Why the study?
Does new-onset atrial fibrillation increase the risk of mortality after acute myocardial infarction?
Does new-onset atrial fibrillation increase the risk of mortality after acute myocardial infarction?
New-onset atrial fibrillation after acute myocardial infarction is associated with an increased risk of mortality.
AF post-MI signals higher mortality; supports monitoring but leaves optimal management open pending RCTs.
Evaluation of: Jabre P, Jouven X, Adnet F, Thabut G, Bielinski SJ, Weston SA, Roger VL. Atrial fibrillation and death after myocardial infarction: a community study. Circulation 123, 2094–2100 (2011).Atrial fibrillation (AF) is a common complication of acute myocardial infarction (AMI) and has been associated with increased risk of mortality, heart failure and stroke. In this article, we evaluate a recent publication investigating the relationship between new-onset AF and clinical outcome after AMI in a community-based cohort. This study shows that the occurrence of AF portends increased risk for mortality after AMI. The findings are discussed in the context of current knowledge on the clinical implications and treatment strategies of AF in the setting of acute coronary syndromes.
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Doron Aronson (2011) studied this question.
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