Table 2 Montreal Heart Institute Biobank cohort characteristics at baseline
Atrial fibrillation and atrial flutter | ||||
---|---|---|---|---|
Overall | No | Yes | P- value | |
n = 15,177 | n = 10,872 | n = 4305 | ||
Baseline | ||||
Age at inclusion | 64 (± 11) | 62 (± 11) | 67 (± 10) | <0.001 |
Male sex | 9028 (59.5) | 6037 (55.5) | 2991 (69.5) | <0.001 |
Ancestry (n = 15,171) | <0.001 | |||
European | 14,829 (97.7) | 10,582 (97.3) | 4247 (98.7) | |
Hispanic | 115 (0.8) | 96 (0.9) | 19 (0.4) | |
African | 127 (0.8) | 108 (1.0) | 19 (0.4) | |
Asian | 66 (0.4) | 58 (0.5) | 8 (0.2) | |
Native American | 8 (0.1) | 6 (0.1) | 2 (0.0) | |
Other/admixed | 26 (0.2) | 18 (0.2) | 8 (0.2) | |
Not reported | 6 (0.0) | 4 (0.0) | 2 (0.0) | |
BMI (n = 15,157) | 28.7 (5.4) | 28.5 (5.3) | 29 (5.5) | <0.001 |
Hypertension (n = 15,136) | 8732 (57.5) | 5912 (54.4) | 2820 (65.5) | <0.001 |
Diabetes (n = 15,164) | 2910 (19.2) | 1953 (18.0) | 957 (22.2) | <0.001 |
Dyslipidemia (n = 15,135) | 9855 (64.9) | 6898 (63.4) | 2957 (68.7) | <0.001 |
Atrial fibrillation | 3389 (22.3) | 0 (0) | 3389 (78.7) | <0.001 |
Atrial fibrillation type (n = 15,159) | <0.001 | |||
No atrial fibrillation | 11,788 (77.7) | 10,872 (100) | 916 (21.3) | |
Paroxysmal | 1955 (12.9) | 0 (0) | 1955 (45.4) | |
Persistent | 195 (1.3) | 0 (0) | 195 (4.5) | |
Permanent | 746 (4.9) | 0 (0) | 746 (17.3) | |
Postoperative | 475 (3.1) | 0 (0) | 475 (11.0) | |
Atrial flutter | 1039 (6.8) | 0 (0) | 1039 (24.1) | <0.001 |
Atrial fibrillation or flutter | 3554 (23.4) | 0 (0) | 3554 (82.6) | <0.001 |
Coronary artery disease | 5727 (37.7) | 3930 (36.1) | 1797 (41.7) | <0.001 |
Heart failure | 1610 (10.6) | 664 (6.1) | 946 (22.0) | <0.001 |
NYHA III-IV (n = 14,316) | 109 (0.7) | 37 (0.3) | 72 (1.7) | <0.001 |
LVEF (n = 5746) | 60 [53–60] | 60 [55–60] | 60 [50–60] | <0.001 |
NT-proBNP (n = 3420) | 592 [193–1763] | 307 [115–917] | 1061 [402–2,410] | <0.001 |
Heart transplant (n = 15,173) | 77 (0.5) | 41 (0.4) | 36 (0.8) | 0.002 |
Treatment at baseline (n = 14,719) | ||||
Beta-blockers | 6676 (44.0) | 4202 (38.6) | 2474 (57.5) | <0.001 |
Antiarrhythmic drugs | 2283 (15.0) | 736 (6.8) | 1547 (35.9) | <0.001 |
Hypolipidemic agents | 9362 (61.7) | 6541 (60.2) | 2821 (65.5) | <0.001 |
Antithrombotic drugs | 9029 (59.5) | 6496 (59.7) | 2533 (58.8) | <0.001 |
Anticoagulants | 2486 (16.4) | 413 (3.8) | 2073 (48.2) | <0.001 |
ACEI, ARB or ARNi | 7186 (47.3) | 4931 (45.4) | 2255 (52.4) | <0.001 |
MRA | 530 (3.5) | 228 (2.1) | 302 (7.0) | <0.001 |
Diuretics | 4050 (26.7) | 2477 (22.8) | 1573 (36.5) | <0.001 |
Follow-up (incident or recurrent events) | ||||
Coronary artery disease | 1232 (8.1) | 718 (6.6) | 514 (11.9) | <0.001 |
Heart failure | 1039 (6.8) | 322 (3.0) | 717 (16.7) | <0.001 |
