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Norwegian stroke rates fell over 20 years, except strokes linked to atrial fibrillation

Across 227,575 strokes in Norway from 2001 to 2021, ischaemic stroke fell from 204.4 to 130.8 per 100,000 person-years in people without atrial fibrillation, but not in those with it.

The AFNOR study used mandatory national registry data to identify first stroke admission or death in Norwegians aged 15 and over from 2001 to 2021. Ischaemic stroke in people with atrial fibrillation did not fall, and rose in those aged under 65; 69% of these strokes occurred without anticoagulation. Intracerebral haemorrhage in people with atrial fibrillation rose among those aged 75 and over, driven by anticoagulated patients.

Why it is interesting: The two-decade decline in stroke did not reach atrial fibrillation, where most strokes were in unanticoagulated people.

Source
Journal of the American Heart Association, 18 September 2026
Paper
Trends in Incidence of Atrial Fibrillation-Related Stroke: The Norwegian AFNOR Study
Authors
Anjum M, Ariansen I, Hjellvik V, Igland J, Kjerpeseth LJ, Kvalvaag E et al.
DOI
10.1161/jaha.126.049696
Type
Peer-reviewed article
Design
Nationwide registry cohort, Norway 2001-2021, 227 575 incident strokes
Verdict
New finding
Driver
Heart and stroke
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