Coronary Embolism Among Patients With ST‐Segment–Elevation Myocardial Infarction and Atrial Fibrillation: An Underrecognized But Deadly Association

Autor: Batric Popovic, Jeanne Varlot, Lisa Humbertjean, Jean Marc Sellal, Nathalie Pace, Nefissa Hammache, Renaud Fay, Florian Eggenspieler, Pierre Adrien Metzdorf, Edoardo Camenzind
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 13, Iss 10 (2024)
Druh dokumentu: article
ISSN: 2047-9980
DOI: 10.1161/JAHA.123.032199
Popis: Background The prevalence and impact of coronary emboli (CE) in patients with ST‐segment–elevation myocardial infarction (STEMI) and atrial fibrillation (AF) have not been specifically studied. The objective was to describe the clinical characteristics and outcomes of patients with AF and CE in a large series of patients with STEMI. Methods and Results We investigated 2292 consecutive patients with STEMI and among them 225 patients with AF: 46 patients with a STEMI related to CE (group A) and 179 patients with a STEMI related to an atherosclerotic cause (group B). Compared with the 2067 patients without AF and CE (group C), patients with AF and CE were older (73 versus 59 years, P
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