Atrial fibrillation | 1590 (10.5) | 0 (0) | 1590 (36.9) | <0.001 |
Atrial flutter | 539 (3.6) | 0 (0) | 539 (12.5) | <0.001 |
Atrial fibrillation or flutter | 1730 (11.4) | 0 (0) | 1730 (40.2) | <0.001 |
Death | 2610 (17.2) | 1433 (13.2) | 1177 (27.3) | <0.001 |
Death cause | <0.001 | |||
No death | 12,567 (82.8) | 9439 (86.8) | 3128 (72.7) | |
Myocardial infarction | 28 (0.2) | 11 (0.1) | 17 (0.4) | |
Heart failure | 63 (0.4) | 13 (0.1) | 50 (1.2) | |
Other cardiovascular etiology | 87 (0.6) | 27 (0.2) | 60 (1.4) | |
Non-cardiovascular | 180 (1.2) | 100 (0.9) | 80 (1.9) | |
Unknown | 2252 (14.8) | 1282 (11.8) | 970 (22.5) | |
Age at death | 77 (± 9) | 77 (± 9) | 78 (± 9) | 0.003 |
Age at last follow-up | 69 (± 12) | 68 (± 12) | 73 (± 10) | <0.001 |
Coronary artery disease | ||||
---|---|---|---|---|
Overall | No | Yes | P- value | |
n = 15,177 | n = 9070 | n = 6107 | ||
Baseline | ||||
Age at inclusion | 64 (± 11) | 61 (± 12) | 67 (± 9) | <0.001 |
Male sex | 9028 (59.5) | 4137 (45.6) | 4891 (80.1) | <0.001 |
Ancestry (n = 15,171) | <0.001 | |||
European | 14,829 (97.7) | 8811 (97.1) | 6018 (98.5) | |
Hispanic | 115 (0.8) | 92 (1.0) | 23 (0.4) | |
African | 127 (0.8) | 98 (1.1) | 29 (0.5) | |
Asian | 66 (0.4) | 42 (0.5) | 24 (0.4) | |
Native American | 8 (0.1) | 5 (0.1) | 3 (0.0) | |
Other/admixed | 26 (0.2) | 18 (0.2) | 8 (0.1) | |
Not reported | 6 (0) | 4 (0) | 2 (0) | |
BMI (n = 15,157) | 28.7 (5.4) | 28.3 (5.5) | 29.2 (5.2) | <0.001 |
Hypertension (n = 15,136) | 8732 (57.5) | 4156 (45.8) | 4576 (74.9) | <0.001 |
Diabetes (n = 15,164) | 2910 (19.2) | 1104 (12.2) | 1806 (29.6) | <0.001 |
Dyslipidemia (n = 15,135) | 9855 (64.9) | 4232 (46.7) | 5623 (92.1) | <0.001 |
Atrial fibrillation | 3389 (22.3) | 1915 (21.1) | 1474 (24.1) | <0.001 |
Atrial fibrillation type (n = 15,159) | <0.001 | |||
No atrial fibrillation | 11,788 (77.7) | 7155 (78.9) | 4633 (75.9) | |
Paroxysmal | 1955 (12.9) | 1185 (13.1) | 770 (12.6) | |
Persistent | 195 (1.3) | 147 (1.6) | 48 (0.8) | |
Permanent | 746 (4.9) | 463 (5.1) | 283 (4.6) | |
Postoperative | 475 (3.1) | 109 (1.2) | 366 (6.0) | |
Atrial flutter | 1039 (6.8) | 661 (7.3) | 378 (6.2) | 0.009 |
Atrial fibrillation or flutter | 3554 (23.4) | 2020 (22.3) | 1534 (25.1) | <0.001 |
Coronary artery disease | 5727 (37.7) | 0 (0) | 5727 (93.8) | <0.001 |
Heart failure | 1610 (10.6) | 646 (7.1) | 964 (15.8) | <0.001 |
NYHA III-IV (n = 14,316) | 109 (0.7) | 39 (0.4) | 70 (1.1) | <0.001 |
LVEF (n = 5746) | 60 [53–60] | 60 [55–65] | 55 [45–60] | <0.001 |
NT-proBNP (n = 3420) | 592 [193–1763] | 459 [143–1436] | 720 [247–2053] | <0.001 |
Heart transplant (n = 15,173) | 77 (0.5) | 35 (0.4) | 42 (0.7) | 0.034 |
Treatment at baseline (n = 14,719) | ||||
Beta-blockers | 6676 (44.0) | 2480 (27.3) | 4196 (68.7) | <0.001 |
