Short-term outcome of chronic heart failure with atrial fibrillation in two hospitals cohort study

作     者：李智 卢喜烈 汪剑锋 朱金秀 

作者机构：Department of CardiologyChaozhou People's Hospital Department of CardiologyFirst Affiliated Hospital of Shantou University Medical College Department of CardiologyPLA General Hospital 

出 版 物：《South China Journal of Cardiology》 (岭南心血管病杂志（英文版）)

年 卷 期：2010年第11卷第3期

页      面：140-146页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：chronic heart failure atrial fibrillation prognosis 

摘      要：Background The epidemiologic features and outcomes of chronic heart failure（CHF） patients with atrial fibrillation（AF） remain not clear in *** aim to evaluate the epidemiologic features and outcomes of CHF patients with AF,compared by those CHF patients with sinus rhythm（SR）,which is still not clear in *** From January 2005 to December 2008,1161 patients were admitted to the PLA general hospitals and First Affiliated Hospital of Shantou University Medical College with a discharge diagnosis of CHF were enrolled in the *** patients were divided into two groups according to the presence or absence of *** main outcomes were defined as death within one year and readmission to the hospital for heart *** The rate of CHF patients with AF was 36 %.During 1 year follow-up,the overall main outcomes was higher in AF patients than in those with SR（P = 0.02）.After adjusting for other covariables,including age,gender,left ventricular ejection fraction（LVEF）,NYHA classification,et al,AF was no longer related to increased the risk of main outcomes during 1 year follow-up（RR：1.052,CI：0.938 ± 1.165,P = 0.629）.A Cox model showed that risk of main outcomes were associated with NYHA Ⅳ（P 〈 0.001）,age（P = 0.022）,left atrial dimension（P = 0.020）.Conclusion The generally observed higher adverse outcome during 1-year follow-up in patients with AF thus seems to be related to other factors,such as NYHA Ⅳ,age,left atrial dimension,but not AF.