Risk of atrial fibrillation in patients with inflammatory bowel disease: A systematic review and meta-analysis

Background: Several studies have reported the association between inflammatory bowel disease (IBD) and the risk of atrial fibrillation (AF). This systematic review and meta-analysis aimed to determine the prevalence and incidence of AF in the IBD population. Methods: We conducted a systematic search...

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Bibliographic Details
Main Authors: Yangyang Ke, Wengen Zhu, Wulamiding Kaisaier, Yili Chen
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:International Journal of Cardiology: Heart & Vasculature
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352906724001970
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Summary:Background: Several studies have reported the association between inflammatory bowel disease (IBD) and the risk of atrial fibrillation (AF). This systematic review and meta-analysis aimed to determine the prevalence and incidence of AF in the IBD population. Methods: We conducted a systematic search of the PubMed and Embase databases for relevant studies published up to February 2024. We used the random-effects model to pool the prevalence and incidence rates of AF among IBD patients. The subgroup analyses were performed according to the IBD type. Results: A total of twenty-five studies were included. The pooled prevalence of AF among IBD patients was 6.23 % (95 % confidence interval [CI]: 4.99 %−7.47 %). The incidence rate of AF among IBD patients was 3.53 % (95 % CI: 0.57 %−6.48 %). The risk of developing AF in IBD patients was 1.45 times higher than that in the general population (risk ratio [RR]: 1.45, 95 % CI: 1.21–1.73). When comparing specific IBD types to the general population, the RR was 1.35 (95 % CI: 1.11–1.64) for CD and 1.17 (95 % CI: 1.11–1.23) for UC. Conclusions: Our findings suggest that IBD patients exhibit an increased risk of developing AF compared to the general population. CD patients have a higher AF incidence compared to UC patients.
ISSN:2352-9067