: The incidence and prevalence of AF have increased in recent years , although great variability still exists in Asian countries .
Variability in annual IS risk in patients with AF was apparent between hospital‐ and community‐based studies .
BACKGROUND : Our previous review reported great variability in the incidence and prevalence of atrial fibrillation ( AF ) in non‐Western cohorts , especially from Asian countries ; in recent years , epidemiologic studies on AF have been increasingly reported from Asia .
METHODS : The goal of this up date d systematic review was to present the current knowledge base of AF epidemiology in Asian countries since our previous review .
Atrial fi brillation in Middle Eastern Arab and South Asian patients hospitalized with acute myocardial infarction: experience from a 20-year Registry in Qatar (1991–2010)
Background Recent evidence suggests that there are ethnic variations in atrial fi brillation ( AF ) susceptibility and incidence following acute myocardial infa rct ion ( AMI ) . Objectives The aim of this study was to evaluate the incidence and predictors of AF in the setting of AMI in Middle Eastern Arab and South Asian patients and its impact on in-hospital morbidity and mortality . Methods A retrospective analysis of a prospect i ve registry of all patients hospitalized with AMI in the state of Qatar from 1991 through 2010 was made . Clinical characteristics and outcomes of  AMI patients with and without AF  were compared . Sub- analysis according to ethnicity was also performed . Results During the 20-year period ; a total of 12,881 patients were hospitalized with AMI . Of these 5028 were Arabs and 5985 were South Asians . A total of 227 had AF during hospitalization with an overall incidence of 1.8 % ( 156 Arabs ; incidence 3.1 % and 48 South Asians ; incidence 0.8 % ) . The mean age of AF patients was 65 years ( Arabs 69 , South Asians 54 ) . Patients with AF were signifi cantly older and had more cardiovascular co-morbidities than patients without AF , and were more likely to have non-ST elevation AMI on presentation . Patients with AF had signifi cantly higher in-hospital mortality rate ( 20.3 % versus 7.1 % ; P= 0.001 ) and stroke rates ( 1.8 % versus 0.3 % ; P= 0.001 ) when compared to patients without AF . Age was the only independent predictor of AF development in patients with AMI in our study . Conclusions Our study reports variability in the prevalence of AF among AMI patients according to ethnicity using a 20-year registry from a Middle Eastern country . Advancing age was the major independent predictor of AF in our AMI patients . Further prospect i ve studies are required evaluating optimal therapeutic approaches for these high-risk patients in order to reduce the high mortality observed
: The incidence and prevalence of AF have increased in recent years , although great variability still exists in Asian countries .
Variability in annual IS risk in patients with AF was apparent between hospital‐ and community‐based studies .
BACKGROUND : Our previous review reported great variability in the incidence and prevalence of atrial fibrillation ( AF ) in non‐Western cohorts , especially from Asian countries ; in recent years , epidemiologic studies on AF have been increasingly reported from Asia .
METHODS : The goal of this up date d systematic review was to present the current knowledge base of AF epidemiology in Asian countries since our previous review .