- 著者
-
Naoaki Onishi
Kazuaki Kaitani
Yoshihisa Nakagawa
Atsushi Kobori
Koichi Inoue
Toshiya Kurotobi
Itsuro Morishima
Yumie Matsui
Hirosuke Yamaji
Yuko Nakazawa
Kengo Kusano
Yukiko Shimizu
Koji Hanazawa
Toshihiro Tamura
Chisato Izumi
Takeshi Morimoto
Koh Ono
Takeshi Kimura
Satoshi Shizuta
on behalf of the KPAF Investigators
- 出版者
- The Japanese Circulation Society
- 雑誌
- Circulation Journal (ISSN:13469843)
- 巻号頁・発行日
- pp.CJ-23-0671, (Released:2024-01-11)
- 参考文献数
- 31
- 被引用文献数
-
1
Background: Catheter ablation (CA) for atrial fibrillation (AF) in patients on hemodialysis (HD) is reported to have a high risk of late recurrence (LR). However, the relationship between early recurrence (ER) within a 90-day blanking period after CA in AF patients and LR in HD patients remains unclear.Methods and Results: Of the 5,010 patients in the Kansai Plus Atrial Fibrillation Registry, 5,009 were included in the present study. Of these patients, 4,942 were not on HD (non-HD group) and 67 were on HD (HD group). HD was an independent risk factor for LR after the initial CA (adjusted hazard ratio 1.6; 95% confidence interval 1.1–2.2; P=0.01). In patients with ER, the rate of sinus rhythm maintenance at 3 years after the initial CA was significantly lower in the HD than non-HD group (11.4% vs. 35.4%, respectively; log-rank P=0.004). However, in patients without ER, there was no significant difference in the rate of sinus rhythm maintenance at 3 years between the HD and non-HD groups (67.7% vs. 74.5%, respectively; log-rank P=0.62).Conclusions: ER in HD patients was a strong risk factor for LR. However, even HD patients could expect a good outcome without ER after the initial CA.