Abstract
In patients with ST-segment elevation myocardial infarction (STEMI), it is uncertain whether atrial fibrillation has prognostic implications. There may be a difference between atrial fibrillation before and after reperfusion therapy. In patients with STEMI treated with primary percutaneous coronary intervention (PCI), ECGs were analysed before and after primary PCI. Of the 1623 patients with electrocardiographic data before primary PCI, 53 patients (3.3%) had atrial fibrillation. Patients with atrial fibrillation were older, were more often female, and less often had anterior MI location. Of the 1728 patients with electrocardiographic data after primary PCI, 52 patients (3.0%) had atrial fibrillation. Atrial fibrillation was more common in older patients and in those with Killip class >1. Also patients with occlusion of the right coronary artery or TIMI flow 0 before primary PCI more commonly had AF after the procedure. Not successful reperfusion was also associated with a higher incidence of AF after primary PCI. Although both atrial fibrillation before and after primary PCI were associated with increased mortality, multivariable analyses, adjusting for differences in age, gender and Killip class on admission, revealed that at...Continue Reading
References
Jan 1, 1992·European Heart Journal·S BeharH Reicher-Reiss
Jun 1, 1970·American Heart Journal·M Klass, L J Haywood
Mar 1, 1994·Circulation·D ChiribogaJ S Alpert
Aug 1, 1997·Journal of the American College of Cardiology·B S CrenshawR M Califf
Apr 7, 1998·Circulation·M EldarS Behar
Mar 7, 2000·Circulation·S S RathoreA J Solomon
Oct 17, 2001·Heart·F PizzettiUNKNOWN GISSI-3 Investigators
Apr 2, 2003·Circulation·Hani SinnoStanley Nattel
Nov 12, 2003·The American Journal of Cardiology·Kunihiro KinjoUNKNOWN Osaka Acute Coronary Insufficiency Study (OACIS) Group
Dec 25, 2004·European Heart Journal·Mika LehtoUNKNOWN OPTIMAAL investigators
Jun 1, 2005·European Journal of Heart Failure·Milika AsaninMiodrag Ostojic
Jul 12, 2005·International Journal of Cardiology·Milika AsaninZorana Vasiljevic
Sep 2, 2006·Cardiology·Milika AsaninMiodrag Ostojic
Jun 9, 2009·European Heart Journal·Renato D LopesChristopher B Granger
Jul 7, 2009·The American Journal of Cardiology·Jane S SaczynskiRobert J Goldberg
Jan 5, 2011·Circulation·Kunihiro NishidaStanley Nattel
Apr 6, 2011·Circulation·Patricia JabreXavier Jouven
Citations
Oct 12, 2013·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·M J de Boer
Mar 7, 2012·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·J R de Groot
Nov 2, 2013·The American Journal of Cardiology·A Garvey ReneGregg W Stone
May 30, 2015·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·P GalA Elvan
Nov 4, 2015·Archives of Cardiovascular Diseases·Karim StamboulYves Cottin
Feb 20, 2015·European Heart Journal. Acute Cardiovascular Care·Pim GalArif Elvan
Dec 6, 2014·Expert Review of Cardiovascular Therapy·Ilker DurakBulent Gorenek
Sep 14, 2017·Scientific Reports·Weidan PuShuqiao Yao
Oct 1, 2019·Coronary Artery Disease·Ersin YildirimAhmet Zengin
Jul 3, 2019·European Child & Adolescent Psychiatry·Yali JiangHengyi Rao
Apr 23, 2019·Journal of Arrhythmia·Mizuyoshi NagaiYoshihiro Morino