PMID- 19590139 OWN - NLM STAT- MEDLINE DCOM- 20091105 LR - 20190819 IS - 1347-4820 (Electronic) IS - 1346-9843 (Linking) VI - 73 IP - 9 DP - 2009 Sep TI - Clinical impact of atrial fibrillation in patients with hypertrophic cardiomyopathy. Results from Kochi RYOMA Study. PG - 1599-605 AB - BACKGROUND: There have been few studies of the clinical features of hypertrophic cardiomyopathy (HCM) in a community-based patient cohort in Japan. METHODS AND RESULTS: Cardiomyopathy registration was established in Kochi Prefecture and named the Kochi RYOMA (registry of myocardial diseases) study, consisting of 9 hospitals that registered 261 patients with a diagnosis of HCM. At registration, 74 patients (28%) had documented paroxysmal or chronic atrial fibrillation (AF). Although most patients (93%) were in New York Heart Association (NYHA) class I or II, 17 of the 18 patients in NYHA III had AF; 37 of the 74 patients with AF suffered from morbid events (embolism and/or heart failure (HF) admission), and 15 of 19 patients with embolic events had AF prior to or at the time of embolism. Of the 29 patients who had a history of HF admission, 8 had left ventricular systolic dysfunction, and the other 21 patients were hospitalized because of diastolic HF. AF occurred prior to HF in 20 of those 21 patients. Furthermore, 19 of those 20 patients with AF and diastolic HF were hospitalized within 1 year after detection of AF. CONCLUSIONS: In an unselected regional registry, AF was the major determinant of clinical deteriorations in patients with HCM. FAU - Kubo, Toru AU - Kubo T AD - Department of Medicine and Geriatrics, Kochi Medical School, Nankoku, Japan. FAU - Kitaoka, Hiroaki AU - Kitaoka H FAU - Okawa, Makoto AU - Okawa M FAU - Hirota, Takayoshi AU - Hirota T FAU - Hayato, Kayo AU - Hayato K FAU - Yamasaki, Naohito AU - Yamasaki N FAU - Matsumura, Yoshihisa AU - Matsumura Y FAU - Yabe, Toshikazu AU - Yabe T FAU - Takata, Jun AU - Takata J FAU - Doi, Yoshinori L AU - Doi YL LA - eng PT - Journal Article PT - Multicenter Study DEP - 20090709 PL - Japan TA - Circ J JT - Circulation journal : official journal of the Japanese Circulation Society JID - 101137683 SB - IM CIN - Circ J. 2009 Sep;73(9):1589-90. PMID: 19706983 MH - Adolescent MH - Adult MH - Age Distribution MH - Aged MH - Aged, 80 and over MH - Atrial Fibrillation/*epidemiology/etiology/therapy MH - Cardiomyopathy, Hypertrophic/complications/*epidemiology/therapy MH - Child MH - Disease Progression MH - Embolism/*epidemiology/etiology/therapy MH - Female MH - Heart Failure/*epidemiology/etiology/therapy MH - Humans MH - Japan/epidemiology MH - Male MH - Middle Aged MH - Prevalence MH - Registries MH - Retrospective Studies MH - Severity of Illness Index MH - Time Factors MH - Young Adult EDAT- 2009/07/11 09:00 MHDA- 2009/11/06 06:00 CRDT- 2009/07/11 09:00 PHST- 2009/07/11 09:00 [entrez] PHST- 2009/07/11 09:00 [pubmed] PHST- 2009/11/06 06:00 [medline] AID - JST.JSTAGE/circj/CJ-09-0140 [pii] AID - 10.1253/circj.cj-09-0140 [doi] PST - ppublish SO - Circ J. 2009 Sep;73(9):1599-605. doi: 10.1253/circj.cj-09-0140. Epub 2009 Jul 9.