Predictors of new-onset atrial fibrillation after st-segment elevation myocardial infarction in the elderly; [Yaşli Hastalarda St Segment Yükselmeli Miyokard Infarktüsü Sonrasi Yeni Gelişen Atriyal Fibrilasyonun Gelişimini Öngördürücü Etkenler]

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dc.contributor.authorKartal E.
dc.contributor.authorElbi H.
dc.contributor.authorAlp A.
dc.contributor.authorŞahin S.
dc.contributor.authorÖzbakkaloğlu M.
dc.contributor.authorÖzdoğan Ö.
dc.date.accessioned2024-07-22T08:14:09Z
dc.date.available2024-07-22T08:14:09Z
dc.date.issued2015
dc.description.abstractObjective: The predictors and outcomes of new-onset atrial fibrillation (AF) were evaluated among elderly patients with acute ST elevation myocardial infarction (STEMI). Material and Method: Patients with STEMI who are older than 65 years were evaluated for new-onset AF and its complications. Patients with a previous history of AF and those found in AF at the time of admission were excluded. Results: Of the 102 patients with STEMI, AF was not observed in 74 patients (Group I) and was observed in 28 patients (Group II) during hospitalization. Those 28 patients with AF were further divided into two subgroups according to the onset time of AF (early <24 hours and late >24 hours). Anterior MI was observed in 49% of patients in Group I and 71.4% of patients in Group II (p<0.05). In late onset AF group; pulse rate, systolic and diastolic blood pressure were significantly higher than Group I at admission to the hospital (p<0.05). All patients in Group II had higher Killip class and TIMI risk scores than Group I patients (p<0.05). Left ventricular ejection fraction was 30.4±4.0% in the late onset group and 44.4±8.8% in Group I (p<0.05). There was a significant difference in mortality rate among groups during hospitalization period; 36% in Group II, 9% in Group I (p<0.05). Conclusion: AF is especially seen in elderly female patients with anterior MI and higher Killip Class. It is associated with higher rates of in-hospital mortality. Particularly, lateonset AFs are associated with lower LVEFs in older patients with STEMI and could be predictors of in hospital mortality. © Nobel İlaç AŞ.
dc.identifier.issn13052381
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16495
dc.language.isoEnglish
dc.publisherNobelmedicus
dc.subjectaged
dc.subjectaging
dc.subjectArticle
dc.subjectatrial fibrillation
dc.subjectelectrocardiography
dc.subjectfemale
dc.subjectheart failure
dc.subjectheart left ventricle ejection fraction
dc.subjectheart rate
dc.subjecthospitalization
dc.subjecthuman
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmortality
dc.subjectpercutaneous coronary intervention
dc.subjectpredictor variable
dc.subjectprognosis
dc.subjectST segment elevation myocardial infarction
dc.titlePredictors of new-onset atrial fibrillation after st-segment elevation myocardial infarction in the elderly; [Yaşli Hastalarda St Segment Yükselmeli Miyokard Infarktüsü Sonrasi Yeni Gelişen Atriyal Fibrilasyonun Gelişimini Öngördürücü Etkenler]
dc.typeArticle

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