Antiarrhythmic drugs | 2283 (15.0) | 1329 (14.7) | 954 (15.6) | <0.001 |
Hypolipidemic agents | 9362 (61.7) | 3768 (41.5) | 5594 (91.6) | <0.001 |
Antithrombotic drugs | 9029 (59.5) | 3528 (38.9) | 5501 (90.1) | <0.001 |
Anticoagulants | 2486 (16.4) | 1543 (17.0) | 943 (15.4) | <0.001 |
ACEI, ARB or ARNi | 7186 (47.3) | 3189 (35.2) | 3997 (65.4) | <0.001 |
MRA | 530 (3.5) | 215 (2.4) | 315 (5.2) | <0.001 |
Diuretics | 4050 (26.7) | 2090 (23.0) | 1960 (32.1) | <0.001 |
Follow-up (incident or recurrent events) | ||||
Coronary artery disease | 1232 (8.1) | 0 (0) | 1232 (20.2) | <0.001 |
Heart failure | 1039 (6.8) | 352 (3.9) | 687 (11.2) | <0.001 |
Atrial fibrillation | 1590 (10.5) | 854 (9.4) | 736 (12.1) | <0.001 |
Atrial flutter | 539 (3.6) | 287 (3.2) | 252 (4.1) | 0.002 |
Atrial fibrillation or flutter | 1730 (11.4) | 922 (10.2) | 808 (13.2) | <0.001 |
Death | 2610 (17.2) | 1028 (11.3) | 1582 (25.9) | <0.001 |
Death cause | <0.001 | |||
No death | 12,567 (82.8) | 8042 (88.7) | 4525 (74.1) | |
Myocardial infarction | 28 (0.2) | 0 (0.0) | 28 (0.5) | |
Heart failure | 63 (0.4) | 10 (0.1) | 53 (0.9) | |
Other cardiovascular etiology | 87 (0.6) | 29 (0.3) | 58 (0.9) | |
Non-cardiovascular | 180 (1.2) | 66 (0.7) | 114 (1.9) | |
Unknown | 2252 (14.8) | 923 (10.2) | 1329 (21.8) | |
Age at death | 77 (± 9) | 76 (± 10) | 78 (± 8) | <0.001 |
Age at last follow-up | 69 (± 12) | 67 (± 13) | 73 (± 9) | <0.001 |
Heart Failure | ||||
---|---|---|---|---|
Overall | No | Yes | P- value | |
n = 15,177 | n = 12,995 | n = 2182 | ||
Baseline | ||||
Age at inclusion | 64 (± 11) | 63 (± 11) | 66 (± 11) | <0.001 |
Male sex | 9028 (59.5) | 7528 (57.9) | 1500 (68.7) | <0.001 |
Ancestry (n = 15,171) | 0.604 | |||
European | 14,829 (97.7) | 12,696 (97.7) | 2133 (97.8) | |
Hispanic | 115 (0.8) | 104 (0.8) | 11 (0.5) | |
African | 127 (0.8) | 103 (0.8) | 24 (1.1) | |
Asian | 66 (0.4) | 59 (0.5) | 7 (0.3) | |
Native American | 8 (0.1) | 6 (0.0) | 2 (0.1) | |
Other/admixed | 26 (0.2) | 21 (0.2) | 5 (0.2) | |
Not reported | 6 (0.0) | 6 (0.0) | 0 (0.0) | |
BMI (n = 15,157) | 28.7 (5.4) | 28.5 (5.3) | 29.5 (5.9) | <0.001 |
Hypertension (n = 15,136) | 8732 (57.5) | 7135 (54.9) | 1597 (73.2) | <0.001 |
Diabetes (n = 15,164) | 2910 (19.2) | 2219 (17.1) | 691 (31.7) | <0.001 |
Dyslipidemia (n = 15,135) | 9855 (64.9) | 8167 (62.8) | 1688 (77.4) | <0.001 |
Atrial fibrillation | 3389 (22.3) | 2355 (18.1) | 1034 (47.4) | <0.001 |
Atrial fibrillation type (n = 15,159) | <0.001 | |||
No atrial fibrillation | 11,788 (77.7) | 10,640 (81.9) | 1148 (52.6) | |
Paroxysmal | 1955 (12.9) | 1445 (11.1) | 510 (23.4) | |
Persistent | 195 (1.3) | 129 (1.0) | 66 (3.0) | |
Permanent | 746 (4.9) | 421 (3.2) | 325 (14.9) | |
Postoperative | 475 (3.1) | 347 (2.7) | 128 (5.9) | |
