Evaluation of the impact of atrial fibrillation on rehospitalization events in heart failure patients in recent years.
Evaluation of the impact of atrial fibrillation on rehospitalization events in heart failure patients in recent years.
复制标题
近年来房颤对心力衰竭患者再住院事件的影响评价。
DOI：
10.1016/j.jjcc.2012.01.020
复制
发表时间：
2012
影响因子：
2.5
通讯作者：
T. Izumi
中科院分区：
文献类型：
--
作者：
M. Murakami;S. Niwano;Toshimi Koitabashi;T. Inomata;A. Satoh;J. Kishihara;Shoko Ishikawa;Y. Aoyama;H. Niwano;T. Izumi
研究背景尽管我们先前报道了阵发性房颤（AF）的存在是1996年至2002年人群中充血性心力衰竭（CHF）患者再次住院的独立危险因素，在最近的人群中，AF构型作为一个危险因素的影响仍有待澄清。方法和证据2006年我院收治的319例CHF患者，2007年进行了回顾性评估。根据基础心律分为窦性心律组（n=210）、慢性房颤组（n=68）和阵发性房颤组（n=41）。在19± 17个月的随访期内，3组之间的死亡率或再住院事件无显著差异（p=0.542）。在多因素分析中，未使用β-受体阻滞剂是CHF再住院的唯一独立危险因素。CONCLUSIONSSAF构型作为CHF再住院危险因素的临床影响近年来有所下降。
BACKGROUNDAlthough we have previously reported that the presence of paroxysmal atrial fibrillation (AF) is an independent risk factor for rehospitalization in patients with congestive heart failure (CHF) in a population from 1996 to 2002, the impact of AF configuration as a risk factor in a more recent population remains to be clarified.METHODS AND RESULTS319 patients with CHF admitted to our institute in 2006–2007 were retrospectively evaluated. The patients were divided into 3 groups in accordance with their basic cardiac rhythm, i.e. sinus rhythm (n=210), chronic AF (n=68), and paroxysmal AF (n=41). During the follow-up period of 19±17months, there was no significant difference in mortality or rehospitalization events among the 3 groups (p=0.542). In the multivariate analysis, no administration of β-blockers was the only independent risk factor for rehospitalization due to CHF exacerbation.CONCLUSIONSThe clinical impact of AF configuration as a risk factor of rehospitalization due to CHF exacerbation was considered to be decreased in recent years.
影响因子：
158.5
作者：
Wyse, DG;Waldo, AL;Corley, SD
通讯作者：
Corley, SD
影响因子：
120.7
作者：
Go, AS;Hylek, EM;Singer, DE
通讯作者：
Singer, DE