Different Determinants of the Recurrence of Atrial Fibrillation and Adverse Clinical Events in the Mid-Term Period After Atrial Fibrillation Ablation
-
- Watanabe Ryuta
- Division of Cardiology, Nihon University Itabashi Hospital Department of Cardiology, Nihon University Hospital
-
- Nagashima Koichi
- Division of Cardiology, Nihon University Itabashi Hospital
-
- Wakamatsu Yuji
- Division of Cardiology, Nihon University Itabashi Hospital
-
- Otsuka Naoto
- Division of Cardiology, Nihon University Itabashi Hospital
-
- Yokoyama Katsuaki
- Department of Cardiology, Nihon University Hospital
-
- Matsumoto Naoya
- Department of Cardiology, Nihon University Hospital
-
- Otsuka Takayuki
- Department of Cardiology, The Cardiovascular Institute
-
- Suzuki Shinya
- Department of Cardiology, The Cardiovascular Institute
-
- Hirata Akio
- Cardiovascular Division, Osaka Police Hospital
-
- Murakami Masato
- Divison of Cardiology, Shonan-Kamakura General Hospital
-
- Takami Mitsuru
- Kobe University Graduate School of Medicine
-
- Kimura Masaomi
- Department of Cardiology, Hirosaki University Hospital
-
- Fukaya Hidehira
- Department of Cardiovascular Medicine, Kitasato University School of Medicine
-
- Nakahara Shiro
- Dokkyo Medical University Saitama Medical Center
-
- Kato Takeshi
- Kanazawa University Hospital
-
- Hayashi Hiroshi
- Nippon Medical School Hospital
-
- Iwasaki Yu-ki
- Nippon Medical School Hospital
-
- Shimizu Wataru
- Nippon Medical School Hospital
-
- Nakajima Ikutaro
- St. Marianna University School of Medicine Hospital
-
- Harada Tomoo
- St. Marianna University School of Medicine Hospital
-
- Koyama Junjiroh
- Saiseikai Kumamoto Hospital
-
- Okumura Ken
- Saiseikai Kumamoto Hospital
-
- Tokuda Michifumi
- Division of Cardiology, The Jikei University School of Medicine
-
- Yamane Teiichi
- Division of Cardiology, The Jikei University School of Medicine
-
- Tanimoto Kojiro
- National Hospital Organization Tokyo Medical Center
-
- Momiyama Yukihiko
- National Hospital Organization Tokyo Medical Center
-
- Nonoguchi Noriko
- Kyorin University Hospital
-
- Soejima Kyoko
- Kyorin University Hospital
-
- Ejima Koichiro
- Tokyo Women’s Medical University Hospital
-
- Hagiwara Nobuhisa
- Tokyo Women’s Medical University Hospital
-
- Harada Masahide
- Fujita Health University Hospital
-
- Sonoda Kazumasa
- Tokyo Rinkai Hospital
-
- Inoue Masaru
- Kanazawa Medical Center
-
- Kumagai Koji
- Tohoku Medical and Pharmaceutical University
-
- Hayashi Hidemori
- Department of Cardiology, Juntendo University School of Medicine
-
- Yazaki Yoshinao
- Tokyo Medical University Hospital
-
- Satomi Kazuhiro
- Tokyo Medical University Hospital
-
- Watari Yuji
- Department of Cardiology, Teikyo University School of Medicine
-
- Okumura Yasuo
- Division of Cardiology, Nihon University Itabashi Hospital
この論文をさがす
抄録
<p>Background:It is unclear whether there are differences in the clinical factors between atrial fibrillation (AF) recurrence and adverse clinical events (AEs), including stroke/transient ischemic attack (TIA), major bleeding, and death, after AF ablation.</p><p>Methods and Results:We examined the data from a retrospective multicenter Japanese registry conducted at 24 cardiovascular centers between 2011 and 2017. Of the 3,451 patients (74.1% men; 63.3±10.3 years) who underwent AF ablation, 1,046 (30.3%) had AF recurrence and 224 (6.5%) suffered AEs (51 strokes/TIAs, 71 major bleeding events, and 36 deaths) over a median follow-up of 20.7 months. After multivariate adjustment, female sex, persistent and long-lasting persistent AF (vs. paroxysmal AF), and stepwise increased left atrial diameter (LAd) quartiles were significantly associated with post-ablation recurrences. A multivariate analysis revealed that an age ≥75 years (vs. <65 years), body weight <50 kg, diabetes, vascular disease, left ventricular (LV) ejection fraction <40% (vs. ≥50%), Lad ≥44 mm (vs. <36 mm), and creatinine clearance <50 mL/min were independently associated with AE incidences, but not with recurrences.</p><p>Conclusions:This study disclosed different determinants of post-ablation recurrence and AEs. Female sex, persistent AF, and enlarged LAd were determinants of post-ablation recurrence, whereas an old age, comorbidities, and LV and renal dysfunction rather than post-ablation recurrence were AEs determinants. These findings will help determine ablation indications and post-ablation management.</p>
収録刊行物
-
- Circulation Journal
-
Circulation Journal 86 (2), 233-242, 2022-01-25
一般社団法人 日本循環器学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390009371654048640
-
- NII論文ID
- 130008144262
-
- NII書誌ID
- AA11591968
-
- ISSN
- 13474820
- 13469843
-
- NDL書誌ID
- 031948560
-
- PubMed
- 34219078
-
- 本文言語コード
- en
-
- データソース種別
-
- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
- KAKEN
-
- 抄録ライセンスフラグ
- 使用不可