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ジュウジョウ ケンタロウ
JUJO Kentaro
重城 健太郎 所属 埼玉医科大学 医学部 総合医療センター 心臓内科 職種 教授 |
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| 論文種別 | 学術雑誌(原著) |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Prevalence, clinical characteristics, and outcome of atrial functional mitral regurgitation in hospitalized heart failure patients with atrial fibrillation |
| 掲載誌名 | 正式名：Journal of Cardiology ISSNコード：18764738 |
| 出版社 | Japanese College of Cardiology (Nippon-Sinzobyo-Gakkai) |
| 巻・号・頁 | 72(4),292-299頁 |
| 著者・共著者 | Chihiro Saito,Yuichiro Minami,Kotaro Arai,Shintaro Haruki,Yoshimi Yagishita,Kentaro Jujo,Kyomi Ashihara,Nobuhisa Hagiwara |
| 発行年月 | 2018 |
| 概要 | Background: Functional mitral regurgitation (MR) caused by reduced left ventricular ejection fraction (EF) and tethering, termed ventricular functional MR (VFMR), is associated with worse outcomes. Atrial functional MR (AFMR) caused by left atrial enlargement and annular dilatation was also recently described in patients with atrial fibrillation (AF). However, the clinical profiles of AFMR in hospitalized heart failure (HF) patients are unclear. We investigated the prevalence, clinical characteristics, and prognosis of AFMR in hospitalized HF patients with AF. Methods: We analyzed 189 hospitalized HF patients with AF. The prevalence, clinical characteristics, and prognosis were compared between 4 groups: patients with EF ≥50% and no/mild MR (pEFnoMR), patients with EF<50% and no/mild MR (rEFnoMR), patients with EF ≥50% and moderate/severe MR (AFMR), and patients with EF<50% and moderate/severe MR (VFMR). Results: The prevalence of AFMR was 15.9% in hospitalized HF patients with AF. AFMR patients were older and more likely to have an enlarged left atrium, lower tenting height, and moderate/severe tricuspid regurgitation than VFMR patients. There were no differences in al |
| DOI | 10.1016/j.jjcc.2018.04.002 |