Table 1.
Counts and age-standardized incidence, deaths, and DALYs rates of AF/AFL in 2019, and their percentage change in ASR form 1990 to 2019, by sex, SDI quintile, and GBD region
| Incidence (95% UI) | Deaths (95% UI) | DALYs (95% UI) | |||||||
|---|---|---|---|---|---|---|---|---|---|
| 2019 counts | 2019 ASR per 100 000 people | Percentage change in ASR, 1990–2019 | 2019 counts | 2019 ASR per 100 000 people | Percentage change in ASR, 1990–2019 | 2019 counts | 2019 ASR per 100 000 people | Percentage change in ASR, 1990–2019 | |
| Global | 4 720 324 (3 644 331 to 5 961 597) | 57.1 (44.1 to 71.9) | −2.5% (−3.6 to −1.2) | 315 337 (267 964 to 361 014) | 4.4 (3.7 to 5.0) | 2.0% (−6.5 to 8.7) | 8 393 635 (6 693 984 to 10 541 461) | 107.1 (86.2 to 133.7) | 0%(−0.1 to 0) |
| Sex | |||||||||
| ȃMale | 2 376 460 (3 010 747 to 1 837 669) | 60.8 (47.1 to 76.3) | −4.4% (−5.7 to −2.9) | 121 548 (148 261 to 97 352) | 4.3 (3.5 to 5.3) | 4.9% (−9.0 to 16.2) | 3 956 017 (5 050 017 to 3 087 374) | 114.1 (90.1 to 144.1) | 0% (−0.1 to 0) |
| ȃFemale | 2 343 863 (2 973 621 to 1 796 329) | 53.5 (41.1 to 67.7) | −0.3% (−1.5 to 1.5) | 193 789 (224 867 to 160 729) | 4.4 (3.7 to 5.1) | 0.8% (−9.0 to 9.2) | 4 437 618 (5 539 382 to 3 574 324) | 101.0 (81.3 to 126.0) | 0% (−0.1 to 0) |
| SDI quintiles | |||||||||
| ȃLow SDI | 207 391 (158 050 to 265 306) | 42 (31.8 to 53.7) | −1.7% (−3.2 to −0.1) | 13 160 (9591 to 16 006) | 4.3 (3.1 to 5.2) | 15.4% (−5.4 to 42.5) | 370 883 (291 504 to 456 045) | 91.9 (71.9 to 111.6) | 0.1% (0 to 0.2) |
| ȃLow–middle SDI | 733 952 (558 001 to 935 186) | 54.7 (41.5 to 69.8) | 0.8% (−0.2 to 1.8) | 38 423 (32 144 to 44 622) | 4.2 (3.5 to 4.9) | 21.6% (−0.9 to 45.6) | 1 173 891 (929 505 to 1 468 081) | 101.0 (81.2 to 123.9) | 0.1% (0 to 0.2) |
| ȃMiddle SDI | 1 347 018 (1 024 382 to 1 717 860) | 54.3 (41.2 to 69.0) | −0.9% (−1.8 to 0.0) | 69 793 (59 854 to 80 804) | 4.1 (3.5 to 4.7) | 7.7% (−7.1 to 25.3) | 2 113 471 (1 653 609 to 2 694 931) | 97.9 (78.1 to 122.7) | 0% (0 to 0.1) |
| ȃHigh–middle SDI | 1 194 911 (912 920 to 1 531 244) | 58 (44.6 to 74.2) | −4.1% (−5.6 to −2.6) | 83 844 (70 923 to 100 863) | 4.5 (3.8 to 5.4) | −3.8% (−12.3 to 3.4) | 2 214 107 (1 734 630 to 2 823 347) | 110.2 (86.7 to 140.1) | −0.1% (−0.1 to 0) |
| ȃHigh SDI | 1 235 202 (976 182 to 1 518 125) | 69.2 (55.4 to 85.2) | −3.1% (−7.3 to 1.8) | 109 926 (86 254 to 132 025) | 4.6 (3.7 to 5.5) | −0.2% (−10.6 to 5.8) | 2 517 229 (2 012 613 to 3 144 013) | 122.6 (97.3 to 153.6) | 0% (−0.1 to 0) |
| GBD regions | |||||||||
