Rate-control treatment and mortality in atrial fibrillation.

Abstract:

BACKGROUND:Current American and European guidelines emphasize the importance of rate-control treatments in treating atrial fibrillation with a Class I recommendation, although data on the survival benefits of rate control are lacking. The goal of the present study was to investigate whether patients receiving rate-control drugs had a better prognosis compared with those without rate-control treatment. METHODS AND RESULTS:This study used the National Health Insurance Research Database in Taiwan. There were 43 879, 18 466, and 38 898 patients with atrial fibrillation enrolled in the groups receiving β-blockers, calcium channel blockers, and digoxin, respectively. The reference group consisted of 168 678 subjects who did not receive any rate-control drug. The clinical end point was all-cause mortality. During a follow-up of 4.9±3.7 years, mortality occurred in 88 263 patients (32.7%). After adjustment for baseline differences, the risk of mortality was lower in patients receiving β-blockers (adjusted hazard ratio=0.76; 95% confidence interval=0.74-0.78) and calcium channel blockers (adjusted hazard ratio=0.93; 95% confidence interval=0.90-0.96) compared with those who did not receive rate-control medications. On the contrary, the digoxin group had a higher risk of mortality with an adjusted hazard ratio of 1.12 (95% confidence interval=1.10-1.14). The results were observed consistently in subgroup analyses and among the cohorts after propensity matching. CONCLUSIONS:In this nationwide atrial fibrillation cohort, the risk of mortality was lower for patients receiving rate-control treatment with β-blockers or calcium channel blockers, and the use of β-blockers was associated with the largest risk reduction. Digoxin use was associated with greater mortality. Prospective, randomized trials are necessary to confirm these findings.

journal_name

Circulation

journal_title

Circulation

authors

Chao TF,Liu CJ,Tuan TC,Chen SJ,Wang KL,Lin YJ,Chang SL,Lo LW,Hu YF,Chen TJ,Chiang CE,Chen SA

doi

10.1161/CIRCULATIONAHA.114.013709

subject

Has Abstract

pub_date

2015-10-27 00:00:00

pages

1604-12

issue

17

eissn

0009-7322

issn

1524-4539

pii

CIRCULATIONAHA.114.013709

journal_volume

132

pub_type

杂志文章
  • Relations between enzymatically estimated myocardial infarct size and early ventricular dysrhythmia.

    abstract::The relation between ventricular dysrhythmia during the first 20 hours after hospitalization for acute myocardial infarction and enzymatically estimated infarct size was studied prospectively. The duration of dyshythmia was measured by the total time during which the average premature ventricular depolarization (PVC) ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Cox JR Jr,Roberts R,Ambos HD,Oliver GC,Sobel BE

    更新日期:1976-03-01 00:00:00

  • Effects of unilateral stellate ganglion stimulation and ablation on electrophysiologic changes induced by acute myocardial ischemia in dogs.

    abstract::We recorded direct-current extracellular electrograms simultaneously from 60 left ventricular epicardial sites in 38 alpha-chloralose-anesthetized dogs during repeated, 5 min coronary arterial occlusions. In each dog recordings made during control occlusions were compared with those made in occlusions after, or during...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.72.3.585

    authors: Janse MJ,Schwartz PJ,Wilms-Schopman F,Peters RJ,Durrer D

    更新日期:1985-09-01 00:00:00

  • Inducible nitric oxide synthase mediates delayed myocardial protection induced by activation of adenosine A(1) receptors: evidence from gene-knockout mice.

    abstract:BACKGROUND:The mechanism of delayed preconditioning induced by activation of adenosine A(1) receptors (A(1)ARs) is not fully understood. We determined the role of inducible nitric oxide synthase (iNOS) in mediating adenosine-induced late cardioprotection using pharmacological inhibitors and iNOS gene-knockout mice. ME...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.8.902

    authors: Zhao T,Xi L,Chelliah J,Levasseur JE,Kukreja RC

    更新日期:2000-08-22 00:00:00

  • Long-term graft patency (3 years) after coronary artery surgery. Effects of aspirin: results of a VA Cooperative study.

