抄録
The aim of this study was to evaluate the association of functional mitral regurgitation (FMR), preserved or reduced ejection fraction (EF), and ischemic or nonischemic origin with outcomes in patients discharged alive after hospitalization for acute decompensated heart failure (HF). Of the 4,842 patients enrolled in the Acute Decompensated Heart Failure Syndromes (ATTEND) registry, 3,357 patients were evaluated to assess the association of FMR, preserved or reduced EF, and ischemic or nonischemic origin with the primary end point (all-cause death and readmission for HF after discharge). At the time of discharge, FMR was assessed semiquantitatively (classified as none, mild, or moderate to severe) by color Doppler analysis of the regurgitant jet area. According to multivariable analysis, in the ischemic group, either mild or moderate to severe FMR in patients with a preserved EF had a significantly higher risk of the primary end point than patients without FMR (hazard ratio [HR] 1.60; 95% confidence interval [CI] 1.12 to 2.29; p = 0.010 and HR 1.98; 95% CI 1.30 to 3.01; p = 0.001, respectively). In patients with reduced EF with an ischemic origin, only moderate to severe FMR was associated with a significantly higher risk of the primary end point (HR 1.67; 95% CI 1.11 to 2.50; p = 0.014). In the nonischemic group, there was no significant association between FMR and the primary end point in patients with either a preserved or reduced EF. In conclusion, among patients with acute decompensated HF with a preserved or reduced EF, the association of FMR with adverse outcomes may differ between patients who had an ischemic or nonischemic origin of HF.
本文言語 | English |
---|---|
ページ(範囲) | 809-816 |
ページ数 | 8 |
ジャーナル | American Journal of Cardiology |
巻 | 120 |
号 | 5 |
DOI | |
出版ステータス | Published - 2017 9 1 |
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
フィンガープリント 「Ischemic or Nonischemic Functional Mitral Regurgitation and Outcomes in Patients With Acute Decompensated Heart Failure With Preserved or Reduced Ejection Fraction」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。
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Ischemic or Nonischemic Functional Mitral Regurgitation and Outcomes in Patients With Acute Decompensated Heart Failure With Preserved or Reduced Ejection Fraction. / Kajimoto, Katsuya; Minami, Yuichiro; Otsubo, Shigeru; Sato, Naoki; Sato, Naoki; Asai, Kuniya; Munakata, Ryo; Aokage, Toshiyuki; Yoshida, Asuka; Minami, Yuichiro; Yumino, Dai; Mizuno, Masayuki; Kawada, Erisa; Yoshida, Kentaro; Ozaki, Yuri; Kogure, Tomohito; Haruki, Shintaro; Mizuno, Masayuki; Kajimoto, Katsuya; Nakao, Koichi; Sawamura, Tadashi; Nuki, Toshiaki; Ishiki, Ryoji; Yokota, Shigeki; Fujinaga, Hiroyuki; Yamamoto, Takashi; Harada, Kenji; Saito, Akihiro; Kageyama, Norihito; Okumura, Takanobu; Hata, Noritake; Murai, Koji; Nozaki, Ayaka; Kawanaka, Hidekazu; Tanabe, Jun; Sato, Yukihito; Ishii, Katsuhisa; Oiwa, Hitoshi; Matsumoto, Tomoaki; Yoshida, Daisuke; Kato, Nobuo; Suzuki, Hiroshi; Shimizu, Nobuyuki; Keida, Takehiko; Fujita, Masaki; Nakamura, Kentaro; Chinen, Toshiya; Meguro, Kentaro; Kikuchi, Tatsuro; Nishikido, Toshiyuki; Nakata, Marohito; Yamashita, Tatsuya; Nakata, Masaya; Hirono, Akitoshi; Mitsudo, Kazuaki; Kadota, Kazushige; Makita, Noriko; Watanabe, Nagisa; Kawabata, Masaaki; Fujii, Kenichi; Okuda, Shinichi; Kobayashi, Shigeki; Moriuchi, Ikuo; Mizuno, Kiyo