| ȃAndean Latin America | 8085 (6052 to 10 360) | 14.8 (11.1 to 19.2) | 8.9% (4.8 to 13) | 2239 (1804 to 2717) | 4.3 (3.5 to 5.2) | −2.1% (−20.6 to 21.3) | 33 839 (28 083 to 40 058） | 63.6 (52.7 to 75.2) | 0% (−0.2 to 0.2) |
| ȃAustralasia | 42 634 (32 397 to 54 822) | 90.4 (69.7 to 114.5) | −8.4% (−12.4 to −3.9) | 4082 (3258 to 4977) | 6.9 (5.5 to 8.3) | −7.1% (−14.3 to 6.5) | 89 702 (71 277 to 113 671） | 168.3 (132.5 to 214.3) | −0.1% (−0.1 to 0) |
| ȃCaribbean | 15 388 (11 495 to 19 899) | 29.7 (22.2 to 38.4) | 1.3% (−0.9 to 3.6) | 2500 (2064 to 3049) | 4.7 (3.9 to 5.8) | 6.2% (−7.2 to 21.7) | 43 197 (36 148 to 51 752) | 83.3 (69.7 to 99.8) | 0% (0 to 0.2) |
| ȃCentral Asia | 51 004 (38 434 to 65 518) | 64.8 (49.6 to 82.7) | 2.0% (−0.4 to 4.5) | 2467 (2144 to 3301) | 5.7 (4.9 to 7.7) | 58.7% (15.7 to 97.4) | 81 519 (63 510 to 104 678) | 138.3 (109.6 to 176.3) | 0.3% (0.1 to 0.4) |
| ȃCentral Europe | 142 513 (108 565 to 183 042) | 70.6 (54.2 to 89.8) | 1.9% (0.1 to 3.6) | 10 882 (9017 to 12 840) | 4.8 (4.0 to 5.7) | 7.0% (−6.1 to 18.3) | 302 864 (237 301 to 385 693) | 136.0 (106.5 to 173.3) | 0% (−0.1 to 0.1) |
| ȃCentral Latin America | 73 686 (55 668 to 95 265) | 31.8 (23.8 to 41.2) | −0.1% (−1.9 to 13.4) | 9907 (8079 to 12 667) | 4.6 (3.7 to 5.8) | 2.2% (−10.6 to 14.0) | 185 647 (152 660 to 228 151) | 82.8 (68.3 to 101.9) | 0% (−0.1 to 0.1) |
| ȃCentral Sub-Saharan Africa | 16 185 (12 341 to 20 967) | 32.2 (24.4 to 41.5) | −2.5% (−5.8 to 0.9) | 1651 (1054 to 2389) | 5.6 (3.5 to 8.2) | 12.6% (−14.6 to 0.0) | 40 758 (28 803 to 53 877) | 104.2 (72.9 to 138.1) | 0.1% (−0.1 to 0.3) |
| ȃEast Asia | 1 202 906 (907 838 to 1 545 466) | 57.4 (43.7 to 73) | 3.9%(2.4 to 5.4) | 54 066 (45 777 to 62 320) | 3.8 (3.2 to 4.4) | −4.6% (−21.2 to 17.5) | 1 793 188 (1 356 400 to 2 304 890) | 96.8 (75.1 to 122.6) | 0% (−0.1 to 0.1) |
| ȃEastern Europe | 253 918 (193 148 to 325 654) | 74.4 (57.2 to 95.3) | 8.8% (7.2 to 10.5) | 15 982 (13 463 to 20 894) | 4.6 (3.9 to 6.0) | 14.6% (−1.3 to 29.3) | 481 406 (368 863 to 621 279) | 136.6 (104.8 to 177.1) | 0.1% (0.1 to 0.2) |
| ȃEastern Sub-Saharan Africa | 30 351 (23 226 to 38 666) | 19.9 (15.2 to 25.6) | 2.2% (1.0 to 3.5) | 4485 (2872 to 5572) | 4.7 (3.0 to 5.9) | 10.9% (−11.0 to 39.7) | 94 303 (66 626 to 115 072) | 77.1 (53.3 to 94.3) | 0.1% (−0.1 to 0.3) |
| ȃHigh-income Asia Pacific | 77 896 (59 594 to 99 918) | 21.1 (16.3 to 27.2) | −21.5% (−23.4 to −18.8) | 15 307 (11 653 to 20 615) | 2.4 (1.9 to 3.2) | −20.5% (−30.3 to −11.5) | 265 228 (212 780 to 329 103) | 53.5 (43.1 to 66.6) | −0.2% (−0.2 to −0.1) |
