![]() The Korean NHIS is a compulsory health insurance program administered by the Korean government, which covers almost the entire Korean population (approximately 52 million people). ![]() We used the database of the National Health Insurance Service (NHIS) of Korea ( 13). In this study, we aimed to examine the risk of AF according to the type of cancer using a nationwide population-based study. Cancer is a heterogeneous disease, and the impact of cancer on AF risk may vary depending on the cancer type. However, there is a paucity of information regarding the association between cancer type and risk of AF. Inversely, an increased risk of cancer after AF diagnosis has also been reported ( 12). Previous studies have reported that cancer is an independent risk factor for AF ( 9–11). AF is also known to increase the risk of stroke, heart failure, and death ( 8). The prevalence of AF increases with age, and approximately 10% of patients >80 years of age have AF ( 7). In addition to the recurrence, progression, and development of secondary malignancies, cardiovascular disease is a major concern in cancer survivors ( 4, 5).Ītrial fibrillation (AF) is the most common sustained arrhythmia, and is increasing in both prevalence and incidence ( 6). Cardiovascular disease is the second most common cause of late morbidity and death among cancer survivors ( 3). The number of patients with a history of cancer in the Unites States is believed to reach more than 26 million by 2040 ( 2). The life expectancy of patients with cancer is increasing as a result of recent advances in screening, diagnosis, and treatment of cancer ( 1). ![]()
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