o.; Osato, Kazuo; Murakami, Tatsuaki; Shimada, Yoshifumi; Misawa, Katsushi; Kokado, Hiromasa; Fujita, Takashi; Fukuoka, Yoshitomo; Takabatake, Syu; Takata, Yoshifumi; Miyagi, Manabu; Tanaka, Nobuhiro; Yamashina, Akira; Sudo, Shinji; Shimamura, Koichi; Nagashima, Michitaka; Kaneda, Tomoya; Ueda, Kosei; Kato, Hiromasa; Higashikata, Toshinori; Fujimori, Kanichi; Kobayashi, Hiroshi; Fujii, Shinya; Yagi, Masahiro; Ozaki, Yuri; Takaki, Jyunko; Yamashita, Eiji; Toyama, Takuji; Hirata, Tetsuo; Kamisihima, Kazuho; Oka, Toshiaki; Komatsu, Ryushi; Itoh, Akira; Naruko, Takahiko; Abe, Yukio; Nakagawa, Eiichirou; Furukawa, Atsuko; Kinou, Naoto; Uematsu, Shoko; Tabuchi, Isao; Imai, Taku; Sakamoto, Takafumi; Todaka, Koji; Koide, Yuji; Maemura, Koji; Yoshioka, Koichiro; Yoshihisa, Akiomi; Sato, Takamasa; Takeishi, Yasuchika; Ebina, Toshiaki; Kimura, Kazuo; Konishi, Masaaki; Kato, Masahiko; Kinugasa, Yoshiharu; Ishida, Katsunori; Sugihara, Shinobu; Yanagihara, Kiyotaka; Takeuchi, Toshiharu; Okada, Motoi; Hasebe, Naoyuki; Sakai, Tetsuo; Asano, Taku; Minoura, Yoshino; Toshida, Tsutomu; Sato, Takatoshi; Yokota, Yuya; Kondo, Seita; Sakata, Yasushi; Komuro, Issei; Otsu, Kinya; Yamashita, Shizuya; Asano, Yoshihiro; Yoshida, Asuka; Kajimoto, Katsuya; Kashiwase, Kazunori; Ueda, Yasunori; Kondo, Taizo; Kawaguchi, Katsuhiro; Sawamura, Akinori; Saito, Taro; Higa, Toru; Noguchi, Hiroo; Yanagita, Yoko; Nakamura, Keita; Komaki, Tomo; Muramatsu, Toshihiro; Koizumi, Tomomi; Nakajima, Yoshie; Kikutani, Toshihiko; Ikeda, Yoshifimi; Tamaki, Toru; Funada, Shuhei; Ogawa, Harumi; Sakuragawa, Koichiro; Kohsaka, Shun; Ando, Shin ichi; Kadokami, Toshiaki; Ishida, Eiko; Ide, Katsumi; Sotomi, Yohei; Higuchi, Yoshiharu; Uehara, Motoko; Goto, Toshihiko; Ohte, Nobuyuki; Miura, Masanobu; Shiba, Nobuyuki; Nochioka, Kotaro; Shimokawa, Hiroaki; Ishihara, Shiro; Koga, Tokushi; Fujishima, Shinichiro; Kaseda, Shigeru; Haga, Yoshie; Kida, Keisuke; Kamisihima, Kazuho; Nakamura, Makiko; Sunagawa, Osahiko; Miyara, Takafumi; Taba, Youji; Touma, Takashi; Shinjo, Osamu; Nishimura, Yoshioki; Kario, Kazuomi; Shimizu, Hayato; Uchida, Takahiro; Amitani, Ken ichi; Sato, Naoki; Shimada, Katsunori.
In: American Journal of Cardiology, Vol. 120, No. 5, 01.09.2017, p. 809-816.研究成果: Article › 査読
}
TY - JOUR
T1 - Ischemic or Nonischemic Functional Mitral Regurgitation and Outcomes in Patients With Acute Decompensated Heart Failure With Preserved or Reduced Ejection Fraction
AU - Kajimoto, Katsuya
AU - Minami, Yuichiro
AU - Otsubo, Shigeru
AU - Sato, Naoki
AU - Sato, Naoki
AU - Asai, Kuniya
AU - Munakata, Ryo
AU - Aokage, Toshiyuki
AU - Yoshida, Asuka
AU - Minami, Yuichiro
AU - Yumino, Dai
AU - Mizuno, Masayuki
AU - Kawada, Erisa
AU - Yoshida, Kentaro
AU - Ozaki, Yuri
AU - Kogure, Tomohito
AU - Haruki, Shintaro
AU - Mizuno, Masayuki
AU - Kajimoto, Katsuya
AU - Nakao, Koichi
AU - Sawamura, Tadashi
AU - Nuki, Toshiaki
AU - Ishiki, Ryoji
AU - Yokota, Shigeki
AU - Fujinaga, Hiroyuki
AU - Yamamoto, Takashi
AU - Harada, Kenji
AU - Saito, Akihiro
AU - Kageyama, Norihito
AU - Okumura, Takanobu
AU - Hata, Noritake
AU - Murai, Koji
AU - Nozaki, Ayaka
AU - Kawanaka, Hidekazu
AU - Tanabe, Jun
AU - Sato, Yukihito
AU - Ishii, Katsuhisa
AU - Oiwa, Hitoshi
AU - Matsumoto, Tomoaki
AU - Yoshida, Daisuke
AU - Kato, Nobuo
AU - Suzuki, Hiroshi
AU - Shimizu, Nobuyuki
AU - Keida, Takehiko
AU - Fujita, Masaki
AU - Nakamura, Kentaro
AU - Chinen, Toshiya
AU - Meguro, Kentaro
AU - Kikuchi, Tatsuro
AU - Nishikido, Toshiyuki
AU - Nakata, Marohito
AU - Yamashita, Tatsuya
AU - Nakata, Masaya
AU - Hirono, Akitoshi
AU - Mitsudo, Kazuaki
AU - Kadota, Kazushige
AU - Makita, Noriko
AU - Watanabe, Nagisa
AU - Kawabata, Masaaki
AU - Fujii, Kenichi
AU - Okuda, Shinichi
AU - Kobayashi, Shigeki
AU - Moriuchi, Ikuo
AU - Mizuno, Kiyo o.
