Significance of atrial fibrillation/atrial flutter in prognosis in patients with primary percutaneous coronary intervention
- VernacularTitle:心房颤动/心房扑动对急性心肌梗死后急诊经皮冠状动脉介入术患者近期预后的影响
- Author:
Yangchun ZOU
;
Xinchun YANG
;
Lefeng WANG
- Publication Type:Journal Article
- Keywords:
Atrial fibrillation;
Atrial fluttler;
Myocardial infarction;
Angioplasty, transluminal, percutaneous coronary
- From:
Chinese Journal of Interventional Cardiology
2003;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective Previous studies have reported that the incidence of atrial fibrillation (AF)/atrial fluttler in patients with AMI who were treated with thrombolysis is 7%-10%. However, little is known concerning the incidence of AF/atrial fluttler and its effects on the prognosis of patients with AMI who are treated with PCI. Methods A total of 668 consecutive patients were studied in Beijing Chaoyang Hospital from Nov. 2000 to Jan. 2004. Patients were categorized into 2 groups according to the presence of AF/ atrial flutter. Results The results showed that the incidence of AF/atrial fluttler was 10% and that the patients with AF/atrial fluttler were older, were in higher Killip classes, had higher rates of previous myocardial infarction and previous cerebrovascular diseases, multivessel disease, and had poorer reperfusion of the infarc-related artery than those without AF/atrial fluttler. Patients with AF/atrial fluttler had higher in-hospital (11.9% vs 5.3%, P
