Impact of Glomerular Filtration Rate on the Incidence and Prognosis of New-Onset Atrial Fibrillation in Acute Myocardial Infarction.
acute myocardial infarction
atrial fibrillation
mortality
renal function
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
09 May 2020
09 May 2020
Historique:
received:
19
04
2020
revised:
04
05
2020
accepted:
05
05
2020
entrez:
14
5
2020
pubmed:
14
5
2020
medline:
14
5
2020
Statut:
epublish
Résumé
Atrial fibrillation (AF) is a frequent complication of acute myocardial infarction (AMI) and is associated with a worse prognosis. Patients with chronic kidney disease are more likely to develop AF. Whether the association between AF and glomerular filtration rate (GFR) is also true in AMI has never been investigated. We prospectively enrolled 2445 AMI patients. New-onset AF was recorded during hospitalization. Estimated GFR was estimated at admission, and patients were grouped according to their GFR (group 1 ( The AF incidence in the population was 10%, and it was 8%, 16%, 24% in groups 1, 2, 3, respectively ( This study demonstrates that new-onset AF incidence during AMI, as well as the associated in-hospital and long-term mortality, increases in parallel with GFR reduction assessed at admission.
Sections du résumé
BACKGROUND
BACKGROUND
Atrial fibrillation (AF) is a frequent complication of acute myocardial infarction (AMI) and is associated with a worse prognosis. Patients with chronic kidney disease are more likely to develop AF. Whether the association between AF and glomerular filtration rate (GFR) is also true in AMI has never been investigated.
METHODS
METHODS
We prospectively enrolled 2445 AMI patients. New-onset AF was recorded during hospitalization. Estimated GFR was estimated at admission, and patients were grouped according to their GFR (group 1 (
RESULTS
RESULTS
The AF incidence in the population was 10%, and it was 8%, 16%, 24% in groups 1, 2, 3, respectively (
CONCLUSIONS
CONCLUSIONS
This study demonstrates that new-onset AF incidence during AMI, as well as the associated in-hospital and long-term mortality, increases in parallel with GFR reduction assessed at admission.
Identifiants
pubmed: 32397347
pii: jcm9051396
doi: 10.3390/jcm9051396
pmc: PMC7291027
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : Centro Cardiologico Monzino, I.R.C.C.S., Milan, Italy
ID : R519/CCM548
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