Key result
Worsened atrioventricular conduction after STEMI was independently associated with an increased risk of all-cause death (HR 2.005; 95% CI 1.051-3.827; P=0.0348) and major adverse cardiac events.
Why the study?
Does worsened atrioventricular conduction after hospital discharge predict adverse outcomes in patients with STEMI undergoing primary PCI?
Population
2,964 patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary…
Comparison
Worsened atrioventricular conduction after… vs Stable atrioventricular conduction (AVC)
Design
Cohort
Follow-up
3 years
Authors
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Worsened AVC post-STEMI was associated with higher mortality; leaves open whether ECG surveillance improves risk stratification or outcomes.
Cohort (n=2,964)
Does worsened atrioventricular conduction after hospital discharge predict adverse outcomes in patients with STEMI undergoing primary PCI?
Hazard Ratio: 2.005 (95% CI 1.051–3.827)
p-value: p=0.0348
Worsened atrioventricular conduction after hospital discharge in STEMI patients treated with primary PCI is uncommon but independently predicts an increased risk of death and major adverse cardiac events at 3 years.
Kosmidou et al. (2017) conducted a cohort in ST-segment elevation myocardial infarction (STEMI) (n=2,964). Worsened atrioventricular conduction vs. Stable atrioventricular conduction was evaluated on All-cause death (HR 2.005, 95% CI 1.051-3.827, p=0.0348). Worsened atrioventricular conduction after STEMI was independently associated with an increased risk of all-cause death (HR 2.005; 95% CI 1.051-3.827; P=0.0348) and major adverse cardiac events.
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