Frequency of New Onset Atrial Fibrillation in Patients Presenting with ST-Segment Elevation Myocardial Infarction

Frequency of New Onset Atrial Fibrillation in Patients Presenting with ST-Segment Elevation Myocardial Infarction  DOI: https://doi.org/10.53350/pjmhs2023176112Abstract Aim: To study the magnitude of atrial fibrillation in patients with ST segment elevation myocardial infarction. Methodology: Two hundred and thirty-six patients were selected through non-probability, consecutive sampling technique. Patients were divided into Group 1 who did not develop AF while group 2 included the new cases of AF during in-hospital stay for STEMI. All patients underwent clinical examinations, echocardiography, angiography and percutaneous coronary intervention. Results: Forty five cases with an average age of 71±14 years developed atrial fibrillation. Female population 25(60%) was at higher risk than male 17(40%). In AF group, 22(53.3%) cases of dyslipidemia, 11(26.1%) cases of chronic renal disease, 4(8.8%) cases of prior myocardial infarction, 14(33.3%) cases of diabetes and a single case (2.2%) of implantable cardiac-defibrillator were observed when compared with the non-AF group. Practical Implication: In-hospital complications are also highly associated with AF which may result in high Incidents of mortality. Conclusion: Aging, comorbidities and inferior wall MI are the independent predictors of AF. In-hospital complications are associated with AF which may result in high incidents of mortality. Early diagnosis of STEMI patients with a high risk of developing AF is necessary to reduce the morbidity and mortality. Disclaimer: Lupin makes no representation or warranty of any kind, expressed or implied, regarding the accuracy, adequacy, validity, reliability, availability, or completeness of any scientific information shared by the HCP on the ­­­STAR UPDATE podcast. You should not allow the contents of this to substitute for your own medical judgment, which you should exercise in evaluating the information on this website.