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Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
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0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
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K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
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0 Themes
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
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
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
36. Basic Science
37. Miscellanea
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Abstract
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CLEAR FILTERS
Atrial fibrillation in acute myocardial infarction
Session:
Posters 3 - Écran 6 - Arritmologia
Speaker:
Inês Frois Cunha
Congress:
CPC 2019
Topic:
C. Arrhythmias and Device Therapy
Theme:
05. Atrial Fibrillation
Subtheme:
05.2 Atrial Fibrillation - Epidemiology, Prognosis, Outcome
Session Type:
Posters
FP Number:
---
Authors:
Inês Cunha; Cesár Matos; António Assunção; Margarida Agudo; Ana Filipa Viegas; Ana Maria Pinto; Sara Machado; Joana Andrade; Rui Marques; Vera Romão; Emanuel Correia; Costa Cabral
Abstract
<p><strong>Introduction</strong>: It is estimated that 15% of patients with atrial fibrillation (AF) have a history of acute myocardial infarction (AMI). In addition to being well established as a possible complication of AMI, AF may be a predisposing factor for the occurrence of AMI and contribute to a more unfavorable prognosis.</p> <p><strong>Objectives</strong>: The objective of this study was to analyse the prevalence of AF and its correlation with demographic characteristics, type of AMI (with ST-segment elevation (STEMI) <em>vs</em> non-ST-segment elevation myocardial infarction (NSTEMI)), presence of heart failure (HF), days of hospitalization and mortality.</p> <p><strong>Materials and Methods</strong>: A retrospective study was performed with all patients hospitalized with the diagnosis of AMI in a Coronary Intensive Care Unit in a central hospital, in 2017 (n = 336). The data were obtained through SClinic and analyzed through SPSS®.</p> <p><strong>Results</strong>: 14.3% of patients with AMI had a history of AF (12.7% of STEMI and 15.7% of NSTEMI). 42.3% of the AMI were classified as STEMI. The presence of ST-segment elevation was not significantly different in patients with and without AF who suffered AMI (37.5% <em>vs</em> 43.1%, p = 0.471). The mean age was 68.85 ± 12.95 years. Patients with AF were significantly older than the patients without AF (76.27 <em>vs</em> 67.61 years, p = 0.000). There was a predominance of the female gender in the total sample (73.2%). There was no statistically significant difference between the number of women in the groups with and without AF (68.8% <em>vs</em> 74.0%, p = 0.451). Of the total sample, 11.9% of patients had HF. The prevalence of HF in the group with AF was significantly higher than the group without AF (29.2% <em>vs</em> 9.0%, p = 0.000). The average length of stay was 4.78 days. There was no significant difference between patients with and without AF (5.06 <em>vs</em> 4.73 days, p = 0.471). The mortality rate of the total sample was 11.9%. Mortality was higher in the group with AF (12.5% <em>vs</em> 11.8% in patients without AF), but did not reach statistical significance (p = 0.891).</p> <p><strong>Conclusion</strong>: In patients with AMI, the presence of AF was significantly associated with advanced ages and HF. Those patients had on average longer hospitalizations and higher mortality, although it did not reach statistical significance, but more studies are needed to determine the impact of AF on the prognosis of AMI.</p>
Slides
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