trends in 1\u2010year overall and cause\u2010specific mortality in patients with incident atrial fibrillation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>METHODS AND RESULTS<\/jats:title>\n            <jats:p xml:lang=\"en\">Patients with incident atrial fibrillation presenting to an emergency department or hospitalized in Ontario, Canada, were identified in population\u2010level linked administrative databases that included data on vital statistics and cause of death. Temporal trends in 1\u2010year all\u2010cause and cause\u2010specific mortality was determined for individuals identified between April 1, 2007 (fiscal year [FY] 2007) and March 31, 2016 (FY 2015). The study cohort consisted of 110\u00a0302 individuals, 69\u00b115\u00a0years of age with a median congestive heart failure, hypertension, age (\u226575\u00a0years), diabetes mellitus, stroke (2 points), vascular disease, age (\u226565\u00a0years), sex category (female) score of 2.8. There was no significant decline in the adjusted 1\u2010year all\u2010cause mortality between the first and last years of the study period (adjusted mortality: FY 2007, 8.0%; FY 2015, 7.8%; P for trend=0.68). Noncardiovascular death accounted for 61% of all deaths; the adjusted 1\u2010year noncardiovascular mortality rate rose from 4.5% in FY 2007 to 5.2% in FY 2015 (P for trend=0.007). In contrast, the 1\u2010year cardiovascular mortality rate decreased from 3.5% in FY 2007 to 2.6% in FY 2015 (P for trend=0.01).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>CONCLUSIONS<\/jats:title>\n            <jats:p xml:lang=\"en\">Overall 1\u2010year all\u2010cause mortality in individuals with incident atrial fibrillation has not improved despite a significant reduction in the rate of cardiovascular death. These findings highlight the importance of recognizing and managing concomitant noncardiovascular conditions in patients with atrial fibrillation.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.120.016810","type":"journal-article","created":{"date-parts":[[2020,9,13]],"date-time":"2020-09-13T09:05:50Z","timestamp":1599987950000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":38,"title":["Population Trends in All\u2010Cause Mortality and Cause Specific\u2013Death With Incident Atrial Fibrillation"],"prefix":"10.1161","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8210-3112","authenticated-orcid":false,"given":"Sheldon M.","family":"Singh","sequence":"first","affiliation":[{"name":"Schulich Heart Center Sunnybrook Health Sciences Center Toronto Canada"},{"name":"Department of Medicine Faculty of Medicine University of Toronto 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