AU - Osato, Kazuo
AU - Murakami, Tatsuaki
AU - Shimada, Yoshifumi
AU - Misawa, Katsushi
AU - Kokado, Hiromasa
AU - Fujita, Takashi
AU - Fukuoka, Yoshitomo
AU - Takabatake, Syu
AU - Takata, Yoshifumi
AU - Miyagi, Manabu
AU - Tanaka, Nobuhiro
AU - Yamashina, Akira
AU - Sudo, Shinji
AU - Shimamura, Koichi
AU - Nagashima, Michitaka
AU - Kaneda, Tomoya
AU - Ueda, Kosei
AU - Kato, Hiromasa
AU - Higashikata, Toshinori
AU - Fujimori, Kanichi
AU - Kobayashi, Hiroshi
AU - Fujii, Shinya
AU - Yagi, Masahiro
AU - Ozaki, Yuri
AU - Takaki, Jyunko
AU - Yamashita, Eiji
AU - Toyama, Takuji
AU - Hirata, Tetsuo
AU - Kamisihima, Kazuho
AU - Oka, Toshiaki
AU - Komatsu, Ryushi
AU - Itoh, Akira
AU - Naruko, Takahiko
AU - Abe, Yukio
AU - Nakagawa, Eiichirou
AU - Furukawa, Atsuko
AU - Kinou, Naoto
AU - Uematsu, Shoko
AU - Tabuchi, Isao
AU - Imai, Taku
AU - Sakamoto, Takafumi
AU - Todaka, Koji
AU - Koide, Yuji
AU - Maemura, Koji
AU - Yoshioka, Koichiro
AU - Yoshihisa, Akiomi
AU - Sato, Takamasa
AU - Takeishi, Yasuchika
AU - Ebina, Toshiaki
AU - Kimura, Kazuo
AU - Konishi, Masaaki
AU - Kato, Masahiko
AU - Kinugasa, Yoshiharu
AU - Ishida, Katsunori
AU - Sugihara, Shinobu
AU - Yanagihara, Kiyotaka
AU - Takeuchi, Toshiharu
AU - Okada, Motoi
AU - Hasebe, Naoyuki
AU - Sakai, Tetsuo
AU - Asano, Taku
AU - Minoura, Yoshino
AU - Toshida, Tsutomu
AU - Sato, Takatoshi
AU - Yokota, Yuya
AU - Kondo, Seita
AU - Sakata, Yasushi
AU - Komuro, Issei
AU - Otsu, Kinya
AU - Yamashita, Shizuya
AU - Asano, Yoshihiro
AU - Yoshida, Asuka
AU - Kajimoto, Katsuya
AU - Kashiwase, Kazunori
AU - Ueda, Yasunori
AU - Kondo, Taizo
AU - Kawaguchi, Katsuhiro
AU - Sawamura, Akinori
AU - Saito, Taro
AU - Higa, Toru
AU - Noguchi, Hiroo
AU - Yanagita, Yoko
AU - Nakamura, Keita
AU - Komaki, Tomo
AU - Muramatsu, Toshihiro
AU - Koizumi, Tomomi
AU - Nakajima, Yoshie
AU - Kikutani, Toshihiko
AU - Ikeda, Yoshifimi
AU - Tamaki, Toru
AU - Funada, Shuhei
AU - Ogawa, Harumi
AU - Sakuragawa, Koichiro
AU - Kohsaka, Shun
AU - Ando, Shin ichi
AU - Kadokami, Toshiaki
AU - Ishida, Eiko
AU - Ide, Katsumi
AU - Sotomi, Yohei
AU - Higuchi, Yoshiharu
AU - Uehara, Motoko
AU - Goto, Toshihiko
AU - Ohte, Nobuyuki
AU - Miura, Masanobu
AU - Shiba, Nobuyuki
AU - Nochioka, Kotaro
AU - Shimokawa, Hiroaki
AU - Ishihara, Shiro
AU - Koga, Tokushi
AU - Fujishima, Shinichiro
AU - Kaseda, Shigeru
AU - Haga, Yoshie
AU - Kida, Keisuke
AU - Kamisihima, Kazuho
AU - Nakamura, Makiko
AU - Sunagawa, Osahiko
AU - Miyara, Takafumi
AU - Taba, Youji
AU - Touma, Takashi
AU - Shinjo, Osamu
AU - Nishimura, Yoshioki
AU - Kario, Kazuomi
AU - Shimizu, Hayato
AU - Uchida, Takahiro
AU - Amitani, Ken ichi
AU - Sato, Naoki
AU - Shimada, Katsunori
N1 - Publisher Copyright: © 2017 Elsevier Inc. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - The aim of this study was to evaluate the association of functional mitral regurgitation (FMR), preserved or reduced ejection fraction (EF), and ischemic or nonischemic origin with outcomes in patients discharged alive after hospitalization for acute decompensated heart failure (HF). Of the 4,842 patients enrolled in the Acute Decompensated Heart Failure Syndromes (ATTEND) registry, 3,357 patients were evaluated to assess the association of FMR, preserved or reduced EF, and ischemic