    abstract:BACKGROUND:The long-term success of coronary bypass surgery is dependent on graft patency after surgery. This trial was designed to determine if aspirin improved saphenous vein graft or internal mammary artery (IMA) graft patency between 1 and 3 years after coronary artery bypass grafting (CABG). METHODS AND RESULTS:A...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.cir.89.3.1138

    authors: Goldman S,Copeland J,Moritz T,Henderson W,Zadina K,Ovitt T,Kern KB,Sethi G,Sharma GV,Khuri S

    更新日期:1994-03-01 00:00:00

  • Blacks in the Coronary Artery Surgery Study: risk factors and coronary artery disease.

    abstract::In this paper we examine the relationship between risk factors and angiographically determined coronary artery disease for blacks and whites enrolled in the Coronary Artery Surgery Study (CASS). Analysis of data from the CASS registry indicated that blacks had a higher incidence of hypertension and current cigarette s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.1.64

    authors: Maynard C,Fisher LD,Passamani ER,Pullum T

    更新日期:1986-07-01 00:00:00

  • The nitrovasodilators. New ideas about old drugs.

    abstract::The nitrovasodilators are a diverse group of pharmacological agents that produce vascular relaxation by releasing nitric oxide. The mechanisms by which these compounds release nitric oxide vary, depending on their chemical structure. Compounds with lower oxidation states of nitrogen such as nitroprusside, nitrosamines...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.87.5.1461

    authors: Harrison DG,Bates JN

    更新日期:1993-05-01 00:00:00

  • Transluminal stent-graft placements for the treatments of acute onset and chronic aortic dissections.

    abstract:BACKGROUND:Transluminal stent-graft placement (TSGP) for aortic dissection is a relatively new procedure. We performed TSGPs to seal the primary entry site to treat and prevent complications of aortic dissection. The early to mid-term outcomes were analyzed. METHODS AND RESULTS:Thirty-seven patients with a primary int...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:

    authors: Shimono T,Kato N,Yasuda F,Suzuki T,Yuasa U,Onoda K,Hirano T,Takeda K,Yada I

    更新日期:2002-09-24 00:00:00

  • Interleukin-17 and interferon-gamma are produced concomitantly by human coronary artery-infiltrating T cells and act synergistically on vascular smooth muscle cells.

    abstract:BACKGROUND:Atherosclerosis is an inflammatory disease in which interferon (IFN)-gamma, the signature cytokine of Th1 cells, plays a central role. We investigated whether interleukin (IL)-17, the signature cytokine of Th17 cells, is also associated with human coronary atherosclerosis. METHODS AND RESULTS:Circulating IL...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.827618

    authors: Eid RE,Rao DA,Zhou J,Lo SF,Ranjbaran H,Gallo A,Sokol SI,Pfau S,Pober JS,Tellides G

    更新日期:2009-03-17 00:00:00

  • Cytosolic heat shock protein 60, apoptosis, and myocardial injury.

    abstract:BACKGROUND:Heat shock proteins (HSPs) are well known for their ability to "protect" the structure and function of native macromolecules, particularly as they traffic across membranes. Considering the role of key mitochondrial proteins in apoptosis and the known antiapoptotic effects of HSP27 and HSP72, we postulated th...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000019403.35847.23

    authors: Kirchhoff SR,Gupta S,Knowlton AA

    更新日期:2002-06-18 00:00:00

  • Clinical and Genetic Determinants of Varicose Veins.

    abstract:BACKGROUND:Varicose veins are a common problem with no approved medical therapies. Although it is believed that varicose vein pathogenesis is multifactorial, there is limited understanding of the genetic and environmental factors that contribute to their formation. Large-scale studies of risk factors for varicose veins...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.118.035584

    authors: Fukaya E,Flores AM,Lindholm D,Gustafsson S,Zanetti D,Ingelsson E,Leeper NJ

    更新日期:2018-12-18 00:00:00

  • Prediction of the localization of high-risk coronary atherosclerotic plaques on the basis of low endothelial shear stress: an intravascular ultrasound and histopathology natural history study.

