ミナミ　ユウイチロウ   MINAMI Yuuichirou   南　雄一郎    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
Language	English
Title	Prognostic Implications of Atrial Functional Mitral Regurgitation in Hospitalized Heart Failure Patients with Atrial Fibrillation
Conference	The 81st Annual Scientific Meeting of the Japanese Circulation Society (JCS2017)
Promoters	Japanese Circulation Society
Conference Type	Nationwide Conferences
Presentation Type	Poster notice
Lecture Type	General
Publisher and common publisher	◎SAITO Chihiro, MINAMI Yuichiro, ARAI Kotaro, HARUKI Shintaro, YAGISHITA Yoshimi, JUJO Kentaro, ASHIHARA Kyomi, HAGIWARA Nobuhisa
Date	2017/03/17
Venue (city and name of the country)	Kanazawa, JAPAN
Society abstract	PROGRAM JCS 2017 167
Summary	Background: Functional mitral regurgitation (MR) caused by reduced left ventricular ejection fraction (EF) and tethering, called ventricular functional MR (VFMR), is associated with worse outcomes. Recently, atrial functional MR (AFMR) caused by left atrial enlargement and annular dilatation has been described in patients with atrial fibrillation. However, prognosis of patients with AFMR is unclear. Methods: To evaluate prognosis of AFMR, all-cause death and readmission for heart failure (HF) after discharge were compared among three groups (AFMR group [EF≥50% and moderate/severe MR], VFMR group [EF<50% and moderate/severe MR],and No MR group [trivial/mild MR]) in consecutive 209 hospitalized HF patients with atrial fibrillation. Results: Shown in Figure. Conclusions: Although AFMR was not associated with higher mortality, patients with AFMR had higher risk of morbidity, especially of readmission for HF.