P5650Improvement in ejection fraction predicts heart failure after catheter ablation for atrial fibrillation in patients with left ventricular systolic dysfunction: from the KPAF registry
| العنوان: | P5650Improvement in ejection fraction predicts heart failure after catheter ablation for atrial fibrillation in patients with left ventricular systolic dysfunction: from the KPAF registry |
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| المؤلفون: | Yuko Nakazawa, Kazuaki Kaitani, Atsushi Kobori, Kaeko Hirai, Kazuhiro Satomi, Satoshi Shizuta, Koichi Inoue, Kengo Kusano, T Kurotobi, T Kimura, Naofumi Doi, Hajime Fujimoto, Hirosuke Yamaji, I Morishima, Masaki Naito |
| المصدر: | European Heart Journal. 40 |
| بيانات النشر: | Oxford University Press (OUP), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Ejection fraction, business.industry, medicine.medical_treatment, Atrial fibrillation, Catheter ablation, medicine.disease, Internal medicine, Heart failure, cardiovascular system, Cardiology, Medicine, In patient, cardiovascular diseases, Cardiology and Cardiovascular Medicine, business, circulatory and respiratory physiology |
| الوصف: | Introduction The presence of atrial fibrillation (AF) in patients with reduced left ventricular ejection fraction (LVEF) is associated with increased risks of mortality and hospitalization for heart failure (HF). Although prior studies reported that catheter ablation (CA) for AF in low LVEF patients reduced risks of all-cause mortality and HF hospitalization, the predictors of worsening HF after ablation has not been adequately evaluated. Purpose The purpose of this study was to investigate the impact of improvement in LVEF after AF ablation on the incidence of subsequent HF hospitalization in patients with low LVEF. Methods The Kansai Plus Atrial Fibrillation (KPAF) Registry is a multicenter registry enrolling 5,013 consecutive patients undergoing first-time ablation for AF. The current study population consisted of 1,031 patients with reduced LVEF of Results During the median follow-up of 1067 [879–1226] days, patients improved LVEF had lower rate of HF hospitalization, compared with those with unchanged and worsened LVEF (2.1%, 8.0%, and 21.5%, respectively, P Figure 1 Conclusion Among patients with reduced LVEF undergoing AF ablation, patients with subsequently improved LVEF in association with maintained sinus rhythm had markedly lower risk of HF hospitalization during follow-up as compared with those with unchanged or worsened LVEF. |
| تدمد: | 1522-9645 0195-668X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::260d9e37378293917902a2fa5851b69dTest https://doi.org/10.1093/eurheartj/ehz746.0593Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi...........260d9e37378293917902a2fa5851b69d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15229645 0195668X |
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