Analysis of the increase in AF mortality during the first year of
Covid-19 in the US.
Abstract
Introduction: In the United States the impact of the COVID-19 pandemic
on atrial fibrillation (AF) related mortality has not been described.
Methods: AF related mortality data were extracted for the years
2018-2020 from the Centers for Disease Control and Prevention (CDC), the
Wide-ranging Online Data for Epidemiologic Research (WONDER) database.
We compared main causes of AF related mortality and age adjusted
mortality rate (AAMR) among different subgroups in the years 2018-2019
vs 2020 to reveal patterns of increased mortality. Results: Compared to
2018-2019, we observed a 18% increase in AF related age adjusted
mortality in 2020 (52.2 vs 44.25 per 100,000 vs population). In 2020,
COVID-19 was the third most common main cause of death among people with
AF (8% of deaths, AAMR of 4.9 per 100,000). Examination of the relative
increase in AF related mortality among different subgroups revealed a
more prominent increase among males (21% increase vs 14.5% among
females) those younger than 65 years old (30% increase, vs. 16% among
those younger than 65 years old), and among racial and ethnic
minorities. Conclusion: There was a sharp rise in AF related mortality
during the first pandemic year. Males, those from younger age groups,
and ethnic minority groups showed the largest increases in mortality.
Targeted health policies could help address the disparities observed in
this analysis.