PMID- 28969967
OWN - NLM
STAT- MEDLINE
DCOM- 20180530
LR  - 20181202
IS  - 1876-4738 (Electronic)
IS  - 0914-5087 (Linking)
VI  - 71
IP  - 2
DP  - 2018 Feb
TI  - Clinical factors associated with the development of atrial fibrillation in the 
      year following STEMI treated by primary PCI.
PG  - 125-128
LID - S0914-5087(17)30236-8 [pii]
LID - 10.1016/j.jjcc.2017.08.004 [doi]
AB  - BACKGROUND: Advanced age, poor left ventricular function, and congestive heart 
      failure are known predictors of atrial fibrillation (AF) in acute myocardial 
      infarction (AMI) patients. Recent advances in AMI treatment may have changed the 
      occurrence of new-onset AF. Thus, we investigated the factors associated with the 
      development of new-onset AF in ST elevation myocardial infarction (STEMI) 
      patients. METHODS: This study included 527 STEMI patients [mean age, 60.6+/-12.8 
      years; 102 (19.4%) women] who underwent primary percutaneous coronary 
      intervention (PCI) in the previous 7 years. New-onset AF was evaluated following 
      STEMI treated by primary PCI. Patients who developed AF during this follow-up 
      period were compared with those who did not develop AF to identify factors that 
      were associated with the development of AF. RESULTS: New-onset AF was documented 
      in 81 patients (15.4%) at 1 year after STEMI. Patients with new-onset AF (n=81) 
      tended to be older (p<0.001); were more often female (p=0.009); had more 
      congestive heart failure (p=0.015); had less use of beta-blockers (p=0.001); had 
      more often used antiarrhythmic drugs (p<0.001); experienced cardiogenic shock 
      more frequently (p=0.038); had lower left ventricular ejection fraction 
      (p=0.024); and had higher E velocity (p<0.001), E/e' (p=0.011), and left atrial 
      volume index (LAVI; p=0.029) than the 446 patients with no AF. Multivariate 
      regression analysis revealed that cardiogenic shock, LAVI, and age were 
      predictors of new-onset AF in STEMI patients (OR 2.823, 1.254, and 1.124; 
      p=0.005, <0.001, and 0.028, respectively). CONCLUSION: Cardiogenic shock was a 
      new predictor of new-onset AF in STEMI patients.
CI  - Copyright (c) 2017 Japanese College of Cardiology. Published by Elsevier Ltd. All 
      rights reserved.
FAU - Rhyou, Hyo-In
AU  - Rhyou HI
AD  - Department of Cardiology, Dong-A University Hospital, Busan, Republic of Korea.
FAU - Park, Tae-Ho
AU  - Park TH
AD  - Department of Cardiology, Dong-A University Hospital, Busan, Republic of Korea. 
      Electronic address: thpark65@dau.ac.kr.
FAU - Cho, Young-Rak
AU  - Cho YR
AD  - Department of Cardiology, Dong-A University Hospital, Busan, Republic of Korea.
FAU - Park, Kyungil
AU  - Park K
AD  - Department of Cardiology, Dong-A University Hospital, Busan, Republic of Korea.
FAU - Park, Jong-Sung
AU  - Park JS
AD  - Department of Cardiology, Dong-A University Hospital, Busan, Republic of Korea.
FAU - Kim, Moo-Hyun
AU  - Kim MH
AD  - Department of Cardiology, Dong-A University Hospital, Busan, Republic of Korea.
FAU - Kim, Young-Dae
AU  - Kim YD
AD  - Department of Cardiology, Dong-A University Hospital, Busan, Republic of Korea.
LA  - eng
PT  - Journal Article
DEP - 20170929
PL  - Netherlands
TA  - J Cardiol
JT  - Journal of cardiology
JID - 8804703
SB  - IM
MH  - Aged
MH  - Atrial Fibrillation/complications/*epidemiology/physiopathology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - *Percutaneous Coronary Intervention
MH  - ST Elevation Myocardial Infarction/epidemiology/physiopathology/*surgery
MH  - Shock, Cardiogenic/*epidemiology/physiopathology
MH  - Ventricular Function, Left
OTO - NOTNLM
OT  - Atrial fibrillation
OT  - Cardiogenic shock
OT  - ST elevation myocardial infarction
EDAT- 2017/10/04 06:00
MHDA- 2018/05/31 06:00
CRDT- 2017/10/04 06:00
PHST- 2017/05/16 00:00 [received]
PHST- 2017/07/26 00:00 [revised]
PHST- 2017/08/24 00:00 [accepted]
PHST- 2017/10/04 06:00 [pubmed]
PHST- 2018/05/31 06:00 [medline]
PHST- 2017/10/04 06:00 [entrez]
AID - S0914-5087(17)30236-8 [pii]
AID - 10.1016/j.jjcc.2017.08.004 [doi]
PST - ppublish
SO  - J Cardiol. 2018 Feb;71(2):125-128. doi: 10.1016/j.jjcc.2017.08.004. Epub 2017 Sep 
      29.