| ȃHigh-income North America | 675 439 (539 471 to 822 528) | 108.5 (87.6 to 131.4) | 13.9% (5.1 to 19.1) | 36 444 (29 295 to 44 399) | 5.0 (4.0 to 6.0) | 22.9% (12.8 to 27.9) | 1 059 274 (837 806 to 1 336 169) | 160.2 (125.7 to 202.7) | 0.1% (0.1 to 0.2) |
| ȃNorth Africa and Middle East | 173 921 (133 004 to 221 692) | 41.9 (31.7 to 53.6) | 0.3% (−1.4 to 1.8) | 10 505 (8922 to 12 765) | 3.7 (3.1 to 4.3) | 5.1% (−11.7 to 41.4) | 289 998 (229 100 to 361 786） | 81.6 (65.1 to 100.8) | 0% (−0.1 to 0.2) |
| ȃOceania | 3970 (2996 to 5098) | 59.3 (44.9 to 75.2) | 2.3% (−1.0 to 5.4) | 171 (129 to 228) | 4.2 (3.2 to 5.5) | 3.7% (−17.2 to 29.1) | 6579 (5066 to 8433） | 116.6 (91.1 to 148.0) | 0.1% (−0.1 to 0.2) |
| ȃSouth Asia | 851 084 (645 139 to 1 089 231) | 61.4 (46.5 to 78.0) | 2.2% (1.2 to 3.0) | 36 619 (28 652 to 45 926) | 4.1 (3.2 to 5.1) | 23.1% (−8.6 to 59.8) | 1 257 580 (971 301 to 1 609 102） | 106.1 (82.9 to 132.9) | 0.1% (0 to 0.2) |
| ȃSoutheast Asia | 378 094 (288 272 to 482 012) | 62.8 (47.5 to 79.6) | 2.4% (1.3 to 3.8) | 16 028 (13 357 to 19 305) | 4.0 (3.3 to 4.8) | 25.1% (0.7 to 50.1) | 544 420 (417 735 to 695 212） | 105.7 (82.2 to 133.5) | 0.1% (0 to 0.2) |
| ȃSouthern Latin America | 34 681 (26 262 to 44 620) | 41.8 (31.8 to 53.4) | 2.6% (−1.7 to 6.4) | 4639 (3866 to 6055) | 5.3 (4.4 to 6.9) | 8.1% (−3.6 to 23.8) | 86 620 (71 626 to 107 603） | 101.0 (83.3 to 125.8) | 0.1% (0 to 0.1) |
| ȃSouthern Sub-Saharan Africa | 20 372 (15 608 to 26 060) | 37.1 (28.2 to 47.6) | −0.9% (−2.6 to 0.8) | 1440 (1258 to 1587) | 3.9 (3.4 to 4.4) | 26.9% (11.7 to 44.8) | 36 881 (30 132 to 45 192） | 79.2 (65.8 to 95.7) | 0.1% (0 to 0.2) |
| ȃTropical Latin America | 107 861 (81 577 to 138 989) | 44.8 (33.8 to 57.8) | 3.1% (1.4 to 4.9) | 11 051 (8832 to 13 043) | 5.0 (4.0 to 5.9) | 5.4% (−9.3 to 13.0) | 235 075 (193 674 to 285 763） | 102.3 (84.3 to 124.3) | 0% (−0.1 to 0.1) |
| ȃWestern Europe | 495 118 (378 485– to 631 497) | 63 (48.4 to 79.8) | −13.4% (−15.3 to −11.6) | 69 928 (55 541 to 84 441) | 5.8 (4.6 to 7.0) | −0.2% (−14.4 to 7.8) | 1 347 220 (1 087 687 to 1 676 380） | 132.8 (105.9 to 168.1) | −0.1% (−0.2 to 0) |
| ȃWestern Sub-Saharan Africa | 65 217 (49 907 to 83 723) | 36 (27.3 to 46.2) | 1.4% (0.6 to 2.4) | 4944 (4097 to 5799) | 4.7 (3.9 to 5.6) | 5.5% (−27.8 to 30.1) | 118 338 (94 717 to 145 563) | 86.2 (70.0 to 103.2) | 0% (−0.2 to 0.2) |
Data in parentheses are 95% uncertainty interval.
AF/AFL, atrial fibrillation and atrial flutter; ASR, age-standardized rate; DALYs, disability-adjusted life years; GBD, Global Burden of Disease, Injuries, and Risk Factors Study; SDI, Socio-Demographic Index; UI, uncertainty interval.