or nonischemic origin with the primary end point (all-cause death and readmission for HF after discharge). At the time of discharge, FMR was assessed semiquantitatively (classified as none, mild, or moderate to severe) by color Doppler analysis of the regurgitant jet area. According to multivariable analysis, in the ischemic group, either mild or moderate to severe FMR in patients with a preserved EF had a significantly higher risk of the primary end point than patients without FMR (hazard ratio [HR] 1.60; 95% confidence interval [CI] 1.12 to 2.29; p = 0.010 and HR 1.98; 95% CI 1.30 to 3.01; p = 0.001, respectively). In patients with reduced EF with an ischemic origin, only moderate to severe FMR was associated with a significantly higher risk of the primary end point (HR 1.67; 95% CI 1.11 to 2.50; p = 0.014). In the nonischemic group, there was no significant association between FMR and the primary end point in patients with either a preserved or reduced EF. In conclusion, among patients with acute decompensated HF with a preserved or reduced EF, the association of FMR with adverse outcomes may differ between patients who had an ischemic or nonischemic origin of HF.
AB - The aim of this study was to evaluate the association of functional mitral regurgitation (FMR), preserved or reduced ejection fraction (EF), and ischemic or nonischemic origin with outcomes in patients discharged alive after hospitalization for acute decompensated heart failure (HF). Of the 4,842 patients enrolled in the Acute Decompensated Heart Failure Syndromes (ATTEND) registry, 3,357 patients were evaluated to assess the association of FMR, preserved or reduced EF, and ischemic or nonischemic origin with the primary end point (all-cause death and readmission for HF after discharge). At the time of discharge, FMR was assessed semiquantitatively (classified as none, mild, or moderate to severe) by color Doppler analysis of the regurgitant jet area. According to multivariable analysis, in the ischemic group, either mild or moderate to severe FMR in patients with a preserved EF had a significantly higher risk of the primary end point than patients without FMR (hazard ratio [HR] 1.60; 95% confidence interval [CI] 1.12 to 2.29; p = 0.010 and HR 1.98; 95% CI 1.30 to 3.01; p = 0.001, respectively). In patients with reduced EF with an ischemic origin, only moderate to severe FMR was associated with a significantly higher risk of the primary end point (HR 1.67; 95% CI 1.11 to 2.50; p = 0.014). In the nonischemic group, there was no significant association between FMR and the primary end point in patients with either a preserved or reduced EF. In conclusion, among patients with acute decompensated HF with a preserved or reduced EF, the association of FMR with adverse outcomes may differ between patients who had an ischemic or nonischemic origin of HF.
UR - http://www.scopus.com/inward/record.url?scp=85021982837&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021982837&partnerID=8YFLogxK
U2 - 10.1016/j.amjcard.2017.05.051
DO - 10.1016/j.amjcard.2017.05.051
M3 - Article
C2 - 28705383
AN - SCOPUS:85021982837
VL - 120
SP - 809
EP - 816
JO - American Journal of Cardiology
JF - American Journal of Cardiology
SN - 0002-9149
IS - 5
ER -