Atrial Fibrillation As A Complication Of Acute Myocardial Infarction

A. Alchalabi MRCP, H.; FRCP,

	Atrial Fibrillation As A Complication Of Acute Myocardial Infarction
KUFA MEDICAL JOURNAL
Article 1, Volume 11, Issue 1, 2008, Pages 301-308
Authors
H. A. Alchalabi MRCP;
Abstract
Background: New onset Atrial Fibrillation (AF) that occurs during the course of Acute Myocardial Infarction (AMI) is an important complication of AMI that is not studied well, may occurs alone or in association with other complications, and whether it carry a poor prognosis alone or with other arrhythmia is not very clear. Methods and Results: I studied the occurrence of paroxysmal AF during the course of AMI in the CCU, in particular I look for time onset, response to different drugs treatment, age/sex incidence, the incidence of other complications and death rate in AF- group and compare that with a similar number of no-AF group of patients at the same time interval. 70 patients with AMI develop new onset AF during the 5 years time study out of 1440 total AMI cases represent 4.8%, these patients tend to be older in age and the female tend be older than the male, they showed higher rate of complication and higher death rate when compared to no-AF patients. Conclusions: AF occurring after AMI is an important Arrhythmia that preclude higher rate of complications and higher death rate and deserve good attention as management may improve outcome.

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