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A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
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01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
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15. Valvular Heart Disease
16. Infective Endocarditis
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19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
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Abstract
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New onset paroxysmal atrial fibrillation occurrence during hospital admission for acute myocardial infarction is not associated with atrial fibrillation recurrence during follow-up
Session:
Painel 8 - Doença Coronária 12
Speaker:
José Maria Farinha
Congress:
CPC 2020
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
13. Acute Coronary Syndromes
Subtheme:
13.2 Acute Coronary Syndromes – Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
José Maria Farinha; Marta Ferreira Fonseca; Leonor Parreira; Rita Marinheiro; Ana Fátima Esteves; Joana Silva Ferreira; Antonio Pinheiro Cumena Candjondjo; Dinis Valbom Mesquita; Rui Caria
Abstract
<p><strong>Introduction</strong></p> <p>Acute myocardial infarction (AMI) patients with atrial fibrillation (AF) have a worse short- and long-term prognosis. However, it is not known if a transient self-terminating short episode of AF during admission is associated with an increased risk for future AF.</p> <p><strong>Objective</strong></p> <p>The aim of this study was to assess the risk for AF recurrence during follow-up, after a first short and self-terminating AF episode during admission for AMI.</p> <p><strong>Methods</strong></p> <p>We retrospectively studied consecutive patients admitted with AMI between 2011 and 2013. We excluded patients with previous diagnosed AF. We compared 2 groups of patients: with new onset AF and without AF. We analysed clinical characteristics, in-hospital evolution, and AF recurrence during follow-up.</p> <p><strong>Results</strong></p> <p>We studied 511 patients. Six patients had recurrent AF. During a mean follow-up time of 24.2 ± 11.5 months, 63/511 patients died. Patients with recurrent AF were more frequently females (<em>p</em>=0.010) and had more frequently a previous diagnosis of heart failure (<em>p</em>=0.018) (Table). New onset paroxysmal AF occurrence was not associated with AF recurrence during follow-up (<em>p</em>>0.999) (Table).</p> <p><strong>Conclusions</strong></p> <p>In this group of patients, a brief and spontaneously terminated episode of paroxysmal atrial fibrillation during admission for AMI was not associated with AF recurrence during follow-up. Probably these patients would not have an indication for long term anticoagulation.</p>
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