Short- and long-term prognosis of previous and new-onset atrial fibrillation in ST-segment elevation acute myocardial infarction

Autor: José Galcerá-Tomás, Marta Vicente-Gilabert, Antonio Melgarejo-Moreno, Luciano Consuegra-Sánchez, Germán Escudero-García, Leticia Jaulent-Huertas, Nuria Alonso-Fernández, Ángela Díaz-Pastor
Rok vydání: 2013
Předmět:
Zdroj: Revista espanola de cardiologia (English ed.). 68(1)
ISSN: 1885-5857
Popis: Introduction and objectives The impact of atrial fibrillation on the prognosis of myocardial infarction is still the subject of debate. We analyzed the influence of previous and new-onset atrial fibrillation on in-hospital and long-term prognosis in patients with acute myocardial infarction. Methods Prospective study of 4284 patients with ST-segment elevation acute myocardial infarction. We studied all-cause in-hospital and long-term mortality (median, 7.2 years) using adjusted models. Results In total, 3.2% of patients had previous atrial fibrillation and 9.8% had new-onset atrial fibrillation. In general, both groups of patients had a high baseline risk profile and an increased likelihood of in-hospital complications. The crude in-hospital mortality rate was higher in patients with previous atrial fibrillation than in those with new-onset atrial fibrillation (22% vs 12%; P
Databáze: OpenAIRE