Article Text

Download PDFPDF

Prognostic impact of new onset atrial fibrillation in acute non-ST elevation myocardial infarction data from the RICO survey
  1. G Laurent,
  2. M Zeller,
  3. G Dentan,
  4. D Moreau,
  5. Y Laurent,
  6. J C Beer,
  7. H Makki,
  8. I Lhuillier,
  9. L Janin-Manificat,
  10. M Fraison,
  11. Y Cottin
  1. Department of Cardiology, University Hospital Dijon, France
  1. Correspondence to:
    Dr Cottin Yves
    Département de Cardiologie, Hôpital Bocage, 3 Bd de Lattre de Tassigny, 21000 Dijon, France; yves.cottinchu-dijon.fr

Statistics from Altmetric.com

New onset atrial fibrillation (AF) is a common complication of acute myocardial infarction (MI), with a prevalence ranging of from 7–18%, and is associated with a higher incidence of in-hospital congestive heart failure. AF occurs in patients who are older with severe coronary artery disease and is associated with higher 30 day and one year mortality rates than for those patients without AF.1–4

However, most studies have been performed on data collected from patients with ST elevation myocardial infarction (STEMI). In the present study, we examined the characteristics and in-hospital outcome for a non-selected population, hospitalised for non-ST elevation myocardial infarction (NSTEMI) and included in the French regional RICO survey.

METHODS

From 1 January 2001 to 31 July 2003 pre-hospital as well as in-hospital data from 504 patients, hospitalised for acute NSTEMI in one region of eastern France, were analysed. All the cardiology departments of the region, five public hospitals and one private clinic, in charge of cardiac emergencies, participated in the study.

All patients included in the study presented with NSTEMI. The diagnoses were based on: an increase in troponin concentrations to the upper limit of normal (ULN) or creatine kinase myocardial band ⩾ 2 ULN; NSTEMI (ST segment depression or negative T wave on ECG); patients admitted to index hospital within 24 hours following symptom onset. Patients presenting any one of the following criteria were excluded from the study: persistent ST elevation or new Q …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.