Original InvestigationDialysis TherapyPrevalence of Atrial Fibrillation and Associated Factors in a Population of Long-Term Hemodialysis Patients
Section snippets
Methods
From January until June 2003, charts of all HD patients from 5 dialysis centers in Lombardia, Italy, were revised. Based on these charts, an ad hoc data collection form was filled in for each patient by a team of 3 trained medical doctors in collaboration with referring nephrologists. Total number of patients treated at these centers at the time of data collection was 531. For 43 patients, echocardiographic data were not available. For this reason, data analysis has been performed considering
Results
AF was found in 132 patients (27.0%). The paroxysmal form was present in 17 patients (3.5%), and the persistent form, in 47 patients (9.6%), whereas AF was permanent in 68 patients (13.9%). For persistent AF episodes in which the cardioversion technique was described (n = 140), in 17% (n = 24), sinus rhythm was restored by electrical means of cardioversion, whereas in the other 116 episodes, cardioversion was performed pharmacologically. In the last group, the antiarrhythmic drug amiodarone was
Discussion
Main findings of this cross-sectional retrospective study are: (1) the high prevalence of AF in our HD population, and (2) the association of AF with patient age, duration of dialysis treatment, and LA dimension.
The present study is not the first to evaluate the prevalence of AF in HD patients.7, 8, 9 Previous studies showed a wide range of AF prevalence (7.0% to 23.4%). In our patients, AF is more frequent (27.0%) than in patients described in the study by Vazquez et al9 (13.6%), the most
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2024, Research and Practice in Thrombosis and HaemostasisProtective Effect of Catheter Ablation of Atrial Fibrillation on the Renal Function in Patients With Hypertrophic Cardiomyopathy
2022, American Journal of CardiologyThe Clinical Outcomes of Different eGFR Strata and Time in Therapeutic Range in Atrial Fibrillation Patients with Chronic Kidney Disease: A Nationwide Cohort Study
2021, Current Problems in CardiologyCitation Excerpt :Chronic kidney disease (CKD) is associated with an increased risk of atrial fibrillation (AF).1,2 The prevalence increases from 16% - 21% in non-dialysis3-5 to 15% - 40% in dialysis dependent patients.6-11 These two diseases often coexist and are commonly found in clinical practice because they both share common risk factors, such as old age, hypertension, diabetes, smoking, obesity, physical inactivity and heart failure.12
Originally published online as doi:10.1053/j.ajkd.2005.07.044 on September 23, 2005