icon fsr

文献詳細

雑誌文献

medicina59巻12号

2022年11月発行

特集 避けて通れない心不全診療—総合内科力・循環器力を鍛えよう!

慢性心不全

心房細動を合併した慢性心不全患者の心房細動はアブレーションすべき?

著者: 藤原竜童1

所属機関: 1大阪府済生会中津病院循環器内科

ページ範囲:P.2197 - P.2202

文献概要

Point
◎心房細動は心不全を悪化させる.
◎心不全のステージ,心房細動のステージ,人生のステージを考慮してカテーテルアブレーションの適応を考える.
◎心房細動による影響を個々の症例ごとに吟味してshared decision makingを行う.

参考文献

1)Santhanakrishnan R, et al:Atrial fibrillation begets heart failure and vice versa;Temporal associations and differences in preserved versus reduced ejection fraction. Circulation 133:484-492, 2016
2)Sartipy U, et al:Atrial fibrillation in heart failure with preserved, mid-range, and reduced ejection fraction. JACC Heart Fail 5:565-574, 2017
3)Nagai T, et al:Clinical characteristics, management, and outcomes of Japanese patients hospitalized for heart failure with preserved ejection fraction-A report from the Japanese Heart Failure Syndrome with Preserved Ejection Fraction(JASPER)Registry. Circ J 82:1534-1545, 2018
4)Huizar JF, et al:Arrhythmia-induced cardiomyopathy;JACC state-of-the-art review. J Am Coll Cardiol 73:2328-2344, 2019
5)Abe Y, et al:Prevalence and prognostic significance of functional mitral and tricuspid regurgitation despite preserved left ventricular ejection fraction in atrial fibrillation patients. Circ J 82:1451-1458, 2018
6)Esato M, et al:Clinical impact of asymptomatic presentation status in patients with paroxysmal and sustained atrial fibrillation;The Fushimi AF Registry. Chest 152:1266-1275, 2017
7)Kato T, et al:Progressive nature of paroxysmal atrial fibrillation. Observations from a 14-year follow-up study. Circ J 68:568-572, 2004
8)Tilz RR, et al:Catheter ablation of long-standing persistent atrial fibrillation;5-year outcomes of the Hamburg Sequential Ablation Strategy. J Am Coll Cardiol 60:1921-1929, 2012
9)Ogawa H, et al:Progression from paroxysmal to sustained atrial fibrillation is associated with increased adverse events. Stroke 49:2301-2308, 2018
10)Perez MV, et al:Large-scale assessment of a smartwatch to identify atrial fibrillation. N Engl J Med 381:1909-1917, 2019
11)Jaïs P, et al:Catheter ablation versus antiarrhythmic drugs for atrial fibrillation;The A4 study. Circulation 118:2498-2505, 2008
12)Song J, et al:The comparison of catheter ablation on hard outcomes versus medical treatment for atrial fibrillation patients;A meta-analysis of randomized, controlled trials with trial sequential analysis. PLoS One 17:e0262702, 2022
13)Takigawa M, et al:Long-term follow-up after catheter ablation of paroxysmal atrial fibrillation;The incidence of recurrence and progression of atrial fibrillation. Circ Arrhythm Electrophysiol 7:267-273, 2014
14)Marrouche NF, et al:Catheter ablation for atrial fibrillation with heart failure. N Engl J Med 378:417-427, 2018
15)Fukui A, et al:Catheter ablation of atrial fibrillation reduces heart failure rehospitalization in patients with heart failure with preserved ejection fraction. J Cardiovasc Electrophysiol 31:682-688, 2020
16)Kawaji T, et al:Impact of catheter ablation for atrial fibrillation on cardiac disorders in patients with coexisting heart failure. ESC Heart Fail 8:670-679, 2021
17)Pott A, et al:Atrial fibrillation ablation in heart failure patients;Improved systolic function after cryoballoon pulmonary vein isolation. ESC Heart Fail 7:2258-2267, 2020
18)Anselmino M, et al:Catheter ablation of atrial fibrillation in patients with left ventricular systolic dysfunction;A systematic review and meta-analysis. Circ Arrhythm Electrophysiol 7:1011-1018, 2014
19)Gertz ZM, et al:Evidence of atrial functional mitral regurgitation due to atrial fibrillation;Reversal with arrhythmia control. J Am Coll Cardiol 58:1474-1481, 2011

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1189

印刷版ISSN:0025-7699

雑誌購入ページに移動
icon up

本サービスは医療関係者に向けた情報提供を目的としております。
一般の方に対する情報提供を目的としたものではない事をご了承ください。
また,本サービスのご利用にあたっては,利用規約およびプライバシーポリシーへの同意が必要です。

※本サービスを使わずにご契約中の電子商品をご利用したい場合はこちら