Atrial flutter | 1039 (6.8) | 678 (5.2) | 361 (16.5) | <0.001 |
Atrial fibrillation or flutter | 3554 (23.4) | 2475 (19.0) | 1079 (49.5) | <0.001 |
Coronary artery disease | 5727 (37.7) | 4507 (34.7) | 1220 (55.9) | <0.001 |
Heart failure | 1610 (10.6) | 0 (0) | 1610 (73.8) | <0.001 |
NYHA III-IV (n = 14,316) | 109 (0.7) | 0 (0) | 109 (5.0) | <0.001 |
LVEF (n = 5746) | 60 [53–60] | 60 [55–60] | 53 [36–60] | <0.001 |
NT-proBNP (n = 3420) | 592 [193–1763] | 321 [116–919] | 1220 [477–2836] | <0.001 |
Heart transplant (n = 15,173) | 77 (0.5) | 0 (0) | 77 (3.5) | <0.001 |
Treatment at baseline (n = 14,719) | ||||
Beta-blockers | 6676 (44.0) | 5142 (39.6) | 1534 (70.3) | <0.001 |
Antiarrhythmic drugs | 2283 (15.0) | 1555 (12.0) | 728 (33.4) | <0.001 |
Hypolipidemic agents | 9362 (61.7) | 7731 (59.5) | 1631 (74.7) | <0.001 |
Antithrombotic drugs | 9029 (59.5) | 7561 (58.2) | 1468 (67.3) | <0.001 |
Anticoagulants | 2486 (16.4) | 1587 (12.2) | 899 (41.2) | <0.001 |
ACEI, ARB or ARNi | 7186 (47.3) | 5634 (43.4) | 1552 (71.1) | <0.001 |
MRA | 530 (3.5) | 96 (0.7) | 434 (19.9) | <0.001 |
Diuretics | 4050 (26.7) | 2818 (21.7) | 1232 (56.5) | <0.001 |
Follow-up (incident or recurrent events) | ||||
Coronary artery disease | 1232 (8.1) | 841 (6.5) | 391 (17.9) | <0.001 |
Heart failure | 1039 (6.8) | 0 (0) | 1039 (47.6) | <0.001 |
Atrial fibrillation | 1590 (10.5) | 1019 (7.8) | 571 (26.2) | <0.001 |
Atrial flutter | 539 (3.6) | 304 (2.3) | 235 (10.8) | <0.001 |
Atrial fibrillation or flutter | 1730 (11.4) | 1105 (8.5) | 625 (28.6) | <0.001 |
Death | 2610 (17.2) | 1692 (13.0) | 918 (42.1) | <0.001 |
Death cause | <0.001 | |||
No death | 12,567 (82.8) | 11,303 (87.0) | 1264 (57.9) | |
Myocardial infarction | 28 (0.2) | 14 (0.1) | 14 (0.6) | |
Heart failure | 63 (0.4) | 0 (0.0) | 63 (2.9) | |
Other cardiovascular etiology | 87 (0.6) | 27 (0.2) | 60 (2.7) | |
Non-cardiovascular | 180 (1.2) | 131 (1.0) | 49 (2.2) | |
Unknown | 2252 (14.8) | 1,520 (11.7) | 732 (33.5) | |
Age at death | 77 (± 9) | 78 (± 9) | 77 (± 10) | 0.009 |
Age at last follow-up | 69 (± 12) | 69 (± 12) | 72 (± 12) | <0.001 |
Dataset | ||||
---|---|---|---|---|
Overall | Validation | Testing | P- value | |
n = 15,177 | n = 2500 | n = 12,677 | ||
Baseline | ||||
Age at inclusion | 64 (± 11) | 64 (± 11) | 64 (± 11) | 0.265 |
Male sex | 9028 (59.5) | 1503 (60.1) | 7525 (59.4) | 0.493 |
Ancestry (n = 15,171) | 0.043 | |||
European | 14,829 (97.7) | 2459 (98.4) | 12,370 (97.6) | |
Hispanic | 115 (0.8) | 10 (0.4) | 105 (0.8) | |
African | 127 (0.8) | 17 (0.7) | 110 (0.9) | |
Asian | 66 (0.4) | 8 (0.3) | 58 (0.5) | |
Native American | 8 (0.1) | 2 (0.1) | 6 (0.0) | |
Other/admixed | 26 (0.2) | 4 (0.2) | 22 (0.2) | |
Not reported | 6 (0.0) | 0 (0.0) | 6 (0.0) | |