    abstract:BACKGROUND:Low endothelial shear stress (ESS) promotes the development of atherosclerosis; however, its role in the progression of atherosclerotic plaques and evolution to inflamed high-risk plaques has not been studied. Our hypothesis was that the lowest values of ESS are responsible for the development of high-risk c...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.695254

    authors: Chatzizisis YS,Jonas M,Coskun AU,Beigel R,Stone BV,Maynard C,Gerrity RG,Daley W,Rogers C,Edelman ER,Feldman CL,Stone PH

    更新日期:2008-02-26 00:00:00

  • HDLs containing apolipoproteins A-I and A-II (LpA-I:A-II) as markers of coronary artery disease in men with non-insulin-dependent diabetes mellitus.

    abstract:BACKGROUND:Abnormalities in HDL and an increased risk of coronary artery disease (CAD) coexist in non-insulin-dependent diabetes mellitus (NIDDM). HDLs can be separated by their apolipoprotein (apo) content into particles containing apoA-I but not apoA-II (LpA-I) and those containing both apoA-I and apoA-II (LpA-I:A-II...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.3.364

    authors: Syvänne M,Kahri J,Virtanen KS,Taskinen MR

    更新日期:1995-08-01 00:00:00

  • Reappraisal of Reported Genes for Sudden Arrhythmic Death: Evidence-Based Evaluation of Gene Validity for Brugada Syndrome.

    abstract:BACKGROUND:Implicit in the genetic evaluation of patients with suspected genetic diseases is the assumption that the genes evaluated are causative for the disease based on robust scientific and statistical evidence. However, in the past 20 years, considerable variability has existed in the study design and quality of e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.035070

    authors: Hosseini SM,Kim R,Udupa S,Costain G,Jobling R,Liston E,Jamal SM,Szybowska M,Morel CF,Bowdin S,Garcia J,Care M,Sturm AC,Novelli V,Ackerman MJ,Ware JS,Hershberger RE,Wilde AAM,Gollob MH,National Institutes of Health C

    更新日期:2018-09-18 00:00:00

  • Bleeding increases the risk of ischemic events in patients with peripheral arterial disease.

    abstract:BACKGROUND:Patients with peripheral arterial disease are at high risk of ischemic events and therefore are treated with antithrombotics. In patients with coronary artery disease or cerebrovascular disease, bleeding is related to the subsequent occurrence of ischemic events. Our objective was to assess whether this is a...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.109.858365

    authors: van Hattum ES,Algra A,Lawson JA,Eikelboom BC,Moll FL,Tangelder MJ

    更新日期:2009-10-20 00:00:00

  • Effect of NO donors on LV diastolic function in patients with severe pressure-overload hypertrophy.

    abstract:BACKGROUND:Previous experimental studies have shown that nitric oxide (NO) modulates cardiac function by an abbreviation of systolic contraction and an enhancement of diastolic relaxation. However, the response to NO donors of patients with severe pressure-overload hypertrophy and diastolic dysfunction is unknown. MET...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.99.18.2396

    authors: Matter CM,Mandinov L,Kaufmann PA,Vassalli G,Jiang Z,Hess OM

    更新日期:1999-05-11 00:00:00

  • Efficacy of Long-Term β-Blocker Therapy for Secondary Prevention of Long-Term Outcomes After Coronary Artery Bypass Grafting Surgery.

    abstract:BACKGROUND:Conflicting results from recent observational studies have raised questions concerning the benefit of β-blockers for patients undergoing coronary artery bypass grafting (CABG). Furthermore, the efficacy of long-term β-blocker therapy in CABG patients after hospital discharge is uncertain. METHODS AND RESULT...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.114.014209

    authors: Zhang H,Yuan X,Zhang H,Chen S,Zhao Y,Hua K,Rao C,Wang W,Sun H,Hu S,Zheng Z

    更新日期:2015-06-23 00:00:00

  • Inotropic therapy for refractory congestive heart failure with oral fenoximone (MDL-17,043): poor long-term results despite early hemodynamic and clinical improvement.

