Background: Atrial fibrillation (
AF
) sometimes cause heart failure (HF) even if a patient has preserved left ventricular (LV) systolic function, but there is unclear what factor lead to heart failure.
Methods and Results: From 2008 Sep to 2010 Sep, 180 patients with
AF
divide decompensate group (DECO, n=33) is led into NYHA III or IV HF and not decompensate group (NOR, n=147) is otherwise. We exclude under ejection fraction (EF) 55%, adaptation of valvular disease. Data are described consecutively DECO and NOR. Age is 75.3±
9
.5, 65.1±12.
6
(p<0.0001). Male gender is 45.5% and 71.4% (p=0.004). Hypertension is 93.
9
%, 59.
9
% (p=0.0002). Hypertrophic cardiomyopathy is 33.3% and 12.
9
% (p=0.0045). Ischemic heart disease is 21.2% and
6
.
8
% (p=0.01). Chronic kidney disease is 21.2% and
8
.2% (p=0.028). Left atrial diameter is 43.3±7.
9
mm and 39.1±
6
.0 mm (p=0.0008). The
e
′ is 5.1±1.
6
cm/s and 7.2±2.1 cm/s (p<0.0001).
E
/
e
′ is 19.0±12.0 and 11.2±4.5 (p<0.0001). Heart rate on attack is 136±20 bpm and 121±37 bpm (p=0.052). Diabetes mellitus, stroke, valvular disease, medications, LV diastolic diameter, LV systolic diameter, EF, and
E
/A have no significant difference. Multivariable logistic regression analysis shows that
E
/
e
′ and age have relative risks 1.138 (
95
%CI, 1.026–1.261) and 1.069 (
95
%CI, 1.008–1.133), respectively.
Conclusion: E
/
e
′ and age are independent predictors of HF when patient fall into paroxysmal
AF
with preserved systolic function.
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