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SCI 발표논문

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Sci Rep. 2019;9(1):15503.

Association between Atrial Fibrillation, Myocardial Infarction, Heart Failure and Mortality in Patients with Nontuberculous Mycobacterial Infection: a nationwide population-based study.

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제1저자 박찬순 · 교신저자 최의근

소속 (5)
  1. Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
  2. Graduate School of Medical Science and Engineering, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
  3. Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea. choiek17@snu.ac.kr.
  4. Department of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
  5. Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

NTM infection demonstrates an increasing incidence and prevalence. We studied the impact of NTM in cardiovascular events. Using the Korean nationwide database, we included newly diagnosed 1,730 NTM patients between 2005 and 2008 and followed up for new-onset atrial fibrillation (AF), myocardial infarction (MI), heart failure (HF), ischemic stroke (IS), and death. Covariates-matched non-NTM subjects (1:5, n = 8,650) were selected and analyzed. Also, NTM infection was classified into indolent or progressive NTM for risk stratification. During 4.16 ± 1.15 years of the follow-up period, AF, MI, HF, IS, and death were newly diagnosed in 87, 125, 121, 162, and 468 patients. In multivariate analysis, NTM group showed an increased risk of AF (hazard ratio [HR] 2.307, 95% confidence interval [CI] 1.560-3.412) and all-cause death (HR 1.751, 95% CI 1.412-2.172) compared to non-NTM subjects, whereas no significant difference in MI (HR 0.868, 95% CI 0.461-1.634), HF (HR 1.259, 95% CI 0.896-2.016), and IS (HR 1.429, 95% CI 0.981-2.080). After stratification, 1,730 NTM patients were stratified into 1,375 (79.5%) indolent NTM group and 355 (20.5%) progressive NTM group. Progressive NTM showed an increased risk of AF and mortality than indolent NTM group. Screening for AF and IS prevention would be appropriate in these high-risk patients.

Figures

Figure 1
Figure 1 Cardiovascular outcomes according to NTM infection. The Kaplan-Meier survival curves for myocardial infarction, atrial fibrillation, heart failure, ischemic stroke, and all-cause death are presented. Patients with NTM infection showed a higher risk of atrial fibrillation and mortality than those without infection, but not myocardial infarction or heart failure. NTM, nontuberculous mycobacteria.
Figure 2
Figure 2 Cardiovascular outcomes according to indolent and progressive NTM infection. Kaplan-Meier survival analyses were performed to evaluate the prognostic impact on myocardial infarction, atrial fibrillation, heart failure, ischemic stroke, and all-cause death according to indolent and progressive NTM infection. NTM, nontuberculous mycobacteria.
Figure 3
Figure 3 Study flow chart. NTM, nontuberculous mycobacteria.

그림 출처: PubMed Central 공개 논문 (PMC6820717)

Conflict of interest statement

The authors declare no competing interests.

그 밖의 정보
출판 형태
Journal Article
저널
Scientific reports · eISSN 2045-2322
전자 출판
2019-10-29
MeSH
Adult · Atrial Fibrillation / complications / mortality · Cause of Death · Female · Heart Failure / complications / mortality · Humans · Incidence · Male · Middle Aged · Mycobacterium Infections / complications / epidemiology · Myocardial Infarction / complications / mortality · Population Surveillance* · Prevalence · Republic of Korea / epidemiology · Young Adult
참고문헌
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