Prevalence of atrial fibrillation on a 24-hour Holter in adult Indians

M Srinivasa Rao; Ajit Mullasari; Jagdish S Hiremath; G Sengottuvelu; Aparna Jaiswal; Darshan Jhala; Jitendra Singh Makkar; B C Kalmath; Bino Benjamin; Annirudha Dharmadhikari; Mihir Tanna; Aziz Khan; Siddhant Jain; K A Sambasivam; A Purnanand; N S Rama Raju; Goutam Sarkar; Hiren Prajapati; Willem J Verberk

doi:10.1016/j.ihj.2024.06.012

Prevalence of atrial fibrillation on a 24-hour Holter in adult Indians

Indian Heart J. 2024 May-Jun;76(3):218-220. doi: 10.1016/j.ihj.2024.06.012. Epub 2024 Jun 14.

Authors

M Srinivasa Rao¹, Ajit Mullasari², Jagdish S Hiremath³, G Sengottuvelu⁴, Aparna Jaiswal⁵, Darshan Jhala⁶, Jitendra Singh Makkar⁷, B C Kalmath⁸, Bino Benjamin⁹, Annirudha Dharmadhikari¹⁰, Mihir Tanna¹¹, Aziz Khan¹², Siddhant Jain¹³, K A Sambasivam¹⁴, A Purnanand¹⁵, N S Rama Raju¹⁶, Goutam Sarkar¹⁷, Hiren Prajapati¹⁸, Willem J Verberk¹⁹

Affiliations

¹ Apollo Hospital Hyderguda, Hyderabad, Telangana, India.
² Madras Medical Mission, Chennai, Tamil Nadu, India.
³ Ruby Hall Clinic, Pune, Maharashtra, India.
⁴ Apollo Hospital, Greams Road, Chennai, India.
⁵ Fortis Escorts Heart Institute, New Delhi, India.
⁶ Lilavati Hospital, Mumbai, Maharashtra, India.
⁷ Eternal Heart Care Centre and Research Institute, Jaipur, rajasthan, India.
⁸ Bombay Hospital Institute of Medical Science & Jupiter Hospital and Horizon Group of Hospital, Thane, Maharashtra, India.
⁹ Jubilee Mission Medical College & Research Centre, Thrissur, Kerala, India.
¹⁰ Shree Saibaba Heart Institute and Research Centre, Nashik, Maharashtra, India.
¹¹ Olympus Hospital, Rajkot, Gujarat, India.
¹² Crescent Hospital & Heart Centre, Nagpur, Maharashtra, India.
¹³ Shalby Hospital, Indore, Madhya Pradesh, India.
¹⁴ GKNM Hospital, Coimbatore, Tamil Nadu, India.
¹⁵ Purna Heart Institute, Vijayawada, Andhra Pradesh, India.
¹⁶ KIMS Hospital, Rajahmundry, Andhra Pradesh, India.
¹⁷ RSV Hospital, Kolkata, West Bengal, India.
¹⁸ Department of Medical Affairs, Eris Lifesciences Ltd., Ahmedabad, Gujarat, India.
¹⁹ CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, the Netherlands. Electronic address: [email protected].

Abstract

Objective: To evaluate paroxysmal atrial fibrillation (AF) prevalence in Indian adults who completed 24-Hour Holter monitoring.

Methods: A total of 23,847 patients (36.9 % women) were analyzed for AF duration using a software algorithm.

Results: AF was diagnosed in 4153 (17.4 %) patients with a median AF duration of 13 min and 55 s.

Conclusion: AF prevalence was high and largely untreated. The short duration of AF episodes indicates a low likelihood of detection during clinical visits, highlighting its potential underestimation in Indian healthcare.

Keywords: Holter; India; Paroxysmal atrial fibrillation.

Publication types

Multicenter Study

MeSH terms

Adult
Aged
Atrial Fibrillation* / diagnosis
Atrial Fibrillation* / epidemiology
Atrial Fibrillation* / physiopathology
Electrocardiography, Ambulatory* / methods
Female
Humans
India / epidemiology
Male
Middle Aged
Prevalence
Retrospective Studies