Ischemic atrial fibrillation
Abstract
Atrial fibrillation is the most common arrhythmia in the peri-acute myocardial infarction period, although its presence associated only to the acute phase of ischemia and its immediate cessation after early and effective revascularization is anecdotal in the literature, with a consequent lack of evidence for further treatment. A clinical case in which early coronary intervention managed to achieve a cardioversion of atrial fibrillation to sinus rhythm during an acute myocardial infarction is reported. Subsequently, it is discussed the strategy that must be followed with regard to arrhythmia in a patient with good clinical outcome after the event.Downloads
References
1. Schmitt J, Duray G, Gersh BJ, Hohnloser SH. Atrial fibrillation in acute myocardial infarction: a sys-tematic review of the incidence, clinical features and prognostic implications. Eur Heart J. 2009; 30(9):1038-45.
2. Kinjo K, Sato H, Sato H, Ohnishi Y, Hishida E, Naka-tani D, et al. Prognostic significance of atrial fibrillation/atrial flutter in patients with acute myocardial infarction treated with percutaneous coronary intervention. Am J Cardiol. 2003;92(10): 1150-4.
3. Patanè S, Marte F, Di Bella G. Changing axis de-viation with changing bundle branch block and new-onset of atrial fibrillation during acute myocar-dial infarction. Int J Cardiol. 2009;132(3):e128-30.
4. Sinno H, Derakhchan K, Libersan D, Merhi Y, Leung TK, Nattel S. Atrial ischemia promotes atrial fibrilla-tion in dogs. Circulation. 2003;107(14):1930-6.
5. Mendes LA, Connelly GP, McKenney PA, Podrid PJ, Cupples LA, Shemin RJ, et al. Right coronary artery stenosis: an independent predictor of atrial fibrilla-tion after coronary artery bypass surgery. J Am Coll Cardiol. 1995;25(1):198-202.
6. European Heart Rhythm Association, European Association for Cardio-Thoracic Surgery, Camm AJ, Kirchhof P, Lip GY, Schotten U, et al. Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J. 2010; 31(19):2369-429.
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