    abstract::Thirteen male patients with NYHA class IV congestive heart failure refractory to conventional therapy were treated with oral fenoximone, a new imidazole compound with inotropic and vasodilator effects, for a mean duration of 11 weeks (range 2 to 34). On initial hemodynamic evaluation, the effects of oral fenoximone we...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.71.2.326

    authors: Shah PK,Amin DK,Hulse S,Shellock F,Swan HJ

    更新日期:1985-02-01 00:00:00

  • Tight heart rate control reduces secondary adverse events in patients with type B acute aortic dissection.

    abstract:BACKGROUND:Although type B aortic dissection has been treated with beta blockers to lower the arterial blood pressure (BP), there has been little evidences about reduction in heart rate (HR). We assessed whether tight HR control improved the outcome of medical treatment in patients with aortic dissection. METHODS AND ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.755801

    authors: Kodama K,Nishigami K,Sakamoto T,Sawamura T,Hirayama T,Misumi H,Nakao K

    更新日期:2008-09-30 00:00:00

  • Progesterone regulates cardiac repolarization through a nongenomic pathway: an in vitro patch-clamp and computational modeling study.

    abstract:BACKGROUND:Female sex is an independent risk factor for torsade de pointes in long-QT syndrome. In women, QT interval and torsade de pointes risk fluctuate dynamically during the menstrual cycle and pregnancy. Accumulating clinical evidence suggests a role for progesterone; however, the effect of progesterone on cardia...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.702407

    authors: Nakamura H,Kurokawa J,Bai CX,Asada K,Xu J,Oren RV,Zhu ZI,Clancy CE,Isobe M,Furukawa T

    更新日期:2007-12-18 00:00:00

  • Recombinant staphylokinase variants with altered immunoreactivity. II: Thrombolytic properties and antibody induction.

    abstract:BACKGROUND:The substitution variants K35A,E38A,K74A, E75A,R77A (SakSTAR.M38) and K74A,E75A,R77A,E80A, D82A (SakSTAR.M89) of recombinant staphylokinase (SakSTAR) with reduced antibody reactivity were assayed for thrombolytic potency and antibody induction in animal models and in patients. METHODS AND RESULTS:In a 125I-...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.2.207

    authors: Collen D,Moreau H,Stockx L,Vanderschueren S

    更新日期:1996-07-15 00:00:00

  • Increased carotid wall stress in vascular Ehlers-Danlos syndrome.

    abstract:BACKGROUND:Vascular Ehlers-Danlos syndrome (vEDS), also known as EDS type IV, an inherited disorder of connective tissue, results from mutations in the gene encoding type III procollagen (COL3A1). Affected patients are at risk for arterial dissection or rupture, the main cause of death. To understand the pathogenesis o...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000121741.50315.C2

    authors: Boutouyrie P,Germain DP,Fiessinger JN,Laloux B,Perdu J,Laurent S

    更新日期:2004-03-30 00:00:00

  • Increased plasma levels of brain natriuretic peptide in patients with acute myocardial infarction.

    abstract:BACKGROUND:Brain natriuretic peptide is a novel natriuretic peptide that is secreted predominantly from the ventricles, and its plasma levels have been shown to be markedly increased in patients with chronic congestive heart failure. This study was designed to examine the plasma levels of brain natriuretic peptide as w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.1.82

    authors: Morita E,Yasue H,Yoshimura M,Ogawa H,Jougasaki M,Matsumura T,Mukoyama M,Nakao K

    更新日期:1993-07-01 00:00:00

  • Effects of verapamil on myocardial performance in coronary disease.

    abstract::Verapamil, a calcium antagonist, has been used extensively for treatment of cardiac arrhythmias. Concern persists, however, that it may seriously depress myocardial function in cardiac patients. To investigate this possibility, 20 patients with coronary artery disease (CAD) but no heart failure were given intravenous ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.59.2.313

    authors: Ferlinz J,Easthope JL,Aronow WS

    更新日期:1979-02-01 00:00:00

  • Body-surface maps of heart potentials: tentative localization of pre-excited areas in forty-two Wolff-Parkinson-White patients.

    abstract::Heart potentials were recorded from the entire chest surface in 42 patients suffering from Wolff-Parkinson-White syndrome. We were able to identify six types of surface maps, according to the location of the potential maximum and minimum during the delta wave. For each of these types we suggested the most likely locat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.54.2.251

    authors: De Ambroggi L,Taccardi B,Macchi E

    更新日期:1976-08-01 00:00:00

  • Both hepatic and extrahepatic ABCA1 have discrete and essential functions in the maintenance of plasma high-density lipoprotein cholesterol levels in vivo.