BMI (n = 15,157) | 28.7 (5.4) | 28.7 (5.3) | 28.7 (5.4) | 0.495 |
Hypertension (n = 15,136) | 8732 (57.5) | 1483 (59.3) | 7249 (57.2) | 0.117 |
Diabetes (n = 15,164) | 2910 (19.2) | 504 (20.2) | 2406 (19.0) | 0.314 |
Dyslipidemia (n = 15,135) | 9855 (64.9) | 1631 (65.2) | 8224 (64.9) | 0.696 |
Atrial fibrillation | 3389 (22.3) | 553 (22.1) | 2836 (22.4) | 0.803 |
Atrial fibrillation type (n = 15,159) | 0.968 | |||
No atrial fibrillation | 11,788 (77.7) | 1947 (77.9) | 9841 (77.6) | |
Paroxysmal | 1955 (12.9) | 316 (12.6) | 1639 (12.9) | |
Persistent | 195 (1.3) | 28 (1.1) | 167 (1.3) | |
Permanent | 746 (4.9) | 126 (5.0) | 620 (4.9) | |
Postoperative | 475 (3.1) | 80 (3.2) | 395 (3.1) | |
Atrial flutter | 1039 (6.8) | 163 (6.5) | 876 (6.9) | 0.508 |
Atrial fibrillation or flutter | 3554 (23.4) | 574 (23.0) | 2980 (23.5) | 0.572 |
Coronary artery disease | 5727 (37.7) | 988 (39.5) | 4739 (37.4) | 0.046 |
Heart failure | 1610 (10.6) | 257 (10.3) | 1353 (10.7) | 0.584 |
NYHA III-IV (n = 14,316) | 109 (0.7) | 15 (0.6) | 94 (0.7) | 0.519 |
LVEF (n =5746) | 60 [53–60] | 60 [53–60] | 60 [53–60] | 0.831 |
NT-proBNP (n = 3420) | 592 [193–1763] | 641 [190–1829] | 585 [193–1743] | 0.694 |
Heart transplant (n = 15,173) | 77 (0.5) | 12 (0.5) | 65 (0.5) | 0.659 |
Treatment at baseline (n = 14,719) | ||||
Beta-blockers | 6676 (44.0) | 1140 (45.6) | 5536 (43.7) | 0.029 |
Antiarrhythmic drugs | 2283 (15.0) | 372 (14.9) | 1911 (15.1) | 0.076 |
Hypolipidemic agents | 9362 (61.7) | 1574 (63.0) | 7788 (61.4) | 0.052 |
Antithrombotic drugs | 9029 (59.5) | 1541 (61.6) | 7488 (59.1) | 0.012 |
Anticoagulants | 2486 (16.4) | 415 (16.6) | 2071 (16.3) | 0.082 |
ACEI, ARB or ARNi | 7186 (47.3) | 1263 (50.5) | 5923 (46.7) | 0.001 |
MRA | 530 (3.5) | 78 (3.1) | 452 (3.6) | 0.041 |
Diuretics | 4050 (26.7) | 672 (26.9) | 3378 (26.6) | 0.083 |
Follow-up (incident or recurrent events) | ||||
Coronary artery disease | 1232 (8.1) | 233 (9.3) | 999 (7.9) | 0.018 |
Heart failure | 1039 (6.8) | 190 (7.6) | 849 (6.7) | 0.112 |
Atrial fibrillation | 1590 (10.5) | 268 (10.7) | 1322 (10.4) | 0.69 |
Atrial flutter | 539 (3.6) | 89 (3.6) | 450 (3.5) | 1 |
Atrial fibrillation or flutter | 1730 (11.4) | 292 (11.7) | 1438 (11.3) | 0.653 |
Death | 2610 (17.2) | 435 (17.4) | 2175 (17.2) | 0.791 |
Death cause | 0.942 | |||
No death | 12,567 (82.8) | 2065 (82.6) | 10,502 (82.8) | |
Myocardial infarction | 28 (0.2) | 4 (0.2) | 24 (0.2) | |
Heart failure | 63 (0.4) | 9 (0.4) | 54 (0.4) | |
Other cardiovascular etiology | 87 (0.6) | 15 (0.6) | 72 (0.6) | |
Non-cardiovascular | 180 (1.2) | 26 (1.0) | 154 (1.2) | |
Unknown | 2252 (14.8) | 381 (15.2) | 1871 (14.8) | |
Age at death | 77 (± 9) | 78 (± 9) | 77 (± 9) | 0.477 |
Age at last follow-up | 69 (± 12) | 70 (± 12) | 69 (± 12) | 0.146 |