Journal of atrial fibrillation最新文献

{"title":"Smartwatch Alert Mimicking Implantable Cardiac Defibrillator Alarm During Sleep.","authors":"Libo Wang, Anna Catino, Tirah Sheppard, Rashmee U Shah, T Jared Bunch, Benjamin A Steinberg","doi":"10.4022/jafib.2412","DOIUrl":"https://doi.org/10.4022/jafib.2412","url":null,"abstract":"","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2412"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691301/pdf/jafib-13-02412.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39758643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concealed Coronary Atherosclerosis In Idiopathic Paroxysmal Atrial Fibrillation is Associated with Imminent Cardiovascular Diseases.","authors":"Eamp Dudink,&nbsp;B Weijs,&nbsp;Jglm Luermans,&nbsp;Fecm Peeters,&nbsp;S Altintas,&nbsp;K Vernooy,&nbsp;Lafg Pison,&nbsp;R J Haest,&nbsp;J A Kragten,&nbsp;Bljh Kietselaer,&nbsp;J E Wildberger,&nbsp;Hjgm Crijns","doi":"10.4022/jafib.2321","DOIUrl":"https://doi.org/10.4022/jafib.2321","url":null,"abstract":"<p><strong>Background: </strong>Previous research showed a significant difference in the presence of subclinical coronary artery disease (CAD) on cardiac CT angiography (CTA) between patients with idiopathic paroxysmal atrial fibrillation (iAF) versus a matched sinus rhythm population (iSR). Here we present 5-year follow-up data and the consequences of subclinical CAD on baseline CTA on the development of cardiovascular disease in iAF.</p><p><strong>Methods: </strong>In 99 iAF patients (who underwent CTA as part of work-up for pulmonary vein isolation) and 221 matched iSR controls (who underwent CTA for CAD assessment), the incidence of hypertension, diabetes and major cardiovascular events (MACCE) during follow-up was obtained. Multivariable Cox regression analysis was used to reveal predictors of incident cardiovascular disease in the iAF group.</p><p><strong>Results: </strong>During a follow-up of 68±11 months, over one third of patients developed cardiovascular disease, with no difference between iAF and iSR (log-rank p=0.56), and comparable low rates of MACCE (4.0% vs 5.0%,p=0.71). Within the iAF group, age (HR1.12(1.03-1.20);p=0.006), left atrial diameter (HR1.16(1.03-1.31);p=0.01), Segment Involvement Score (total number of coronary segments with atherosclerotic plaque; HR1.43(1.09-1.89);p=0.01) and the number of calcified plaques on CTA (HR0.53(0.30-0.92);p=0.01) were independent predictors of incident cardiovascular disease.</p><p><strong>Conclusions: </strong>Subclinical coronary disease on CTA may be useful to identify the subset of patients with iAF that harbour concealed cardiovascular risk factors and need intensive clinical follow-up to ensure timely initiation of appropriate therapy once CV disease develops, including anticoagulation and vascular prophylactic therapy.</p>","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2321"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691298/pdf/jafib-13-02321.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39847487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mysteries of Ganglionated Plexi Ablation: More to Learn.","authors":"Tolga Aksu,&nbsp;Rakesh Gopinathannair","doi":"10.4022/jafib.2481","DOIUrl":"10.4022/jafib.2481","url":null,"abstract":"","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2481"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691289/pdf/jafib-13-02481.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39760638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Computed Tomography-Derived Three-Dimensional Printed Models versus Two-Dimensional Transesophageal Echocardiography for Left Atrial Appendage Occlusion Device Planning: A Systematic Review and Meta-Analysis.","authors":"Garly Saint Croix, Syed Imran Zaidi, Viky S Loescher, Christos G Mihos","doi":"10.4022/jafib.2433","DOIUrl":"10.4022/jafib.2433","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review and meta-analysis compared computed tomography (CT)-derived three-dimensional (3D) modeling versus two-dimensional transesophageal echocardiography (TEE) for left atrial appendage occluder (LAAO) device planning.</p><p><strong>Background: </strong>LAAO device planning is commonly performed with TEE. However, procedures often require multiple devices and deployments due to inaccurate sizing from TEE. The use of CT three-dimensional (3D) models for LAAO device planning may improve accuracy.