Trends in the Incidence and In-Hospital Outcomes of Patients With Atrial Fibrillation Complicated by Non-ST-Segment Elevation Myocardial Infarction

Angiology
Gbolahan O OgunbayoClaude S Elayi

Abstract

Atrial fibrillation (AF) can present with non-ST-segment elevation myocardial infarction (NSTEMI). The incidence, characteristics, outcomes, and treatment of this subgroup of patients with AF remains poorly studied. Using data from the National Inpatient Sample database, we (1) compared baseline characteristics of patients with AF with/without NSTEMI, (2) evaluated their outcomes and associated trends over the study period (2004-2013), and (3) evaluated revascularization (by percutaneous coronary intervention or coronary artery bypass graft [CABG]) and the impact on patient outcomes. Of the 3 923 436 patients admitted with a primary diagnosis of AF, 47 785 (1.2%) had a secondary diagnosis of NSTEMI. In this subgroup with AF and NSTEMI, there was a significant trend toward a decrease in mortality ( P = .002), stroke ( P < .001), and gastrointestinal bleeding ( P < .001) during the study period. Compared to unrevascularized patients, revascularized patients were more likely to be younger (72.2 ± 10.2 vs 77.0 ± 11.8 years old, P < .001), male (57.8 vs 42.7%, P < .001), and had a much higher incidence of coronary risk factors. Revascularization was associated with increased survival in multivariable analysis (odds ratio: 0.562, 95%...Continue Reading

References

Oct 12, 2000·Journal of the American College of Cardiology·P J ZimetbaumD J Cohen
Nov 27, 2007·Journal of the American College of Cardiology·Kristian ThygesenUNKNOWN Joint ESC/ACCF/AHA/WHF Task Force for the Redefinition of Myocardial Infarction
Jun 26, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Amer AlshekhleeSalvador Cruz-Flores
Dec 29, 2010·The American Journal of Medicine·David D McManusRobert J Goldberg
Jun 10, 2011·International Journal of Emergency Medicine·Nazanin MeshkatAmanda Marcuzzi
Feb 13, 2013·The American Journal of Emergency Medicine·Alberto ContiGian Franco Gensini
Apr 30, 2013·International Journal of Cardiology·Abdul Shokor ParwaniWilhelm Haverkamp
Jul 28, 2013·International Journal of Cardiology·Rui ProvidênciaAna Faustino
Nov 6, 2013·JAMA Internal Medicine·Elsayed Z SolimanMary Cushman
Jan 25, 2014·International Journal of Cardiology·Abdul S Parwani, Leif-Hendrik Boldt
May 20, 2015·Nature Reviews. Cardiology·Gregory B Lim
Jan 19, 2016·JACC. Cardiovascular Interventions·Aleksandra MilosevicGoran Stankovic
Mar 26, 2016·Journal of the American College of Cardiology·Muthiah VaduganathanUNKNOWN COGENT Investigators
May 22, 2016·Journal of the American Heart Association·Francesco VioliDaniele Pastori
Jun 15, 2016·PloS One·Joe G ZeinUNKNOWN Severe Asthma Research Program
Jul 25, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Gbolahan O OgunbayoClaude S Elayi

❮ Previous
Next ❯

Methods Mentioned

BETA
coronary artery bypass

Software Mentioned

SPSS Statistics
SPSS

Related Concepts

Related Feeds

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

© 2022 Meta ULC. All rights reserved