Outcome of patients in relation to duration of new-onset atrial fibrillation following acute myocardial infarction.

The duration of new-onset atrial fibrillation (AF) following the acute myocardial infarction (AMI) was evaluated as well as its relation to in-hospital and 7-year mortality. A total of 320 consecutive patients with AF following AMI were examined and patients with AF <7 h (n = 141) were compared to those with AF > or =7 h in duration (n = 179). Receiver Operating Characteristic analysis was performed to identify the most useful AF duration cut-off level for the prediction of poor outcome. Patients with longer AF duration were older and had more advanced heart failure than patients with short arrhythmia duration. Patients with longer AF duration had worse outcome, including higher in-hospital (22.3 vs. 12.8%) and 7-year (67.4 vs. 34.4%) mortality. After multivariate adjustment, longer AF duration remained an independent predictor of long-term mortality (relative risk = 2.04, 95% confidence interval = 1.39-2.99, p = 0.0002). New-onset AF > or =7 h in duration following the AMI independently predicts long-term mortality.

Asanin M ，Vasiljevic Z ，Matic M ，Vujisic-Tesic B ，Arandjelovic A ，Marinkovic J ，Ostojic M ... -  《-》

Significance of recurrences of new atrial fibrillation in acute myocardial infarction.

Asanin M ，Perunicic J ，Mrdovic I ，Matic M ，Vujisic-Tesic B ，Arandjelovic A ，Vojvodic A ，Marinkovic J ，Ostojic M ，Vasiljevic Z ... -  《INTERNATIONAL JOURNAL OF CARDIOLOGY》

B-type natriuretic peptide predicts new-onset atrial fibrillation in patients with ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention.

The predictive value of B-type natriuretic peptide (BNP) with respect to the occurrence of new-onset atrial fibrillation (AF) in patients with ST-segment elevation myocardial infarction (STEMI) treated by primary percutaneous coronary intervention (PCI) is unknown. The aim of this study was to evaluate whether BNP has a predictive value for the occurrence of new-onset AF in patients with STEMI treated by primary PCI. In 180 patients with STEMI treated by primary PCI, BNP concentrations were measured 24h after chest pain onset. The Receiver Operating Characteristic analysis was performed to identify the most useful BNP cut-off level for the prediction of AF. The patients were divided into the two groups according to calculated cut-off level: high BNP group (BNP≥720 pg/mL, n=33) and low BNP group (BNP<720 pg/mL, n=147). The incidence of AF was 5.0%, and occurred more frequently in high BNP group (7/33, 21.2%) than in low BNP group (2/147, 1.4%), (p<0.001). Patients with high BNP were older (p=0.017), had more often anterior wall infarction (p=0.015), higher Killip class on admission (p=0.038), higher peak troponin I (p=0.002), lower left ventricular ejection fraction (p=0.029) than patients with low BNP. After multivariate adjustment, BNP was an independent predictor of AF (OR 3.70, 95% CI 1.40-9.77, p=0.008). BNP independently predicts the occurrence of new-onset AF in STEMI patients treated by primary PCI.

Asanin M ，Stankovic S ，Mrdovic I ，Matic D ，Savic L ，Majkic-Singh N ，Ostojic M ，Vasiljevic Z ... -  《-》

Atrial fibrillation during acute myocardial infarction: association with all-cause mortality and sudden death after 7-year of follow-up.

Berton G ，Cordiano R ，Cucchini F ，Cavuto F ，Pellegrinet M ，Palatini P ... -  《-》

Prognostic impact of types of atrial fibrillation in acute coronary syndromes.

Lau DH ，Huynh LT ，Chew DP ，Astley CM ，Soman A ，Sanders P ... -  《-》