シガ　ツヨシ   Shiga Tsuyoshi   志賀　剛    所属   医学部 医学科（東京女子医科大学病院）    職種   客員教授
言語種別	日本語
発表タイトル	Benefit of Sinus Rhythm Restoration in Heart failure Patients with Atrial Tachyarrhythmia Treated with Landiolol
会議名	第83回日本循環器学会学術集会
主催者	日本循環器学会
学会区分	全国規模の学会
発表形式	ポスター掲示
講演区分	一般
発表者・共同発表者	◎松井優子, 坂井政之, 鈴木敦, 志賀剛, 萩原誠久
発表年月日	2019/03/31
開催地 （都市, 国名）	横浜市
概要	*Poster Session (Japanese)92 AF, Medicine Atrial tachyarrhythmias (ATA) are frequently observed in patients with heart failure (HF). We evaluated the rates and benefits of sinus rhythm (SR) restoration among patients HF with ATA treated with ultrashort acting intravenous beta1- blocker, landiolol. We studied 67 consecutive HF patients with ATA (age: 67 ± 12 years, 36 male) treated with landiolol from May 2014 to December 2017 at Tokyo Women´s Medical University Hospital. The median maintenance dose of landiolol was 3.0 (1.0-12.0) µ/kg/min and the median treatment duration of landiolol was 5 (1-24) days. Eight patients experienced in-hospital death. Forty-one (69%) of 59 patients discharged alive were in SR. During the followup period of 16 ±12 months, 4 patients died and 12 patients experienced rehospitalization due to worsening HF after hospital discharge. There was a significant higher rate of death or HF rehospitalization in patients without SR restoration than patients with SR restoration (44% vs. 20%) (Figure). We should consider that the benefits of rhythm control in patients with HF and ATA.