    abstract:BACKGROUND:Extrahepatic tissues have long been considered critical contributors of cholesterol to nascent HDL particles in the reverse cholesterol transport pathway, in which ABCA1 plays the crucial role. Recent studies, however, including both overexpression and deletion of ABCA1 selectively in the liver, have highlig...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.106.621433

    authors: Singaraja RR,Van Eck M,Bissada N,Zimetti F,Collins HL,Hildebrand RB,Hayden A,Brunham LR,Kang MH,Fruchart JC,Van Berkel TJ,Parks JS,Staels B,Rothblat GH,Fiévet C,Hayden MR

    更新日期:2006-09-19 00:00:00

  • Endothelial cell activation by pore-forming structures: pivotal role for interleukin-1alpha.

    abstract:BACKGROUND:Interaction of complement with endothelial cells (ECs) underlies the development of inflammation and coagulation in disease. Assembly of the membrane attack complex (MAC) of complement on EC membrane, like stimulation with cytokines, upregulates tissue factor and cyclooxygenase-2 but does so via the intermed...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.15.1867

    authors: Saadi S,Holzknecht RA,Patte CP,Platt JL

    更新日期:2000-04-18 00:00:00

  • Significance of mild transient release of creatine kinase-MB fraction after percutaneous coronary interventions.

    abstract:BACKGROUND:The clinical significance of minor elevations in creatine kinase-myocardial band isoenzyme (CK-MB) after coronary interventions has not been systematically evaluated. METHODS AND RESULTS:We examined 4484 patients who underwent successful percutaneous transluminal coronary angioplasty or directional coronary...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.7.1528

    authors: Abdelmeguid AE,Topol EJ,Whitlow PL,Sapp SK,Ellis SG

    更新日期:1996-10-01 00:00:00

  • Circulating MicroRNA-30d Is Associated With Response to Cardiac Resynchronization Therapy in Heart Failure and Regulates Cardiomyocyte Apoptosis: A Translational Pilot Study.

    abstract:BACKGROUND:Biomarkers that predict response to cardiac resynchronization therapy (CRT) in heart failure patients with dyssynchrony (HFDYS) would be clinically important. Circulating extracellular microRNAs (miRNAs) have emerged as novel biomarkers that may also play important functional roles, but their relevance as ma...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.114.013220

    authors: Melman YF,Shah R,Danielson K,Xiao J,Simonson B,Barth A,Chakir K,Lewis GD,Lavender Z,Truong QA,Kleber A,Das R,Rosenzweig A,Wang Y,Kass D,Singh JP,Das S

    更新日期:2015-06-23 00:00:00

  • Continuous-wave Doppler echocardiographic detection of pulmonary regurgitation and its application to noninvasive estimation of pulmonary artery pressure.

    abstract::Continuous-wave Doppler echocardiography was used to estimate pulmonary artery pressures by measuring pulmonary regurgitant flow velocity in 21 patients with pulmonary hypertension (mean pulmonary artery pressure greater than or equal to 20 mm Hg) and 24 patients without pulmonary hypertension. The pulmonary regurgita...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.3.484

    authors: Masuyama T,Kodama K,Kitabatake A,Sato H,Nanto S,Inoue M

    更新日期:1986-09-01 00:00:00

  • Comparison of Events Across Bleeding Scales in the ENGAGE AF-TIMI 48 Trial.

    abstract:BACKGROUND:Numerous scales exist for the classification of major bleeding events. Limited data compare the most commonly used bleeding scales within a single at-risk cohort of patients with atrial fibrillation. Here, we analyze bleeding outcomes according to the ISTH (International Society on Thrombosis and Hemostasis)...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.119.041346

    authors: Bergmark BA,Kamphuisen PW,Wiviott SD,Ruff CT,Antman EM,Nordio F,Kuder JF,Mercuri MF,Lanz HJ,Braunwald E,Giugliano RP

    更新日期:2019-11-26 00:00:00