Prognosis of silent atrial fibrillation after acute myocardial infarction at 1-year follow-up

Stamboul, Karim; Zeller, Marianne; Fauchier, Laurent; Gudjoncik, Aurélie; Buffet, Philippe; Garnier, Fabien; Guenancia, Charles; Lorgis, Luc; Beer, Jean Claude; Touzery, Claude; Cottin, Yves

doi:10.1136/heartjnl-2014-307253

Cited by 24 publications

(16 citation statements)

References 18 publications

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“…Patients with AF develop during the hospital period are older as well as with higher rate of hypertension (HTA) and heart failure (HF) which may contribute to the worse outcome [1,2,7–9,12–16] Atrial fibrillation may precipitate the occurrence of severe ventricular arrhythmias which may lead to sudden death in these patients [17]. The large numbers of research has been done in patients with ST-elevation myocardial infarction (STEMI), but some studies have also included patients [18–21] with non-ST-elevation myocardial infarction (NSTEMI) [12,17,22]. However, there are a small number of research that examined the association between AF develops during the hospital period and clinical outcomes among patients with both STEMI and NSTEMI [2].…”

Section: Introductionmentioning

confidence: 99%

Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction

et al. 2017

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AbstractThe large epidemiological studies demonstrated that atrial fibrillation is correlated with high mortality and adverse events in patients with acute myocardial infarction. The aim of this study was to determinate predictors of atrial fibrillation develop during the hospital period in patients with acute myocardial infarction as well as short- and long-term mortality depending on the atrial fibrillation presentation. The 600 patients with an acute myocardial infarction were included in the study and follow-up 84 months. Atrial fibrillation develops during the hospital period was registered in 48 patients (8%). After adjustment by logistic regression model the strongest predictor of atrial fibrillation develop during the hospital period was older age, particularly more than 70 years (odds ratio 2.37, CI 1.23-4.58, p=0.010), followed by increased of Body Mass Index (odds ratio 1.17, CI 1.04-1.33, p=0.012), enlarged diameter of left atrium (LA) (odds ratio 1,18, CI 1,03-1,33, p=0,015) presentation of mitral regurgitation (odds ratio 3.56, CI 1.25-10.32, p=0.018) and B-type natriuretic peptide (odds ratio 2.12, CI 1.24-3.33, p=0.048).Patients with atrial fibrillation develop during the hospital period had a higher mortality during the hospital course (10.4% vs. 5.6%) p=0.179. as well as follow-up period of 84 months than patients without it (64.6% vs. 39.1%) p=0.569, than patients without it, but without statistically significance. Patients with AF develop during the hospital period had higher mortality during the hospital course as well as follow up period of 84 months than patients without it, but without statistically significance.

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Section: Introductionmentioning

confidence: 99%

Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction

et al. 2017

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“…Для оценки выраженности симптомов, сопровождающих ФП, была разработана шкала EHRA [21]. Согласно ре-комендациям Европейского общества кардиологов, асимптомная, или «немая» ФП часто встречается в общей популяции [22,23], а по данным ряда иссле-дований -у пациентов с ИМ в 3 раза чаще симптом-ной ФП [24,25].…”

Section: New-onset Atrial Fibrillation In Acs впервые возникшая фибриunclassified

“…Пароксизмы ФП, сопровождающиеся симптомами, среди общей группы составили 4,3%. ФП в анамнезе обнаруживалась среди 10% в группе «немой ФП», а в группе с «симптомной ФП» -среди 38% больных (p<0,001) [24].…”

Section: New-onset Atrial Fibrillation In Acs впервые возникшая фибриunclassified

New-Onset Atrial Fibrillation in Settings of Acute Coronary Syndrome. Current Issues

