Effects of Atrial Fibrillation on Long-Term Outcomes in Patients Hospitalized for Heart Failure in Japan

Hamaguchi, Sanae; Yokoshiki, Hisashi; Kinugawa, Shintaro et al.

Circulation Journal, 2009, 73(11), 2084-2090

Permalink : https://hdl.handle.net/2115/76965

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論文情報

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アクセス権
open access
URI
https://hdl.handle.net/2115/76965
タイトル
Effects of Atrial Fibrillation on Long-Term Outcomes in Patients Hospitalized for Heart Failure in Japan
著者
Hamaguchi, Sanae ; Yokoshiki, Hisashi ; Kinugawa, Shintaro ; Tsuchihashi-Makaya, Miyuki ; Yokota, Takashi ; Takeshita, Akira ; Tsutsui, Hiroyuki ; The JCARE-CARD Investigators
著者名
Hamaguchi, Sanae
e-Rad_Researcher
40360911
著者名
Yokoshiki, Hisashi
e-Rad_Researcher
60399871
著者名
Kinugawa, Shintaro
著者名
Tsuchihashi-Makaya, Miyuki
e-Rad_Researcher
90374321
著者名
Yokota, Takashi
著者名
Takeshita, Akira
e-Rad_Researcher
70264017
著者名
Tsutsui, Hiroyuki
著者名
The JCARE-CARD Investigators
言語
英語
キーワード
Atrial fibrillation
Heart failure
Mortality
Outcomes
Rehospitalization
発行日
2009
出版者
The Japanese Circulation Society
社団法人 日本循環器学会
収録物名
Circulation Journal
巻(号)
73(11)
ページ
2084-2090
抄録
Background: Atrial fibrillation (AF) is a common arrhythmia in patients with heart failure (HF), but its prognostic importance is controversial. The effect of AF on long-term outcomes, including mortality and rehospitalization, among unselected HF patients hospitalized with HF in routine clinical practice in Japan was assessed in the present study. Methods and Results: The Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD) prospectively studied the characteristics and treatment strategies of a broad sample of patients hospitalized with worsening HF and the outcomes were followed with an average of 2.4 years of follow-up. The study cohort (n=2,659) was grouped according to the presence (n=937; 35.2%) or absence (n=1,722; 64.8%) of AF at baseline. After multivariable adjustment, patients with and without AF had a comparable risk for all-cause death (adjusted hazard ratio (HR) 0.931, 95% confidence interval (CI) 0.690-1.258, P=0.643), cardiac death (adjusted HR 0.949, 95%CI 0.655-1.377, P=0.784), rehospitalization because of the worsening HF (adjusted HR 1.028, 95%CI 0.816-1.295, P=0.816), and all-cause death or rehospitalization (adjusted HR 1.039, 95%CI 0.842-1.281, P=0.722). Conclusions: Among patients hospitalized for HF in Japan, AF was common, but was not an independent risk for long-term adverse outcomes, including death or rehospitalization, in routine clinical practice. (Circ J 2009; 73: 2084-2090)
資源タイプ
学術雑誌論文
出版タイプ
Version of Record
権利情報
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
PISSN
1346-9843
EISSN
1347-4820
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.1253/circj.CJ-09-0316