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March 6, 2025Heart Rhythm O20 citationsOpen Access

Temporal trends of atrioventricular block in acute coronary syndrome patients from the ACSIS registry

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Why the study?

Does the incidence and prognosis of high-degree atrioventricular block in acute coronary syndrome patients improve over time?

Population

18,717 acute coronary syndrome patients from the multicenter ACSIS registry

Comparison

Late period (2013–2021) vs Early period (2000–2010)

Design

Cohort

Follow-up

1 year

Key result

The late period (2013-2021) compared to the early period (2000-2010) was associated with lower 1-year mortality among ACS patients with high-degree AV block (26.1% vs 36.5%, P=0.022).

Authors

STShir TalABAlon BarsheshetGSGal Sella

Discussion

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Member takes

Overview

May support expectations of better outcomes in current ACS-HDAVB practice; leaves open identification of key contributing factors.

Study Design

Type

Observational (n=18,717)

Multicenter

Yes

Structured PICO

Does the incidence and prognosis of high-degree atrioventricular block in acute coronary syndrome patients improve over time?

P
Population
18,717 acute coronary syndrome (ACS) patients from the multicenter ACSIS (Acute Coronary Syndrome Israeli Survey) registry
I
Intervention
Late period (2013–2021)
C
Comparator
Early period (2000–2010)
O
Outcome
Incidence of high-degree atrioventricular block (HDAVB) and 1-year mortalityhard clinical

The incidence and mortality of high-degree atrioventricular block complicating acute coronary syndrome have significantly decreased over the last two decades.

Main Result

Absolute Event Rate: 26.1% vs 36.5%

p-value: p=0.022

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Cite This Study

Tal et al. (2025) conducted an observational in Acute coronary syndrome with high-degree atrioventricular block (n=18,717). Late period (2013-2021) vs. Early period (2000-2010) was evaluated on 1-year mortality (p=0.022). The late period (2013-2021) compared to the early period (2000-2010) was associated with lower 1-year mortality among ACS patients with high-degree AV block (26.1% vs 36.5%, P=0.022).

synapsesocial.com/papers/6a0909bf29af591ab7017447https://doi.org/10.1016/j.hroo.2025.03.001
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