Galjautdinov

Gorelkin

Ibragimova

et al. 2018

Racionalʹnaâ farmakoterapiâ v kardiologii

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451Настоящий обзор посвящен теме впервые возникшей фибрилляции предсердий (ФП) в условиях острого коронарного синдрома (ОКС). Использованы источники литературы баз PubMed, Scopus. ФП часто встречается в общей популяции и в популяции ОКС, при этом выделяют впервые возникшую ФП, и ФП, бывшую на момент развития ОКС. У пожилых пациентов с хронической сердечной недостаточностью, явле-ниями гемодинамической нестабильности и дилатацией левого предсердия возникновение ее более вероятно. Хорошо известно о предик-торах неблагоприятного исхода ОКС. Согласно некоторым данным, впервые возникшая ФП приводит к ухудшению прогноза, по другим данным причина ее сочетания с высоким уровнем летальности обусловлена тяжестью протекания ОКС, и возникновение ее не является не-зависимым предиктором смерти. Отсутствие субъективных симптомов во время пароксизма ФП не позволяет оценить его продолжительность, и тем самым дифференцировать впервые возникший пароксизм и постоянную или персистирующую форму ФП. Удается проследить связь между ишемией миокарда и возникновением ФП. Неэффективная реперфузия во время проведения чрескожного коронарного вмеша-тельства или тромболитической терапии сопровождается возникновением фибрилляции предсердий, напротив, при достижении эффек-тивной проходимости сосуда она возникает реже. Впервые возникшая при ОКС, и, в частности, сопровождающаяся кардиогенным шоком, ФП требует экстренной кардиоверсии: медикаментозной или электроимпульсной. В ряде случаев проведение активной кардиоверсии не требуется, поскольку восстановление синусового ритма происходит спонтанно. Неоднозначность и многофакторность данной проблемы указывает на необходимость более детального понимания механизмов аритмогенеза и разработки инструментов для стратификации рисков возникновения ФП при ОКС.Ключевые слова: фибрилляция предсердий, острый коронарный синдром, левое предсердие, асимптомная фибрилляция предсердий, чрескожное коронарное вмешательство, кардиоэмболический инсульт. The present review is focuses on new onset atrial fibrillation (AF) in conditions of acute coronary syndrome (ACS). Literature sources from PubMed and Scopus was used. AF is common in the general population and in the ACS population, at that new onset AF, and AF, which was by the time of ACS development are determined. Appearance of AF is more likely amongst the elderly patients with congestive heart failure, with signs of the hemodynamic instability and with the left atrium dilatation. It is well-known about the predictors of adverse outcome in ACS. According to some literature data new onset AF leads to worsening of prognosis, and in line with other sources a reason of its association with high level of mortality is due to the severity of ACS and appearance of AF is not independent predictor of death. The absence of subjective symptoms at the time of paroxysm of new onset AF does not allow estimating its duration and distinguishing between the new onset AF, persistent and constant AF. It is possible to trace the relationship between the myocardial ischemia and AF appeara...

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“…47 It was previously suggested that silent AF was three times more common than symptomatic AF after acute MI. 48 This highlights importance of continuous ECG monitoring for all patients with MI to detect AF.…”

Section: Prognosis Of Silent Af After Myocardial Infarctionmentioning

confidence: 99%

Almanac 2015: atrial fibrillation research in Heart

Jawad-Ul-Qamar¹,

Kirchhof²

2016

Cardiol Croat.

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Atrial fibrillation continues to attract interest in the cardiovascular community and in Heart. Over 60 original research and review papers published in Heart in 2014-2015 cover various aspects of atrial fibrillation, from associated conditions and precipitating factors to new approaches to management. Here, we provide an overview of articles on atrial fibrillation published in Heart in 2014-2015, highlighting new developments, emerging concepts and novel approaches to treatment.

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Prognosis of silent atrial fibrillation after acute myocardial infarction at 1-year follow-up

Abstract: Our large prospective study showed for the first time that silent AF is associated with worse 1-year prognosis after AMI. Systematic screening and specific management should be investigated in order to improve outcomes of patients after AMI.

Cited by 24 publications

References 18 publications

Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction

Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction

New-Onset Atrial Fibrillation in Settings of Acute Coronary Syndrome. Current Issues

Almanac 2015: atrial fibrillation research in Heart

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