New insights into symptomatic or silent atrial fibrillation complicating acute myocardial infarction

Transient atrial fibrillation complicating acute myocardial infarction: a nuisance or a nemesis?

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia encountered in clinical practice. Irrespective of its pattern (paroxysmal, persistent, and permanent), it is associated with an increased risk of ischaemic stroke(1, 2). Stroke risk stratification and subsequent prescription of long-term oral anticoagulation therapy to reduce this risk has thus become the cornerstone of AF...

Intravenous amiodarone in atrial fibrillation complicating myocardial infarction.

Recurrent acute myocardial infarction and atrial fibrillation

I have read the article entitled Predictors and in-hospital prognosis of recurrent acute myocardial infarction by Cao, et al. with great interest, recently published in journal. The investigators reported that recurrent acute myocardial infarction (AMI) patients presented with more severe coronary artery conditions. Age, diabetes mellitus (DM) and reperfusion therapy were independent risk facto...

Atrial fibrillation in acute myocardial infarction.

To elucidate the genesis and effect of atrial fibrillation (AF), 102 patients with acute myocardial infarction were studied. Eighteen patients had AF during the first 72 hours in the coronary care unit. The hospital mortality rate was 23%. Discriminant analysis was used to determine the important variables contributing to the genesis of AF and hospital mortality based on the following variables...

New insights into mechanisms of atrial fibrillation.

Although atrial fibrillation (AF) is the most common cardiac arrhythmia in clinical practice, precise mechanisms that lead to the onset and persistence of AF have not completely been elucidated. Over the last decade, outstanding progress has been made in understanding the complex pathophysiology of AF. The key role of ectopic foci in pulmonary veins as a trigger of AF has been recognized. Furth...