Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction
The large epidemiological studies demonstrated that atrial fibrillation is correlated with high mortality and adverse events in patients with acute myocardial infarction. The aim of this study was to determinate predictors of atrial fibrillation develop during the hospital period in patients with ac...
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doaj-b57f8f51d1ca4f9c9e63190c284a961d2021-10-02T10:03:47ZengDe GruyterOpen Medicine2391-54632017-05-0112111512410.1515/med-2017-0018med-2017-0018Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarctionVukmirović Mihailo0Bošković Aneta1Tomašević Vukmirović Irena2Vujadinovic Radoje3Fatić Nikola4Bukumirić Zoran5Vukmirović Filip6Department of Cardiology, Clinical Center of Montenegro, Montenegro, 20000 PodgoricaDepartment of Cardiology, Clinical Center of Montenegro, Montenegro, 20000 PodgoricaDepartment of Radiology, Clinical Center of Montenegro, Montenegro, 20000 PodgoricaFaculty of mechanical engineering, University of Montenegro, Montenegro, 20000 PodgoricaDepartment of Vascular Surgery, Clinical Centre of Montenegro, Ljubljanska 1, Montenegro, 20000 PodgoricaInstitute of Medical Statistics and Informatics, Medical School, Belgrade, SerbiaDepartment of Pathology Clinical Centre of Montenegro, Montenegro, 20000 PodgoricaThe large epidemiological studies demonstrated that atrial fibrillation is correlated with high mortality and adverse events in patients with acute myocardial infarction. The aim of this study was to determinate predictors of atrial fibrillation develop during the hospital period in patients with acute myocardial infarction as well as short- and long-term mortality depending on the atrial fibrillation presentation. The 600 patients with an acute myocardial infarction were included in the study and follow-up 84 months. Atrial fibrillation develops during the hospital period was registered in 48 patients (8%). After adjustment by logistic regression model the strongest predictor of atrial fibrillation develop during the hospital period was older age, particularly more than 70 years (odds ratio 2.37, CI 1.23-4.58, p=0.010), followed by increased of Body Mass Index (odds ratio 1.17, CI 1.04-1.33, p=0.012), enlarged diameter of left atrium (LA) (odds ratio 1,18, CI 1,03-1,33, p=0,015) presentation of mitral regurgitation (odds ratio 3.56, CI 1.25-10.32, p=0.018) and B-type natriuretic peptide (odds ratio 2.12, CI 1.24-3.33, p=0.048).Patients with atrial fibrillation develop during the hospital period had a higher mortality during the hospital course (10.4% vs. 5.6%) p=0.179. as well as follow-up period of 84 months than patients without it (64.6% vs. 39.1%) p=0.569, than patients without it, but without statistically significance. Patients with AF develop during the hospital period had higher mortality during the hospital course as well as follow up period of 84 months than patients without it, but without statistically significance.http://www.degruyter.com/view/j/med.2017.12.issue-1/med-2017-0018/med-2017-0018.xml?format=INTAtrial fibrillationAcute myocardial infarctionSTEMINSTEMI |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Vukmirović Mihailo Bošković Aneta Tomašević Vukmirović Irena Vujadinovic Radoje Fatić Nikola Bukumirić Zoran Vukmirović Filip |
spellingShingle |
Vukmirović Mihailo Bošković Aneta Tomašević Vukmirović Irena Vujadinovic Radoje Fatić Nikola Bukumirić Zoran Vukmirović Filip Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction Open Medicine Atrial fibrillation Acute myocardial infarction STEMI NSTEMI |
author_facet |
Vukmirović Mihailo Bošković Aneta Tomašević Vukmirović Irena Vujadinovic Radoje Fatić Nikola Bukumirić Zoran Vukmirović Filip |
author_sort |
Vukmirović Mihailo |
title |
Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction |
title_short |
Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction |
title_full |
Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction |
title_fullStr |
Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction |
title_full_unstemmed |
Predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction |
title_sort |
predictions and outcomes of atrial fibrillation in the patients with acute myocardial infarction |
publisher |
De Gruyter |
series |
Open Medicine |
issn |
2391-5463 |
publishDate |
2017-05-01 |
description |
The large epidemiological studies demonstrated that atrial fibrillation is correlated with high mortality and adverse events in patients with acute myocardial infarction. The aim of this study was to determinate predictors of atrial fibrillation develop during the hospital period in patients with acute myocardial infarction as well as short- and long-term mortality depending on the atrial fibrillation presentation. The 600 patients with an acute myocardial infarction were included in the study and follow-up 84 months. Atrial fibrillation develops during the hospital period was registered in 48 patients (8%). After adjustment by logistic regression model the strongest predictor of atrial fibrillation develop during the hospital period was older age, particularly more than 70 years (odds ratio 2.37, CI 1.23-4.58, p=0.010), followed by increased of Body Mass Index (odds ratio 1.17, CI 1.04-1.33, p=0.012), enlarged diameter of left atrium (LA) (odds ratio 1,18, CI 1,03-1,33, p=0,015) presentation of mitral regurgitation (odds ratio 3.56, CI 1.25-10.32, p=0.018) and B-type natriuretic peptide (odds ratio 2.12, CI 1.24-3.33, p=0.048).Patients with atrial fibrillation develop during the hospital period had a higher mortality during the hospital course (10.4% vs. 5.6%) p=0.179. as well as follow-up period of 84 months than patients without it (64.6% vs. 39.1%) p=0.569, than patients without it, but without statistically significance. Patients with AF develop during the hospital period had higher mortality during the hospital course as well as follow up period of 84 months than patients without it, but without statistically significance. |
topic |
Atrial fibrillation Acute myocardial infarction STEMI NSTEMI |
url |
http://www.degruyter.com/view/j/med.2017.12.issue-1/med-2017-0018/med-2017-0018.xml?format=INT |
work_keys_str_mv |
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