International Heart Journal

おすすめ記事

60 巻 (2019) 6 号 p. 1328-1333

Different Effects of Pulmonary Vein Isolation on Quality of Life Between Patients with Persistent and Paroxysmal Atrial Fibrillation

Masaru Kato, Junichiro Miake, Kazuyoshi Ogura, Kazuhiko Iitsuka, Akihiro Okamura, Takuya Tomomori, Daiki Tsujimoto, Masahiko Kato, Kazuhiro Yamamoto

The effect of restoring sinus rhythm by pulmonary vein isolation (PVI) on the quality of life (QOL) of patients with persistent atrial fibrillation (PerAF) has not been adequately investigated. This study was performed to compare the changes in QOL after extended PVI between patients with PerAF and paroxysmal AF (PAF).

Patients with PAF (n = 38) and PerAF (n = 22) who underwent their first PVI and developed no AF recurrence 6 months after PVI were enrolled. QOL surveys were performed at baseline and 6 months post-ablation using Short Form-36 surveys.

The mental component summary score (MCS) (53.4 ± 10.2 to 56.5 ± 7.1, P = 0.019) and physical component summary score (PCS) (46.1 ± 10.6 to 48.5 ± 8.3, P = 0.015) improved after PVI in the PAF group. The PCS, but not the MCS, improved after PVI in the PerAF group (45.8 ± 7.9 to 51.5 ± 6.2, P < 0.001). Changes in the PCS were greater in the PerAF group than in the PAF group (8.6 ± 6.9 versus 2.8 ± 5.2, P = 0.009). Multivariate regression analysis demonstrated that a low baseline MCS and the type of AF (PAF) were independent predictors of an increased MCS and that a low baseline PCS and the type of AF (PerAF) were independent predictors of an increased PCS.

The changes in QOL differed between PAF and PerAF after PVI. Although most patients with PerAF were asymptomatic before PVI, their improvement in physical QOL was greater than that in patients with PAF. Such beneficial effects on physical QOL are likely expected in patients with PerAF with a low PCS before PVI.

過去のおすすめ記事を見る

2019 年 60 巻 6 号

Long-Term Patency Rate of Radial Artery Conduits in Chinese Patients Undergoing Off-Pump Coronary Artery Bypass Grafting Qiang Ji, Kai Song, JinQiang Shen, YuLin Wang, Ye Yang, WenJun Ding, LiMin Xia, ChunSheng Wang
Effect of Pre-Procedural Beta-Blocker on Clinical Outcome after Percutaneous Coronary Intervention in Acute Coronary Syndrome Bum Sung Kim, Sang-Youg Eom, Sung Hea Kim, Hweung Kon Hwang, Jong-Seon Park, Weon Kim, Jun-Won Lee, Seung-Woon Rha, Geon Young Kim, Sang Wook Lim, Su Hun Lee, Jei Keon Chae, Seong-Ill Woo, Jang-Whan Bae, Hyun-Joong Kim
Appetite Predicts Clinical Outcomes in High Risk Patients Undergoing Trans-Femoral TAVI Yousuke Taniguchi, Kenichi Sakakura, Koichi Yuri, Yohei Nomura, Yusuke Tamanaha, Naoyuki Akashi, Takunori Tsukui, Kei Yamamoto, Hiroshi Wada, Shin-ichi Momomura, Atsushi Yamaguchi, Hideo Fujita
Low Consultation Rate of General Population with Atrial Fibrillation Hiroaki Matsumi, Kazufumi Nakamura, Eri Eguchi, Toru Miyoshi, Koji Nakagawa, Nobuhiro Nishii, Atsuyuki Watanabe, Akira Ueoka, Masashi Yoshida, Naoto Tokunaga, Naofumi Amioka, Nobuyuki Yamada, Daiji Saito, Hiroshi Morita, Keiki Ogino, Hiroshi Ito, on behalf of the Ibara-AF Investigators.

最新号のすべての記事を見る

月間アクセス数ランキング 2019年11月

1

Feasibility of Uninterrupted Direct Oral Anticoagulants with Temporary Switching to Dabigatran ("Dabigatran Bridge") for Catheter Ablation of Atrial Fibrillation

公開日: 2019/11/15 | 論文ID 19-143

Daisetsu Aoyama, Shinsuke Miyazaki, Kanae Hasegawa, Kenichi Kaseno, Eri Ishikawa, Moe Mukai, Kosuke Miyahara, Takayoshi Aiki, Akira Matsui, Junya Yamaguchi, Yuichiro Shiomi, Naoto Tama, Hiroyuki Ikeda, Yoshitomo Fukuoka, Tetsuji Morishita, Kentaro Ishida, Hiroyasu Uzui, Hiroshi Tada
2

Liberal Versus Restricted Fluid Administration in Heart Failure Patients

公開日: 2015/03/20 | 56 巻 2 号 p. 192-195

Yang Li, Biao Fu, Xiaoxian Qian
3

Trends in the Incidence of Sudden Deaths and Heart Diseases in Fukushima After the Great East Japan Earthquake

公開日: 2019/10/31 | 論文ID 19-110

Mai Takiguchi, Tetsuya Ohira, Hironori Nakano, Yui Yumiya, Takayoshi Yamaki, Akiomi Yoshihisa, Kazuhiko Nakazato, Hitoshi Suzuki, Tetsuo Ishikawa, Seiji Yasumura, Kenji Kamiya, Yasuchika Takeishi
4

Effect of Body Weight Change on Blood Pressure in a Japanese General Population with a Body Mass Index ≥ 22 kg/m²

公開日: 2019/11/15 | 論文ID 19-314

Hidetaka Itoh, Hidehiro Kaneko, Hiroyuki Kiriyama, Koki Nakanishi, Yoshiko Mizuno, Masao Daimon, Hiroyuki Morita, Nobutake Yamamichi, Issei Komuro
5

A Prospective, Multicenter, Post-Marketing Surveillance Study to Evaluate the Safety and Effectiveness of Tolvaptan in Patients with Reduced, Preserved, and Mid-Range Ejection Fraction Heart Failure

公開日: 2019/09/27 | 60 巻 5 号 p. 1123-1130

Koichiro Kinugawa, Naoki Sato, Takayuki Inomata, Moriyoshi Yasuda, Toshiyuki Shimakawa, Yasuhiko Fukuta

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