Key result
In patients initiating dialysis, atrial fibrillation was associated with a significantly higher incidence of cardiovascular disease events compared to those without AF (56.5% vs 30.4%; p<0.001).
Why the study?
The study aimed to investigate the incidence of AF and its prognosis in patients after the initiation of dialysis.
Does atrial fibrillation increase mortality and cardiovascular events in patients after dialysis initiation?
Population
1520 chronic kidney disease patients followed up after dialysis initiation
Comparison
AF group (with AF at least once) vs N group (without AF)
Design
Observational cohort study
Authors
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AF at dialysis initiation signals higher CVD event risk warranting surveillance; leaves open whether rhythm control alters outcomes.
Cohort (n=1,520)
Does atrial fibrillation increase mortality and cardiovascular events in patients after dialysis initiation?
Absolute Event Rate: 56.5% vs 30.4%
p-value: p=<0.001
In patients initiating dialysis, the development of atrial fibrillation is associated with a significantly higher incidence of cardiovascular events, though not overall mortality.
Tanaka et al. (2019) conducted a cohort in Chronic kidney disease on dialysis (n=1,520). Atrial fibrillation vs. No atrial fibrillation was evaluated on Cardiovascular disease (CVD) events (p=<0.001). In patients initiating dialysis, atrial fibrillation was associated with a significantly higher incidence of cardiovascular disease events compared to those without AF (56.5% vs 30.4%; p<0.001).
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