Mortality Risk Attributable to Atrial Fibrillation in Middle-Aged and Elderly People in the Japanese General Population : Nineteen-Year Follow-up in NIPPON DATA80
スポンサーリンク
概要
- 論文の詳細を見る
Background The extent to which atrial fibrillation (AF) contributes to mortality in the Japanese general population has not been clarified. Methods and Results A randomly sampled general population from all over Japan (4,154 men, 5,329 women; age ⪈30 years) was enrolled. Single electrocardiogram recordings were taken in the baseline survey. Stroke death, cardiovascular deaths and all-cause deaths during the subsequent 19 years were analyzed by the presence of AF at baseline. Cox's regression analysis was carried out to estimate the hazard ratios (HRs) of each cause of death attributable to AF after adjusting for other risk factors. Prevalence of AF was 0.64% in the study. The observed person-years were 162,980 among persons without AF and 699 among persons with AF. There were 1,919 deaths. Multivariate adjusted HRs for stroke death, cardiovascular death and all-cause death were 2.69, 2.76 and 1.88, respectively (p<0.05). These HRs were 14.7, 9.63 and 4.00 among persons aged 64 years or younger (p<0.05). Conclusion AF affects stroke mortality, cardiovascular mortality and all-cause mortality in the Japanese general population. Careful attention should be paid to persons with AF in order to prevent future cardiovascular events.
- 社団法人日本循環器学会の論文
- 2007-05-20
著者
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Ueshima Hirotsugu
Department of Health Science, Shiga University of Medical Science
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Okamura Tomonori
Department of Preventive Cardiology, National Cardiovascular center
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SAKATA Kiyomi
Department of Public Health, Wakayama Medical University
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Nakamura M
Department Of Internal Medicine Division Of Cardiology And Memorial Heart Center Iwate Medical Unive
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OHSAWA Masaki
Department of Hygiene and Preventive Medicine, Iwate Medical University
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KATO Karen
Department of Urology, Iwate Medical University
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ITAI Kazuyoshi
Department of Hygiene and Preventive Medicine, Iwate Medical University
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TANNO Kozo
Department of Hygiene and Preventive Medicine, Iwate Medical University
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ONODA Toshiyuki
Department of Hygiene and Preventive Medicine, Iwate Medical University
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Ueshima Hirotsugu
滋賀大学 医学部健康科学科
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Nakamura Motoyuki
Division Of Cardiology Department Of Internal Medicine And Memorial Heart Center Iwate Medical Unive
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OKAYAMA Akira
Department of Preventive Cardiology, National Cardiovascular Center
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NAKAMURA Motoyuki
Department of Internal Medicine (Cardiology Division), Iwate Medical University
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Nakamura Motoyuki
岩手医科大学 内科学講座循環器内科
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Yaegashi Yumi
Department Of Neurosurgery Iwate Medical University
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Kadowaki Takashi
滋賀大学 医学部健康科学科
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Ohsawa Masaki
Department Of Hygiene And Preventive Medicine Iwate Medical University
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Ojima T
Department Of Public Health Jichi Medical University School Of Medicine
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Okayama A
The First Institute Of Health Service Japan Anti-tuberculosis Association
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Kato Karen
Department Of Urology Iwate Medical University
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Tanno Kozo
Department Of Hygiene And Preventive Medicine Iwate Medical University
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Okayama Akira
Department Of Orthopedic Surgery Hyogo College Of Medicine
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Itai Kazuyoshi
Department Of Hygiene And Preventive Medicine Iwate Medical University
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Ojima Toshiyuki
Hamamatsu Univ. School Of Medicine
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Takagi Kenzo
Third Division Of The Research Laboratory For Development Of Medicine School Of Pharmacy Hokuriku Un
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Ueshima Hirotsugu
Department Of Health Sceicne Shiga University Of Medical Science
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Ojima Toshiyuki
Department Of Hygiene And Preventive Medicine Iwate Medical University
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Onoda Toshiyuki
Department Of Hygiene And Preventive Medicine Iwate Medical University
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Okayama Akira
Department Of Hygiene And Preventive Medicine Osaka University School Of Medicine Nakanoshima
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Okamura Tomonori
Department Of Cardiology National Cardiovascular Center
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Satoh Kenyu
Department Of Preventive Medicine Iwate Medical University
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Nakamura Motoyuki
Department Of Internal Medicine (cardiology Division) Iwate Medical University
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Sakata Kiyomi
Department Of Clinical Epidemiology Institute Of Industrial Ecological Science University Of Occupat
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Nakamura Motoyuki
Second Department Of Internal Medicine Iwate Medical University School Of Medicine
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Kato Karen
Department of Hygiene and Preventive Medicine, School of Medicine, Iwate Medical University.
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