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Title	en Effects of Atrial Fibrillation on Long-Term Outcomes in Patients Hospitalized for Heart Failure in Japan
Creator	en Hamaguchi, Sanae en Yokoshiki, Hisashi NRID 1000040360911 en Kinugawa, Shintaro NRID 1000060399871 en Tsuchihashi-Makaya, Miyuki en Yokota, Takashi NRID 1000090374321 en Takeshita, Akira en Tsutsui, Hiroyuki NRID 1000070264017 en The JCARE-CARD Investigators
Accessrights	metadata only access
Rights	https://creativecommons.org/licenses/by-nc-nd/4.0/ en Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Subject	Other en Atrial fibrillation Other en Heart failure Other en Mortality Other en Outcomes Other en Rehospitalization NDC 490
Description	Abstract en 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)
Publisher	en The Japanese Circulation Society ja 社団法人 日本循環器学会
Date	Issued2009
Language	eng
Resource Type	journal article
Version Type	NA
Identifier	HDL http://hdl.handle.net/2115/76965
Relation	isIdenticalTo DOI https://doi.org/10.1253/circj.CJ-09-0316
Journal	PISSN 1346-9843 EISSN 1347-4820 en Circulation Journal Volume Number73 Issue Number11 Page Start2084 Page End2090
Oaidate	2023-07-26