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- W4313443646 abstract "Atrial fibrillation (Afib) after percutaneous coronary intervention is not a rare event and it changes the antithrombotic regimens. Identifying risk factors of Afib is interesting to guide its screening. To determine clinical factors associated with the development of Afib. Patients with STEMI who were hospitalized in our coronary care unit during a 25-year period (since 1994) were included in a specific registry. We excluded patients with known Afib on admission. At the end of the follow-up period, patients who developed atrial fibrillation were compared to those who did not. A total of 1609 patients were included in our study. New onset Afib was diagnosed in 106 patients (6.6%). Patients with Afib were older (mean age = 65.58 years; P < 0.01). There were more females (9.7% vs. 5.7%; P = 0.009). Smokers were less likely to develop Afib (5.3% vs. 9.2% P = 0.003). Patients with initial severe clinical presentation were more likely to develop Afib: Those who had acute heart failure at presentation (12% vs. 5%, P < 0.01), more likely if in Killip IV class (16.3% vs. 6.3%, P = 0.009). Also, those who needed mechanical ventilation support or inotropic support (18.2% vs. 5.8%; P < 0.01 and 14.8% vs. 5.2%; P < 0.01 respectively). Decreased left ventricular ejection fraction LVEF before discharge was associated with Afib diagnosis during the next year (mean LVEF 48.3% vs. 53.8%; P = 0.023). Screening atrial fibrillation in patients with initial severe presentation especially in older female adults should be considered. Surprisingly smoking had a protective effect against atrial fibrillation." @default.
- W4313443646 created "2023-01-06" @default.
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- W4313443646 date "2023-01-01" @default.
- W4313443646 modified "2023-09-26" @default.
- W4313443646 title "Predictors of new onset atrial fibrillation after acute myocardial infarction: Post-hoc analysis of a 25 yearlong study" @default.
- W4313443646 doi "https://doi.org/10.1016/j.acvdsp.2022.10.039" @default.
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