Effects of Atrial Fibrillation on Long-Term Outcomes in Patients Hospitalized for Heart Failure in Japan : A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)
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概要
- 論文の詳細を見る
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.
- 社団法人 日本循環器学会の論文
- 2009-10-20
著者
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Takeshita Akira
Saiseikai Futsukaichi Hospital
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Tsutsui Hiroyuki
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Hokkaido University
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Takeshita Akira
Department of Cardiology, Saiseikai Futsukaichi Hospital
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YOKOTA Takashi
Department, of Information Science, Graduate School of Engineering, Utsunomiya University
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Yoshida H
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Yokoshiki Hisashi
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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TSUCHIHASHI MAKAYA
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine
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KINUGAWA Shintaro
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine
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HAMAGUCHI Sanae
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine
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TAKESHITA Akira
Futsukaichi Saiseikai Hospital
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Kinugawa Shintaro
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Kinugawa Shintaro
Department Of Cardiovascular Medicine Hokkaido University
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Takeshita A
Futsukaichi Saiseikai Hospital
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Hamaguchi Sanae
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Takeshita Akira
国立国際医療センター研究所 医療情報解析研究部
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Tsuchihashi Miyuki
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Togashi Hiroko
北海道大学 医学研究科 薬理
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Togashi Hiroko
北海道大学
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Yokota Takashi
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Tsutsui Hiroyuki
Department Of Cardiovascular Medicine
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Togashi Hiroko
Department Of Pharmacology Hokkaido University Graduate School Of Medicine
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Makaya Miyuki
Kyushu University Graduate School Of Medical Sciences
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Togashi Hiroko
Safety Research Institute For Chemical Compounds
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Tsutsui Hiroyuki
Department Of Cardiovasucular Medicine Graduate School Of Medical Sciences Kyushu University
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Yokota Takashi
Department Of Analytical Chemistry Faculty Of Pharmaceutical Sciences Hoshi University
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Takeshita Akira
Department Of Cardiology Faculty Of Medicine Kyushu University
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Makaya Miyuki
Department Of Cardiovasucular Medicine Graduate School Of Medical Sciences Kyushu University
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Yokoi Hisataka
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Tsutsui Hiroyuki
Department Of Cardiovascular Medicine Hokkaido University Hospital
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Takeshita Akira
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Tsuchihashi Makaya
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Makaya Miyuki
International Medical Center Of Japan
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Tanaka Atsushi
Department Of Cardiovascular Medicine Kyushu University
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Tsuchihashi Makaya
Department Of Clinical Research And Informatics Research Institute International Medical Center Of J
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Tsuchihashi Makaya
Department Of Clinical Research And Informatics Research Institute International Medical Center Of J
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Tsuchihashi Makaya
Department Of Clinical Research And Informatics Research Institute International Medical Center Of J
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Tsutsui Hiroyuki
Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University:japanese Coronary Intervention Study (jcis) Group
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TSUTSUI Hiroyuki
Department of Cardiology, Iizuka Hospital
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- Effects of Atrial Fibrillation on Long-Term Outcomes in Patients Hospitalized for Heart Failure in Japan : A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)
- Anemia is an Independent Predictor of Long-Term Adverse Outcomes in Patients Hospitalized With Heart Failure in Japan : A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)