대한신장학회

Skip Navigation: Skip to contents

KOR
ENG
전체메뉴보기

간행물 검색

현재 페이지 경로

HOME
간행물
간행물 검색

논문분류	춘계학술대회 초록집
제목	Atrial Fibrillation and Mortality in Patients with Chronic Kidney Disease after Acute Myocardial Infarction
저자	Hyeon Seok Hwang1, Mahn-Won Park2, Se Young Kim1, Hye Eun Yoon1,Yoon Kyung Chang1, Chul Woo Yang1, Suk Young Kim1
출판정보	2014; 2014(1):
키워드	급성심근경색, 심방세동, 만성신질환
초록	Background: Atrial fibrillation (AF) often coexists with acute myocardial infarction (AMI), and chronic kidney disease (CKD) is an important risk for AMI. However, the impact of AF on the mortality and morbidity of CKD patients after they have had an AMI has not been determined. Methods: Between January 2004 and December 2009, a total of 4,738 AMI patients were enrolled prospectively. We investigated whether AF was associated with in-hospital and long-term adverse cardiac and cerebrovascular events (MACCE) in CKD patients (n=1182) after an AMI and compared the impact of AF on mortality between CKD and non-CKD patients. Results: The prevalence of AF was significantly higher in CKD patients than in non-CKD patients (6.76% versus 3.31 %, p<0.001). AF did not increase the incidence of in-hospital adverse outcomes. However, the presence of AF was independently associated with the occurrence of MACCE after AMI, in both CKD and non-CKD patients. Of the long-term MACCE, the cumulative death rate was significantly higher in CKD patients than in non-CKD patients (50 % versus 27.9%, p<0.001). In the multivariate hazards model, AF was an independent predictor for death in CKD patients (adjusted hazard ratio, 1.87, p=0.012), but the hazard ratio for mortality in non-CKD patients was not significant. Conclusions: AF was more prevalent in patients with CKD complicated by AMI, and AF was more closely associated with a large excess risk of death in CKD patients compared to the risk of death in non-CKD patients.
원문(PDF)	PDF 원문보기

목록

위로가기