Effects of atrial fibrillation/atrial flutter on the short and medium-term prognosis of patients with acute myocardial infarction
- VernacularTitle:急性心肌梗死并发心房颤动/心房扑动对近、中期预后的影响
- Author:
Kejian CUI
;
Shuiming GU
;
Yaoyou DING
;
Yachen ZHANG
;
Yigang LI
;
Hongchao ZHENG
- Publication Type:Journal Article
- Keywords:
Acute myocardial infarction;
Atrial fibrillation;
Atrial fluttler;
mortality;
Prognosis
- From:
Journal of Interventional Radiology
2006;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the influnce of atrial fibrillation(AF)/atrial flutter on the mortality and prognosis of patients with AMI. Methods A total of 297 consecutive patients were studied from Jan.2001 to Dec. 2005 and were categorized into 2 groups according to the presence or absence of AF/atrial flutter. The 30 d and 6 mo mortalities, Killip Grades, cardiogenic shock, arrhythmia and left ventricular ejectory functional (LVEF) 6 months after AMI with Doppler US between the 2 groups were compared. Results The incidence of AF/atrial fluttler was 12.5% with older age, higher Killip Gorade, higher CPK peak, higher rates of previous myocardial infarction and multivascular involvement than those without AF/atrial flutter. The short and medium-term mortalities in AF/atrial flutter group were both significantly higher than those of non-AF/atrial flutter group(P
