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.

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外部データベース (DOI)

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血液透析患者における90日ブランキングピリオド内の早期再発は、初回心房細動アブレーション後の遠隔期再発の危険因子であった。しかし、早期再発がなければ治療成績は透析患者と非透析患者で同等であった。 By Naoaki Onishi https://t.co/Zvq2Ia3LmV #circ_j #CardioTwitter https://t.co/O4ypdwpMMG
Early recurrence (ER) in hemodialysis (HD) patients was a risk factor for late recurrence after the initial AF ablation. However, without ERs, the outcomes were comparable between HD and non-HD patients. By Naoaki Onishi https://t.co/Zvq2Ia3LmV #circ_j #CardioTwitter https://t.co/iahgs9nIBO

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