De Novo Atrial Fibrillation Increases Intra-hospital Mortality in Myocardial Infarction with ST Elevation?
<strong>Foundation:</strong> atrial fibrillation is the most common arrhythmia in the general population and complicates 2 to 22 % of myocardial infarctions.<br /> <strong>Objective:</strong> to determine the prognostic implications of de novo atrial fibrillation in hos...
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Universidad de las Ciencias Médicas de Cienfuegos
2017-12-01
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| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/547 |
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| author | Ailed Elena Rodríguez Jiménez Hugo Cruz Inerarity Enrique Toledo Rodríguez Guillermo Quintana Cañizares |
| author_facet | Ailed Elena Rodríguez Jiménez Hugo Cruz Inerarity Enrique Toledo Rodríguez Guillermo Quintana Cañizares |
| author_sort | Ailed Elena Rodríguez Jiménez |
| collection | DOAJ |
| description | <strong>Foundation:</strong> atrial fibrillation is the most common arrhythmia in the general population and complicates 2 to 22 % of myocardial infarctions.<br /> <strong>Objective:</strong> to determine the prognostic implications of de novo atrial fibrillation in hospital mortality in patients with myocardial infarction with ST-segment elevation. <br /><strong>Method:</strong> an observational, retrospective study was performed of 326 patients with myocardial infarction and ST-elevation admitted to the Camilo Cienfuegos Provincial University Hospital from January 1, 2013 to June 30, 2015. The studied variables were: age, sex, factors of coronary risk, history of ischemic heart disease, presence of atrial fibrillation, myocardial dysfunction, cardiogenic shock, number of thrombolyzed patients, success of thrombolysis, glycemia values, uric acid, creatinine, cholesterol, triacylglycerides, leukocytes and hemoglobin. For the statistical significance of the variables under study, the chi-squared test was used if they were qualitative and the student's t test for quantitative ones. A multivariate analysis was also performed to determine the independence of atrial fibrillation as a prognostic factor. <strong><br />Results:</strong> the variables associated with in-hospital mortality were: diabetes mellitus, history of ischemic heart disease, age over 75 years, ejection fraction less than 30 %, glomerular filtration rate less than 60 ml/min, Killip class Kimbal III-IV and de novo atrial fibrillation. Atrial fibrillation was found to have a statistically significant association with in-hospital mortality. <br /><strong>Conclusions:</strong> de novo atrial fibrillation was an independent predictor of intra-hospital mortality in patients with myocardial infarction with ST-segment elevation. |
| format | Article |
| id | doaj-art-1d542afae4ee4effa450555b8eba505e |
| institution | Kabale University |
| issn | 2221-2434 |
| language | Spanish |
| publishDate | 2017-12-01 |
| publisher | Universidad de las Ciencias Médicas de Cienfuegos |
| record_format | Article |
| series | Revista Finlay |
| spelling | doaj-art-1d542afae4ee4effa450555b8eba505e2025-01-30T21:21:59ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342017-12-0174240249342De Novo Atrial Fibrillation Increases Intra-hospital Mortality in Myocardial Infarction with ST Elevation?Ailed Elena Rodríguez Jiménez0Hugo Cruz Inerarity1Enrique Toledo Rodríguez2Guillermo Quintana Cañizares3Hospital Provincial Universitario Camilo Cienfuegos Gorriarán. Sancti Spíritus.Hospital Provincial Universitario Camilo Cienfuegos Gorriarán. Sancti Spíritus.Hospital Provincial Universitario Camilo Cienfuegos Gorriarán. Sancti Spíritus.Hospital Provincial Universitario Camilo Cienfuegos Gorriarán. Sancti Spíritus.<strong>Foundation:</strong> atrial fibrillation is the most common arrhythmia in the general population and complicates 2 to 22 % of myocardial infarctions.<br /> <strong>Objective:</strong> to determine the prognostic implications of de novo atrial fibrillation in hospital mortality in patients with myocardial infarction with ST-segment elevation. <br /><strong>Method:</strong> an observational, retrospective study was performed of 326 patients with myocardial infarction and ST-elevation admitted to the Camilo Cienfuegos Provincial University Hospital from January 1, 2013 to June 30, 2015. The studied variables were: age, sex, factors of coronary risk, history of ischemic heart disease, presence of atrial fibrillation, myocardial dysfunction, cardiogenic shock, number of thrombolyzed patients, success of thrombolysis, glycemia values, uric acid, creatinine, cholesterol, triacylglycerides, leukocytes and hemoglobin. For the statistical significance of the variables under study, the chi-squared test was used if they were qualitative and the student's t test for quantitative ones. A multivariate analysis was also performed to determine the independence of atrial fibrillation as a prognostic factor. <strong><br />Results:</strong> the variables associated with in-hospital mortality were: diabetes mellitus, history of ischemic heart disease, age over 75 years, ejection fraction less than 30 %, glomerular filtration rate less than 60 ml/min, Killip class Kimbal III-IV and de novo atrial fibrillation. Atrial fibrillation was found to have a statistically significant association with in-hospital mortality. <br /><strong>Conclusions:</strong> de novo atrial fibrillation was an independent predictor of intra-hospital mortality in patients with myocardial infarction with ST-segment elevation.https://revfinlay.sld.cu/index.php/finlay/article/view/547fibrilación atrialmortalidad hospitalariainfarto del miocardio |
| spellingShingle | Ailed Elena Rodríguez Jiménez Hugo Cruz Inerarity Enrique Toledo Rodríguez Guillermo Quintana Cañizares De Novo Atrial Fibrillation Increases Intra-hospital Mortality in Myocardial Infarction with ST Elevation? Revista Finlay fibrilación atrial mortalidad hospitalaria infarto del miocardio |
| title | De Novo Atrial Fibrillation Increases Intra-hospital Mortality in Myocardial Infarction with ST Elevation? |
| title_full | De Novo Atrial Fibrillation Increases Intra-hospital Mortality in Myocardial Infarction with ST Elevation? |
| title_fullStr | De Novo Atrial Fibrillation Increases Intra-hospital Mortality in Myocardial Infarction with ST Elevation? |
| title_full_unstemmed | De Novo Atrial Fibrillation Increases Intra-hospital Mortality in Myocardial Infarction with ST Elevation? |
| title_short | De Novo Atrial Fibrillation Increases Intra-hospital Mortality in Myocardial Infarction with ST Elevation? |
| title_sort | de novo atrial fibrillation increases intra hospital mortality in myocardial infarction with st elevation |
| topic | fibrilación atrial mortalidad hospitalaria infarto del miocardio |
| url | https://revfinlay.sld.cu/index.php/finlay/article/view/547 |
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