Research Article

Increased Incidence of Atrial Fibrillation in Patients with Rheumatoid Arthritis

Table 2

Risk factors for atrial fibrillation at rheumatoid arthritis (RA) incidence among 813 patients with RA in 1980–2007.

CharacteristicHazard ratio (95% CI)

At rheumatoid arthritis incidence
 ESR at RA incidence, per 10 mm/hour  increase1.10 (0.99, 1.22)
 Rheumatoid factor positive1.35 (0.88, 2.08)
 Current smoker1.29 (0.78, 2.13)
 Former smoker1.00 (0.63, 1.57)
 Family history of coronary heart disease1.16 (0.72, 1.89)
At rheumatoid arthritis incidence or during follow-up (time-dependent)
 Comorbid condition
  Hypertension2.01 (0.72, 5.59)
  Diabetes mellitus1.39 (0.86, 2.24)
  Dyslipidemia0.77 (0.48, 1.25)
  Coronary heart disease1.53 (0.96, 2.45)
  Obesity (BMI ≥ 30 kg/m2)1.33 (0.87, 2.04)
  Underweight (BMI < 20 kg/m2)1.51 (0.88, 2.58)
  Alcohol abuse1.87 (0.92, 3.81)
 Rheumatoid arthritis disease  characteristics
  Rheumatoid nodules1.42 (0.91, 2.22)
  Erosive or destructive RA1.29 (0.84, 1.98)
  Severe extra-articular RA*3.29 (1.98, 5.48)
  Large joint swelling1.48 (0.85, 2.57)
  ESR > 60 mm/hr on 3 occasions2.04 (1.19, 3.50)
  Major joint arthroplasty1.45 (0.92, 2.26)
 Medications
  Methotrexate1.46 (0.93, 2.28)
  Hydroxychloroquine0.91 (0.59, 1.41)
  Other DMARDs**1.35 (0.83, 2.18)
  Biologic agent1.34 (0.57, 3.15)
  Corticosteroids1.40 (0.87, 2.27)
  Cox-2 inhibitor1.73 (1.10, 2.73)
  ASA (≥6 tabs/day for ≥3 mo)1.03 (0.63, 1.70)
  NSAID0.96 (0.49, 1.90)

*Pericarditis, pleuritis, Felty’s syndrome, major cutaneous or other organ vasculitis, neuropathy, scleritis, episcleritis, retinal vasculitis, or glomerulonephritis.
**Disease modifying antirheumatic drug includes gold, sulfasalazine, azathioprine, cyclophosphamide, cyclosporine, D-penicillamine, or leflunomide.
ASA: acetylated salicylates; BMI: body mass index; CI: confidence interval; ESR: erythrocyte sedimentation rate (Westergren); NSAID: nonsteroidal anti-inflammatory drug.