Clinical and Prognostic Significance of Atrial Fibrillation in Acute Myocardial Infarction

Sakata, Konomi; Kurihara, Hiroaki; Iwamori, Kiyotake; Maki, Akira; Yoshino, Hideaki; Yanagisawa, Atsuo; Ishikawa, Kinya

doi:10.1016/s0002-9149(97)00746-7

Cited by 110 publications

(71 citation statements)

References 14 publications

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“…The occurrence of newonset AF has been reported to be around 10% in the setting of acute myocardial infarction (AMI) with and without reperfusion therapy. [1][2][3][4] In the current study, the incidence of AF was found to be 10.9% (85/783). Therefore, the finding of the current study was consistent with the findings of previous studies.…”

Section: Discussionsupporting

confidence: 46%

“…Therefore, the finding of the current study was consistent with the findings of previous studies. [1][2][3][4] The causal etiologies of AF in the setting of AMI that have been fully established include atrial ischemia or infarction, pericardial inflammation, acute hypoxia or electrolytemetabolic imbalance, and hemodynamic impairment secondary to left ventricular dysfunction. [18][19][20][21] Additionally, endogenous or exogenous catecholamines may also contribute to AF.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4] Numerous studies have previously established that AF can cause hemodynamic deterioration. A variant ventricular rate followed by irregular ventricular filling and reduced cardiac output that resulted from a lost contribution of atrial click have been proposed as the mechanisms of hemodynamic deterioration.…”

Section: T He Incidence Of New-onset Atrial Fibrillation (Af) Is Re-mentioning

confidence: 99%

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The Prognostic Value of Atrial Fibrillation on 30-Day Clinical Outcome in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

et al. 2011

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SummaryThis study evaluated the association between atrial fibrillation (AF) and 30-day clinical outcome in patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). Between January 2005 and October 2009, 783 consecutive patients with acute STEMI undergoing primary PCI were enrolled. Of these patients, 85 (10.9%) with AF during admission were categorized into group 1, while the remaining 698 (89.1%) with sinus rhythm during admission served as group 2. The results demonstrated that the incidence of advanced Killip score (defined as ≥ score 3) and advanced congestive heart failure (defined as ≥ NYHA class 3) were significantly higher, whereas the left ventricular ejection fraction (LVEF) was notably lower in group 1 than in group 2 (all P < 0.003). Additionally, the normal blood flow in the infarct-related artery was notably lower in group 1 than in group 2 (P = 0.003). Moreover, the incidences of new-onset stroke and 30-day mortality were remarkably higher in group 1 than in group 2 (all P < 0.003). Furthermore, Kaplan-Meier analysis demonstrated that the 30-day survival rate was markedly lower in AF patients than in those with sinus rhythm. However, multivariate stepwise Cox regression analysis demonstrated that the advanced Killip score and low LVEF were significantly and independently predictive of 30-day mortality (all P < 0.004). In conclusion, AF was significantly associated with 30-day mortality. (Int Heart J 2011; 52: 153-158)

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Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 99%

Section: T He Incidence Of New-onset Atrial Fibrillation (Af) Is Re-mentioning

confidence: 99%

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The Prognostic Value of Atrial Fibrillation on 30-Day Clinical Outcome in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

et al. 2011

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“…Studies have shown that AF occurring 24 h or more after the onset of acute MI tend to be associated more with anterior MI (25). Occlusion of the medial left anterior descending artery would be expected to cause heart failure to some extent.…”

Section: Limitationsmentioning

confidence: 99%

Acetylcholine-regulated K+ current remodelling in the atrium after myocardial infarction and valsartan administration

Zhao

Huang

Jiang

et al. 2009

Canadian Journal of Cardiology

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“…Bei etwa 25% der Patienten mit Vorhofflimmern besteht eine koronare Herzerkrankung (16). Patienten mit akutem Myokardinfarkt haben in 10-11% Vorhofflimmern (12,22). Eine rheumatische Klappenerkrankung erhöht das Risiko, Vorhofflimmern zu entwickeln, um das 1,8-Fache (5 …”

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Vorhofflimmern - Diagnostik

Jung¹,

Böhm²

2001

Dtsch med Wochenschr

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Vorhofflimmern stellt mit einer Prävalenz von 0,4-0,9% der Erwachsenenbevölkerung die häufigste anhaltende Herzrhythmusstörung dar. Es wird geschätzt, dass in der Bundesrepublik Deutschland etwa 600 000 Menschen betroffen sind. Die Häufigkeit dieser Arrhythmie nimmt in Abhängigkeit vom Alter ab dem 40. Lebensjahr um etwa 0,1-0,2% pro Jahr zu und liegt bei der Bevölkerungsgruppe über 60 Jahre bei 2-4% (16,21). Neben dem Alter begünstigen insbesondere kardiovaskuläre Begleiterkrankungen das Auftreten von Vorhofflimmern. Bei etwa 25% der Patienten mit Vorhofflimmern besteht eine koronare Herzerkrankung (16). Patienten mit akutem Myokardinfarkt haben in 10-11% Vorhofflimmern (12,22). Eine rheumatische Klappenerkrankung erhöht das Risiko, Vorhofflimmern zu entwickeln, um das 1,8-Fache (5). Die Prävalenz von Vorhofflimmern kann bei Patienten mit einer manifesten Herzinsuffizienz bis zu 40% erreichen (5).

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Clinical and Prognostic Significance of Atrial Fibrillation in Acute Myocardial Infarction

Cited by 110 publications

References 14 publications

The Prognostic Value of Atrial Fibrillation on 30-Day Clinical Outcome in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

The Prognostic Value of Atrial Fibrillation on 30-Day Clinical Outcome in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

Acetylcholine-regulated K+ current remodelling in the atrium after myocardial infarction and valsartan administration

Vorhofflimmern - Diagnostik

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