Volume 13, Issue 6, Pages (June 2016)

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Volume 13, Issue 6, Pages 1189-1194 (June 2016) The association between influenza infection, vaccination, and atrial fibrillation: A nationwide case-control study  Ting-Yung Chang, MD, Tze-Fan Chao, MD, Chia-Jen Liu, MD, Su-Jung Chen, MD, Fa-Po Chung, MD, Jo-Nan Liao, MD, Ta-Chuan Tuan, MD, Tzeng-Ji Chen, MD, Shih-Ann Chen, MD  Heart Rhythm  Volume 13, Issue 6, Pages 1189-1194 (June 2016) DOI: 10.1016/j.hrthm.2016.01.026 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 Flowchart of the enrollment of study patients. A total of 11,374 patients with AF were enrolled as the study group. The exposure to influenza infection and vaccination 1 year before the enrollment was analyzed and compared with that of patients without AF (control group; n = 45,496). Heart Rhythm 2016 13, 1189-1194DOI: (10.1016/j.hrthm.2016.01.026) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Forest plot describing subgroup analysis of the association between vaccination and AF. For patients receiving influenza vaccination and without influenza infection (n = 16,452), influenza vaccination was consistently associated with a lower risk of AF as compared with patients without influenza infection and vaccination (reference group) in different groups of patients stratified by age, sex, and important comorbidities. AF = atrial fibrillation; CI = confidence interval; COPD = chronic obstructive pulmonary disease; ESRD = end-stage renal disease; OR = odds ratio. *Adjusted for age, sex, medical history, and medical utilization listed in Table 1. +Cardiovascular diseases included peripheral vascular diseases, myocardial infarction, and ischemic stroke/transient ischemic attack. Heart Rhythm 2016 13, 1189-1194DOI: (10.1016/j.hrthm.2016.01.026) Copyright © 2016 Heart Rhythm Society Terms and Conditions