Prognostic Impact of Cardiorenal Anemia Syndrome in Patients With Atrial Functional Mitral Regurgitation ― Subanalysis From REVEAL-AFMR Registry ―

Background: Atrial functional mitral regurgitation (AFMR) frequently affects older patients, but the high-risk patient subgroups requiring careful follow-up and targeted therapy remain unclear. AFMR causes venous congestion and reduced forward cardiac output, which may accelerate chronic kidney disease (CKD) and anemia. Cardiorenal anemia syndrome (CRAS) is a known prognostic factor in heart failure (HF), and AFMR-specific hemodynamic disturbances may amplify its consequences. The aim of this study was to evaluate the impact of CRAS on cardiovascular outcomes in AFMR.

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Journal
Circulation Reports
Published
2026-06-08
DOI
https://doi.org/10.1253/circrep.cr-26-0045
Primary Topic
Cardiovascular Function and Risk Factors
Type
article
Field-Weighted Citation Impact
0.00

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article

Prognostic Impact of Cardiorenal Anemia Syndrome in Patients With Atrial Functional Mitral Regurgitation ― Subanalysis From REVEAL-AFMR Registry ―

Madoka Sano, Kojiro Morita, Taiji Okada, Y Sato et al.
Circulation Reports
Cardiovascular Function and Risk Factors
article

Prognostic Impact of Cardiorenal Anemia Syndrome in Patients With Atrial Functional Mitral Regurgitation ― Subanalysis From REVEAL-AFMR Registry ―

Madoka Sano, Kojiro Morita, Taiji Okada, Y Sato, K Sato, Y Abe, on behalf of the REVEAL-AFMR Study Group, Yohei Ohno, Nobuyuki Kagiyama, Yutaka Furukawa, Masaru Obokata, Tomoko Machino-Ohtsuka, Tomohiro Kaneko, Masashi Amano
article en

Abstract

Background: Atrial functional mitral regurgitation (AFMR) frequently affects older patients, but the high-risk patient subgroups requiring careful follow-up and targeted therapy remain unclear. AFMR causes venous congestion and reduced forward cardiac output, which may accelerate chronic kidney disease (CKD) and anemia. Cardiorenal anemia syndrome (CRAS) is a known prognostic factor in heart failure (HF), and AFMR-specific hemodynamic disturbances may amplify its consequences. The aim of this study was to evaluate the impact of CRAS on cardiovascular outcomes in AFMR.

Circulation Reports
Tokai University (JP), University of Tsukuba (JP), St. Marianna University School of Medicine (JP), Gunma University (JP), Shimane University (JP), Juntendo University (JP), Osaka City General Hospital (JP), National Cerebral and Cardiovascular Center (JP), Kobe City Medical Center General Hospital (JP), The University of Tokyo (JP)
Eli Lilly and Company, AstraZeneca, Japan Agency for Medical Research and Development, Boehringer Ingelheim Japan, Nippon Shinyaku, Fukuda Foundation for Medical Technology, Japanese Circulation Society, Mochida Memorial Foundation for Medical and Pharmaceutical Research, Otsuka Pharmaceutical, Japan Society for the Promotion of Science, Daiichi Sankyo Europe
Openalex Percentile: Top 7%
Cardiovascular Function and Risk Factors
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