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European ancestry proportion not significantly tied to atrial fibrillation risk in Black individualsEuropean Ancestry Linked to Higher Atrial Fibrillation Risk

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Key Takeaway
Interpret European ancestry proportion as a weak, non-significant risk factor for AF in Black individuals.

This is a meta-analysis examining the association between European genetic ancestry proportion and incident atrial fibrillation (AF) in individuals of Black ethnicity. The analysis included data from four cohorts: the UK Biobank, Atherosclerosis Risk in Communities Study, Cardiovascular Health Study, and Women's Health Initiative. The primary analysis focused on the UK Biobank cohort, which included 6920 participants followed for a median of 13.7 years.

In the UK Biobank cohort, a 10% increase in European ancestry was non-significantly associated with an increased risk of incident AF (HR 1.07, 95% CI 0.95 to 1.20). During follow-up, 205 participants (3%) developed incident AF. The random-effects meta-analysis of all four cohorts yielded a pooled relative risk of 1.09 (95% CI 0.99 to 1.21), also not statistically significant.

A sensitivity analysis excluding the Women's Health Initiative (WHI) produced a pooled estimate of RR 1.14 (95% CI 1.05 to 1.23), which was statistically significant. However, the authors noted substantial heterogeneity in the primary meta-analysis, driven largely by the WHI study.

The findings suggest a possible modest increase in AF risk with higher European ancestry, but the overall evidence is not definitive due to the lack of statistical significance in the primary analysis and high heterogeneity. The association is observational, so causality cannot be inferred. Clinicians should interpret these results cautiously, as genetic ancestry is a complex proxy for multiple factors.

How this fits prior evidence

This meta-analysis extends prior coverage on atrial fibrillation risk factors by exploring genetic ancestry as a potential contributor. It contrasts with findings from implantable cardiac monitors, which detected a high prevalence of AF (21.3%) in post-stroke patients, suggesting that detection methods influence AF diagnosis. The non-significant association here does not confirm a genetic link, but the sensitivity analysis excluding WHI showed a significant pooled RR of 1.14, hinting at a possible modest effect. This addresses a gap in understanding racial differences in AF risk, complementing prior studies on AF management and ablation outcomes.

A new meta-analysis looked at whether genetic ancestry influences the risk of developing atrial fibrillation, a common heart rhythm problem. Researchers combined data from four large studies, including the UK Biobank, and focused on people of Black ethnicity. In the UK Biobank group of 6,920 participants, 205 people (3%) developed atrial fibrillation over a median follow-up of 13.7 years. For every 10% increase in European genetic ancestry, the risk of atrial fibrillation was 7% higher, but this result was not statistically significant, meaning it could be due to chance.

When the researchers pooled results from all four studies, they found a 9% higher risk with more European ancestry, but again, this was not statistically significant. However, when they excluded one study (the Women's Health Initiative), the link became stronger and statistically significant: a 14% higher risk per 10% increase in European ancestry.

The main limitation is that the studies were quite different from each other, which makes the combined results less reliable. This is an observational analysis, so it cannot prove that ancestry itself causes atrial fibrillation. Other factors, like social or environmental influences, might explain the link.

For now, this research suggests a possible genetic component to atrial fibrillation risk in people of Black ethnicity, but it is not strong enough to change medical practice. If you have concerns about your heart health, talk to your doctor.

What this means for you:
This study suggests a possible link between European ancestry and atrial fibrillation risk, but the evidence is not conclusive.

Common questions

Does having European ancestry cause atrial fibrillation?

This study found a possible link, but it does not prove that ancestry causes atrial fibrillation. The association was not consistent across all analyses, and other factors could explain the results. More research is needed to understand the relationship.

Who was included in this study?

The study included people of Black ethnicity from four large research projects: the UK Biobank, the Atherosclerosis Risk in Communities Study, the Cardiovascular Health Study, and the Women's Health Initiative. The UK Biobank group had 6,920 participants.

How strong is the link between ancestry and atrial fibrillation?

In the UK Biobank, a 10% increase in European ancestry was linked to a 7% higher risk of atrial fibrillation, but this was not statistically significant. Across all studies, the risk was 9% higher, also not significant. When one study was excluded, the risk was 14% higher and significant.

Study Details

Study typeMeta analysis
EvidenceLevel 1
Follow-up164.4 mo
PublishedJul 2026
View Original Abstract ↓
BACKGROUND: Black individuals have a lower incidence of atrial fibrillation (AF) than White individuals, despite a higher burden of traditional risk factors. Prior studies have suggested that European genetic ancestry may contribute to this paradox, but findings have been inconsistent. METHODS: We examined the association between European genetic ancestry and incident AF among 6920 UK Biobank (UKB) participants who self-identified as Black and were free of AF at baseline. European ancestry proportions were estimated by comparing participants to HapMap populations and were analysed both continuously and categorically using Cox proportional hazards models. Non-linear associations were evaluated using flexible spline curves. We then conducted a meta-analysis combining these results with those from the Atherosclerosis Risk in Communities Study, the Cardiovascular Health Study and the Women's Health Initiative. RESULTS: During a median follow-up of 13.7 years, 205 (3%) participants developed incident AF. Each 10% increase in European ancestry was non-significantly associated with increased AF risk (HR 1.07 (95% CI 0.95 to 1.20)), and individuals in the highest European ancestry category had a higher AF incidence rate compared with all other categories. Random-effects meta-analysis of all four cohorts yielded a pooled relative risk (RR) of 1.09 (95% CI 0.99 to 1.21), with substantial heterogeneity largely driven by the Women's Health Initiative (WHI) study. Excluding WHI resulted in a pooled estimate (RR 1.14 (95% CI 1.05 to 1.23)) without heterogeneity. CONCLUSION: In UKB, European ancestry proportion was not significantly linked to incident AF, and pooled cross-cohort results were heterogeneous. Excluding WHI in sensitivity analyses produced a modest positive pooled association with no heterogeneity.
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