Influence of Atrial Fibrillation on Outcomes in Patients Who Underwent Primary Percutaneous Coronary Intervention for ST-Segment Elevation Myocardial Infarction
Publication/Presentation Date
3-2018
Abstract
Atrial fibrillation (AF) is a common comorbidity among patients presenting with acute ST-segment elevation myocardial infarction (STEMI). Previously, small studies have reported an association between AF and poorer outcomes among STEMI patients. We performed this study to investigate the impact of AF on in-hospital outcomes in STEMI patients treated with primary percutaneous coronary intervention (PPCI) using a large national database. The study population constituted of patients 18 years and older with a primary discharge diagnosis of STEMI and who underwent PPCI. Using a 2:1 matching protocol, matched groups of AF (N = 24,680) and non-AF (N = 49,198) patients were developed. Among 1,493,859 STEMI patients who underwent PPCI, 129,354 (8.7%) patients had AF. In the propensity-matched cohort, adjusted in- hospital mortality was significantly higher for patients with AF compared to patients with no AF (10.3% vs 9.4%) (Adjusted OR: 1.10; CI= 1.06-1.16; p
Volume
121
Issue
6
First Page
684
Last Page
689
Published In/Presented At
Garg, G. Agrawal, S. Agarwal, M. Shah, M. Garg, A. Patel, B. Agarwal, N. Nanda, S. Sharma, A. Cox, D. (2017). Influence of Atrial Fibrillation on Outcomes in Patients Undergoing Primary Percutaneous Coronary Intervention for St-Segment Elevation Myocardial Infarction. American Journal of Cardiology, 121(6), 684-689. doi.org/10.1016/j.amjcard.2017.12.003
Disciplines
Medical Sciences | Medicine and Health Sciences
PubMedID
29394997
Department(s)
Department of Medicine, Cardiology Division, Department of Medicine Faculty
Document Type
Article