Prognostic Significance of Prevalent and Incident Atrial Fibrillation Among Patients Hospitalized with Acute Coronary Syndrome-Reference-Cited by-同舟云学术

Prognostic Significance of Prevalent and Incident Atrial Fibrillation Among Patients Hospitalized with Acute Coronary Syndrome

Published:2011-12-05 Issue:6 Volume:63 Page:466-471
ISSN:0003-3197
Container-title:Angiology
language:en
Short-container-title:Angiology

Author:

Hersi Ahmad¹,Alhabib Khalid F.¹,Alsheikh-Ali Alawi A.²,Sulaiman Kadhim³,Alfaleh Hussam F.¹,Alsaif Shukri⁴,Mahmeed Wael Al-²,Asaad Nidal⁵,Haitham Amin⁶,Al-Motarreb Ahmed⁷,Suwaidi Jassim⁵,Shehab Abdullah⁸

Affiliation:

1. Department of Cardiac Sciences, College of Medicine, King Saud University, Riyadh, Saudi Arabia

2. Department of Cardiac Sciences, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates

3. Cardiology Department, Royal Hospital, Muscat, Oman

4. Cardiology Department, Saud Al-Babtain Cardiac Center, Dammam, Saudi Arabia

5. Department of Cardiology and Cardiovascular Surgery, Hamad Medical Corporation (HMC), Doha, Qatar

6. Cardiology Department, Mohammed Bin Khalifa Cardiac Center, Manama, Bahrain

7. Department of Medicine, Faculty of Medicine, Sana’a University, Sana’a Yemen

8. Department of Medicine, The Faculty of Medicine & Health Sciences (FMHS), UAE University, Abu Dhabi, United Arab Emirates

Abstract

There is a paucity of data on atrial fibrillation (AF) complicating acute coronary syndrome (ACS) in Arabian Gulf countries. Thus, we assessed the incidence of AF in patients with ACS in these countries and examined the associated in-hospital, 30-day, and 1-year adverse outcomes. The population comprised 7930 patients enrolled in the second Gulf Registry of Acute Coronary Events (Gulf RACE-2). Of 7930 patients with ACS, 217 (2.7%) had AF. Compared with patients without AF, patients with AF were less likely to be male (65.9 vs 79.1%) and were older (mean age 64.6 vs 56.6 years). Compared with patients without AF, in-hospital, 30-day, and 1-year mortality were significantly higher in patients with any AF (odds ratio [OR]: 2.7, 2.2, 1.9, respectively; P < .001) and in patients with new-onset AF (OR: 5.2, 3.9, 3.1, respectively; P < .001. In conclusion, AF in patients with ACS was associated with significantly higher short- and long-term mortality.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/0003319711427391

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