November 19, 2013European Heart Journal
Incidence of sudden cardiac death after ventricular fibrillation complicating acute myocardial infarction: a 5-year cause-of-death analysis of the FAST-MI 2005 registry
Why the study?
Does the occurrence of ventricular fibrillation during the acute phase of MI increase long-term all-cause or sudden cardiac death mortality in hospital survivors?
Population
3,670 acute myocardial infarction (MI) patients hospitalized in France in 2005
Comparison
Ventricular fibrillation during the acute stage… vs No ventricular fibrillation during the acute…
Design
Cohort
Follow-up
5 years (mean 52 ± 2 months for survivors)
Authors
Discussion
Loading...
Member takes
Implication
VF in acute MI raises in-hospital mortality but not 5-year risk among survivors; leaves open whether VF modifies post-MI risk stratification.
Structured PICO
Does the occurrence of ventricular fibrillation during the acute phase of MI increase long-term all-cause or sudden cardiac death mortality in hospital survivors?
P
Population
3,670 acute myocardial infarction (MI) patients hospitalized in France in 2005
I
Intervention
Ventricular fibrillation (VF) during the acute stage of MI
C
Comparator
No ventricular fibrillation during the acute stage of MI
O
Outcome
In-hospital mortality and 5-year cause of death (including all-cause mortality and sudden cardiac death)hard clinical
While ventricular fibrillation during acute MI significantly increases in-hospital mortality, it does not confer a higher risk of long-term all-cause or sudden cardiac death among those who survive to hospital discharge.
Cite This Study
Bougouin et al. (2013) studied this question.