Abstract
Background: Hemodialysis (HD) is associated with cardiovascular structural modifications; moreover, during HD, rapid electrolytic changes occur. Both factors may favor the onset of atrial fibrillation. Methods: To define the prevalence of atrial fibrillation and identify associated factors, 488 patients on long-term HD therapy (age, 66.6 ± 13.4 years; men, 58.0%; duration of HD, 76.5 ± 84.3 months) were studied. Results: Atrial fibrillation was reported in 27.0% of patients; paroxysmal in 3.5%, persistent in 9.6%, and permanent in 13.9%. Clinical and echocardiographic variables were considered: patients with atrial fibrillation were older (71.8 ± 9.3 versus 64.7 ± 14.2 years; P <0.01), and its prevalence increased with age. Patients with arrhythmia had a longer duration of dialysis therapy (93.2 ± 100.5 versus 70.2 ± 76.7 months; P = 0.02). Atrial fibrillation was associated significantly with ischemic heart disease (P <0.01), dilated cardiomyopathy (P <0.01), acute pulmonary edema (P <0.05), valvular disease (P <0.05), cerebrovascular accidents (P <0.05), and predialytic hyperkalemia (P <0.05). Patients with atrial fibrillation more frequently showed left atrial dilatation (59.8% versus 34.5%; P <0.0001), and in these subjects, left ventricular ejection fraction was significantly lower (53.9% versus 57.4%; P = 0.029). No association was found between arrhythmia and hypertension or diabetes. Multivariate analysis confirmed that patient age (P <0.001), duration of HD therapy (P = 0.001), and left atrial dilatation (P <0.001) were associated with atrial fibrillation. Conclusion: Atrial fibrillation is much more frequent in HD patients than in the general population; age, duration of HD history, presence of some heart diseases, and left atrial dilatation are associated with the arrhythmia.
| Original language | English |
|---|---|
| Pages (from-to) | 897-902 |
| Number of pages | 6 |
| Journal | American Journal of Kidney Diseases |
| Volume | 46 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Nov 2005 |
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Keywords
- Atrial fibrillation
- Cardiovascular diseases
- Echocardiography
- Hemodialysis (HD)
ASJC Scopus subject areas
- Nephrology
Cite this
Prevalence of atrial fibrillation and associated factors in a population of long-term hemodialysis patients. / Genovesi, Simonetta; Pogliani, Daniela; Faini, Andrea; Valsecchi, Maria G.; Riva, Alessandra; Stefani, Francesca; Acquistapace, Irene; Stella, Andrea; Bonforte, Giuseppe; DeVecchi, Amedeo; DeCristofaro, Vincenzo; Buccianti, Gherardo; Vincenti, Antonio.
In: American Journal of Kidney Diseases, Vol. 46, No. 5, 11.2005, p. 897-902.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Prevalence of atrial fibrillation and associated factors in a population of long-term hemodialysis patients
AU - Genovesi, Simonetta
AU - Pogliani, Daniela
AU - Faini, Andrea
AU - Valsecchi, Maria G.
AU - Riva, Alessandra
AU - Stefani, Francesca
AU - Acquistapace, Irene
AU - Stella, Andrea
AU - Bonforte, Giuseppe
AU - DeVecchi, Amedeo
AU - DeCristofaro, Vincenzo
AU - Buccianti, Gherardo
AU - Vincenti, Antonio
PY - 2005/11
Y1 - 2005/11
N2 - Background: Hemodialysis (HD) is associated with cardiovascular structural modifications; moreover, during HD, rapid electrolytic changes occur. Both factors may favor the onset of atrial fibrillation. Methods: To define the prevalence of atrial fibrillation and identify associated factors, 488 patients on long-term HD therapy (age, 66.6 ± 13.4 years; men, 58.0%; duration of HD, 76.5 ± 84.3 months) were studied. Results: Atrial fibrillation was reported in 27.0% of patients; paroxysmal in 3.5%, persistent in 9.6%, and permanent in 13.9%. Clinical and echocardiographic variables were considered: patients with atrial fibrillation were older (71.8 ± 9.3 versus 64.7 ± 14.2 years; P <0.01), and its prevalence increased with age. Patients with arrhythmia had a longer duration of dialysis therapy (93.2 ± 100.5 versus 70.2 ± 76.7 months; P = 0.02). Atrial fibrillation was associated significantly with ischemic heart disease (P <0.01), dilated cardiomyopathy (P <0.01), acute pulmonary edema (P <0.05), valvular disease (P <0.05), cerebrovascular accidents (P <0.05), and predialytic hyperkalemia (P <0.05). Patients with atrial fibrillation more frequently showed left atrial dilatation (59.8% versus 34.5%; P <0.0001), and in these subjects, left ventricular ejection fraction was significantly lower (53.9% versus 57.4%; P = 0.029). No association was found between arrhythmia and hypertension or diabetes. Multivariate analysis confirmed that patient age (P <0.001), duration of HD therapy (P = 0.001), and left atrial dilatation (P <0.001) were associated with atrial fibrillation. Conclusion: Atrial fibrillation is much more frequent in HD patients than in the general population; age, duration of HD history, presence of some heart diseases, and left atrial dilatation are associated with the arrhythmia.
AB - Background: Hemodialysis (HD) is associated with cardiovascular structural modifications; moreover, during HD, rapid electrolytic changes occur. Both factors may favor the onset of atrial fibrillation. Methods: To define the prevalence of atrial fibrillation and identify associated factors, 488 patients on long-term HD therapy (age, 66.6 ± 13.4 years; men, 58.0%; duration of HD, 76.5 ± 84.3 months) were studied. Results: Atrial fibrillation was reported in 27.0% of patients; paroxysmal in 3.5%, persistent in 9.6%, and permanent in 13.9%. Clinical and echocardiographic variables were considered: patients with atrial fibrillation were older (71.8 ± 9.3 versus 64.7 ± 14.2 years; P <0.01), and its prevalence increased with age. Patients with arrhythmia had a longer duration of dialysis therapy (93.2 ± 100.5 versus 70.2 ± 76.7 months; P = 0.02). Atrial fibrillation was associated significantly with ischemic heart disease (P <0.01), dilated cardiomyopathy (P <0.01), acute pulmonary edema (P <0.05), valvular disease (P <0.05), cerebrovascular accidents (P <0.05), and predialytic hyperkalemia (P <0.05). Patients with atrial fibrillation more frequently showed left atrial dilatation (59.8% versus 34.5%; P <0.0001), and in these subjects, left ventricular ejection fraction was significantly lower (53.9% versus 57.4%; P = 0.029). No association was found between arrhythmia and hypertension or diabetes. Multivariate analysis confirmed that patient age (P <0.001), duration of HD therapy (P = 0.001), and left atrial dilatation (P <0.001) were associated with atrial fibrillation. Conclusion: Atrial fibrillation is much more frequent in HD patients than in the general population; age, duration of HD history, presence of some heart diseases, and left atrial dilatation are associated with the arrhythmia.
KW - Atrial fibrillation
KW - Cardiovascular diseases
KW - Echocardiography
KW - Hemodialysis (HD)
UR - http://www.scopus.com/inward/record.url?scp=27144535900&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=27144535900&partnerID=8YFLogxK
U2 - 10.1053/j.ajkd.2005.07.044
DO - 10.1053/j.ajkd.2005.07.044
M3 - Article
C2 - 16253730
AN - SCOPUS:27144535900
VL - 46
SP - 897
EP - 902
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
SN - 0272-6386
IS - 5
ER -