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September 19, 2022Open Access

The association between systemic inflammatory response index and new-onset atrial fibrillation in patients with ST-elevated myocardial infarction treated with percutaneous coronary intervention

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Why the study?

New-onset atrial fibrillation in STEMI patients following PCI worsens prognosis, and this study aimed to explore its association with the systemic inflammatory response index.

Does the systemic inflammatory response index (SIRI) predict new-onset atrial fibrillation in patients with ST-elevated myocardial infarction treated with percutaneous coronary intervention?

Population

616 STEMI patients treated with PCI

Comparison

New-onset atrial fibrillation vs sinus rhythm

Design

Retrospective observational study

Follow-up

Median of 40-month

Key result

Elevated systemic inflammatory response index independently predicted new-onset atrial fibrillation in STEMI patients treated with PCI (OR 1.782, 95% CI 1.675-1.906, P=0.001).

Authors

JWJingfeng WangSHSisi HuCLCheng Liang

Discussion

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Member takes

Overview

SIRI may aid NOAF risk assessment after STEMI PCI; hypothesis-generating and requires prospective validation before clinical use.

Study Design

Type

Observational (n=616)

Multicenter

No

Structured PICO

Does the systemic inflammatory response index (SIRI) predict new-onset atrial fibrillation in patients with ST-elevated myocardial infarction treated with percutaneous coronary intervention?

P
Population
616 adult patients with ST-elevated myocardial infarction treated with percutaneous coronary intervention, followed for a median of 40 months.
E
Exposure
Systemic inflammatory response index (SIRI) calculated from peripheral blood counts as (Neutrophils x Monocytes)/Lymphocytes
C
Comparator
Patients with sinus rhythm (SR) or lower SIRI values
O
Outcome
New-onset atrial fibrillation (NOAF) during hospitalizationhard clinical

Main Result

Odds Ratio: 1.782 (95% CI 1.675–1.906)

p-value: p=0.001

The systemic inflammatory response index (SIRI) is an independent predictor of new-onset atrial fibrillation in STEMI patients undergoing PCI, which is associated with increased long-term mortality.

Limitations

  • Single-center study based solely on Chinese individuals, limiting generality
  • Retrospective analysis subject to selection bias
  • Can only provide an association between SIRI and NOAF instead of causality
  • Several inflammatory indicators, such as CRP and interleukins, were not assessed
  • SIRI was evaluated only once on admission and its fluctuation was not measured during hospitalization

Cite This Study

Wang et al. (2022) conducted an observational in ST-elevated myocardial infarction (STEMI) treated with percutaneous coronary intervention (PCI) (n=616). Systemic inflammatory response index (SIRI) vs. Lower SIRI was evaluated on New-onset atrial fibrillation (NOAF) during hospitalization (OR 1.782, 95% CI 1.675-1.906, p=0.001). Elevated systemic inflammatory response index independently predicted new-onset atrial fibrillation in STEMI patients treated with PCI (OR 1.782, 95% CI 1.675-1.906, P=0.001).

synapsesocial.com/papers/6a86f27b5ee22a1e35cba08bhttps://doi.org/10.21203/rs.3.rs-2059727/v1
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