2021 Volume 8 Issue 1 Pages 32-38
Objective: To clarify the status and recent changes in long-term trends of atrial fibrillation, participants who underwent a comprehensive health checkup system (Ningen Dock) were surveyed and analyzed.
Methods: Among the participants who underwent Ningen Dock at the Jikei University Hospital during the 9 years from 2010 to 2018, those aged of 30 and over years were selected. There were 57,936 men and 28,094 women subjects in total. Atrial fibrillation was diagnosed by electrocardiogram. The annual rate of change was calculated. Changes in atrial fibrillation prevalence, treatment rates among patients, and attitudes of untreated patients after their first Ningen Dock visit were also investigated as well as auscultation findings.
Results: Overall rates that were already undergoing treatment for atrial fibrillation when they underwent a Ningen Dock were 84.1% for men and 75.0% for women. Of the 82 patients who had not received treatment for atrial fibrillation, 52 patients underwent a Ningen Dock checkup the following year. Of those 52 individuals, 34.6% had regained sinus rhythm either spontaneously or as a result of treatment. The atrial fibrillation treatment rate was 50.0% and the non-treatment rate was only 15.4%. In 22.2% of patients diagnosed with atrial fibrillation by electrocardiogram, no abnormalities were found on auscultation.
Conclusions: Ningen Dock system receiving an explanation of results on the same day effect these high treatment rate, compared with other health checkup.
