scholarly journals Interatrial block as a predictor of atrial fibrillation in patients with ST-segment elevation myocardial infarction

2018 ◽  
Vol 41 (9) ◽  
pp. 1232-1237 ◽  
Author(s):  
Göksel Çinier ◽  
Ahmet İlker Tekkeşin ◽  
Duygu Genç ◽  
Ufuk Yıldız ◽  
Emrecan Parsova ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Atrial Fibrillation ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment ◽  
Interatrial Block

Fragmented QRS may predict new onset atrial fibrillation in patients with ST-segment elevation myocardial infarction

2018 ◽  
Vol 51 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Mahmut Yesin ◽  
Macit Kalçık ◽  
Metin Çağdaş ◽  
Yavuz Karabağ ◽  
İbrahim Rencüzoğulları ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Atrial Fibrillation ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
Fragmented Qrs ◽  
St Segment ◽  
Onset Atrial Fibrillation ◽  
New Onset

Abstract 17227: Atrial Fibrillation in the Presence of Post-ST Segment Elevation Myocardial Infarction Left Ventricular Thrombus is Associated With Worse Outcomes

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_1) ◽  
Author(s):  
Aloysius Shen-Ting Leow ◽  
Ching-Hui Sia ◽  
Leonard Leong-Litt Yeo ◽  
Benjamin Yong-Qiang Tan ◽  
Rajinderdeep Kaur ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Atrial Fibrillation ◽  
Thrombus Formation ◽  
Left Ventricular ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
Kaplan Meier ◽  
St Segment ◽  
The Impact ◽  
Repeat Imaging

Introduction: Left ventricular (LV) thrombus is a complication of ST-segment elevation myocardial infarction (STEMI) that leads to a higher risk of stroke. Atrial fibrillation (AF) is another independent risk factor for stroke, however there is a dearth of studies examining the outcomes of patients with concomitant AF and LV thrombus. Hypothesis: This study aims to investigate the impact of the presence of concomitant AF in post-STEMI patients with an LV thrombus on stroke and mortality outcomes. Methods: We screened 6007 transthoracic echocardiogram reports containing the “thrombus” keyword from July 2006 to September 2017. Relevant clinical data was collected from 196 post-STEMI patients positive for an LV thrombus, stratified into non-AF and AF groups. Results: AF patients (69.6 ± 11.8 years) were significantly older (p < 0.01) than non-AF patients (55.5 ± 12.2 years) and more were found to have chronic kidney disease (p = 0.02), hypertension (p = 0.04) and dyslipidaemia (p = 0.03), with significantly higher baseline HAS-BLED score (p < 0.01) and CHA2DS2-VASc score (p < 0.01). Fewer AF patients were treated with triple therapy (p = 0.04). Despite this, there was no difference observed in resolution of the LV thrombus on repeat imaging (p = 0.30). However, Kaplan-Meier analysis showed a higher incidence of stroke (p = 0.02) and all-cause mortality (p < 0.01) in AF patients. Conclusion: Post-STEMI patients with LV thrombus formation and AF have significant differences from non-AF patients and are associated with poorer outcomes. These findings should be validated in larger cohorts.

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