“…For instance, in comparison with community-based studies of HF from the USA and Europe, Japanese cohort studies have demonstrated that mean age, prevalence of preserved EF, and trends in seasonal variation are comparable, but that the incidence of HF is obviously lower. 18 Therefore, it is of critical importance to analyze Japanese registry data enrolled HF patients. Previous Japanese cohort studies of HF patients have also reported that AF is not a significant risk factor for cardiac death.…”