Does management in the thrombolytic era improve outcomes in patients with AMI complicated by paroxysmal atrial fibrillation compared to the pre-thrombolytic era?
While paroxysmal atrial fibrillation complicating AMI remains a marker of worse prognosis, overall outcomes for these patients have improved in the thrombolytic era compared to the pre-thrombolytic era.
Patients with AMI who develop PAF in the TE have significantly worse short- and long-term prognoses than patients without PAF, mostly due to their worse risk profile. After adjustment for confounding factors, patients with PAF in the TE have a better overall outcome than counterparts in the PTE, probably reflecting the better management of patients with AMI in the TE.
Eldar et al. (Tue,) studied this question.
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