</p><p><strong>Methods: </strong>Four clinical studies that reported procedural and clinical outcomes for CT-derived 3D modeling versus TEE for LAAO device planning were identified. End points were accurate device sizing, procedure failure, number of devices used per procedure, fluoroscopy time, and post-procedure leak. Risk ratio (RR) and mean difference (MD) with a 95% confidence interval (CI) were calculated by the Mantel-Haenszel and inverse variance methods.</p><p><strong>Results: </strong>A total of 166 participants were included. When compared with conventional imaging, the use of 3D printed models was associated with less fluoroscopy time (MD -6.98 minutes, 95% CI -12.68 to -1.28, p=0.02) and lower risk of occluder device peri-prosthetic leak (RR 0.23, 95% CI 0.07-0.73, p=0.01) for LAAO. There were signals towards lower number of devices per procedure (MD -0.56 devices, 95% CI -1.16-0.05, p=0.07) and less total procedure time (MD -13.50 minutes, 95% CI -28.14-1.14, p=0.07) with printed modeling for LAAO. There was no difference between modalities in rates of procedure failure.</p><p><strong>Conclusions: </strong>CT-derived 3D printed models for LAAO device planning may offer the advantages of lower LAAO device peri-prosthetic leak and less fluoroscopy time when compared with conventional TEE guidance.</p>","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2433"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691300/pdf/jafib-13-02433.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39758644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Echocardiographic Predictors of Atrial Fibrillation after Coronary Artery Bypass Grafting.","authors":"Al-Shimaa Mohamed Sabry,&nbsp;Heba Abd El-Kader Mansour,&nbsp;Tarek Helmy Abo El-Azm,&nbsp;Mohamed El Sayed Akef,&nbsp;Shimaa Ahmed Mostafa","doi":"10.4022/jafib.2320","DOIUrl":"https://doi.org/10.4022/jafib.2320","url":null,"abstract":"<p><strong>Objectives: </strong>To detect the clinical and echocardiographic parameters that predict AF in coronary artery disease (CAD) patients after coronary artery bypass surgery (CABG).</p><p><strong>Methods: </strong>One hundred CAD patients scheduled for CABG were included. Standard 2D, PW Doppler and 2D speckle tracking echocardiography were performed to assess left atrial (LA) and ventricular (LV) function and their role in predicting post-operative atrial fibrillation (POAF).</p><p><strong>Results: </strong>Twenty-two percent of patients developed POAF. POAF patients were significantly older (P= 0.001) with increased heart rate (P= 0.001). POAF patients had increased LA diameters and volumes (P < 0.001). Left ventricular ejection fraction (LVEF) was significantly lower in POAF patients (P < 0.004). POAF patients had significantly lower LA and LV global longitudinal strain (LVGLS) (p < 0.001). Clinical predictors of POAF were age and heart rate (P < 0.001). While, echocardiographic measures associated with POAF were LA and LV global longitudinal strain (P <0.001). LA longitudinal strain ≤ 23.1 (85% sensitivity and 66% specificity ) and LVGLS ≤ -14.4 (70% sensitivity and 85% specificity) predicted POAF.</p><p><strong>Conclusions: </strong>Preoperative LA and LV global longitudinal strain predicts POAF in CABG patients. Echocardiographic deformation measures can enhance clinical profile to identify patients at high risk for POAF.</p>","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2320"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691302/pdf/jafib-13-02320.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39847486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of Early Atrial Fibrillation After Transcatheter versus Surgical Aortic Valve Replacement: A Meta-Analysis of Randomized Controlled Trials.","authors":"Haider Altaii,&nbsp;Ramez Morcos,&nbsp;Fady Riad,&nbsp;Halah Abdulameer,&nbsp;Houman Khalili,&nbsp;Brijeshwar Maini,&nbsp;Eric Lieberman,&nbsp;Yoel Vivas,&nbsp;Phi Wiegn,&nbsp;Jose A Joglar,&nbsp;Judith Mackall,&nbsp;Sadeer G Al-Kindi,&nbsp;Sergio Thal","doi":"10.4022/jafib.2411","DOIUrl":"https://doi.org/10.4022/jafib.2411","url":null,"abstract":"<p><strong>Background: </strong>Post-operative atrial fibrillation (POAF) is common after aortic valve replacement (AVR) and is associated with worse outcomes. We performed a meta-analysis of randomized controlled trials comparing Surgical Aortic Valve Replacement (SAVR) and Transcatheter Aortic Valve Replacement (TAVR) for incidence of POAF at 30 days.</p><p><strong>Methods: </strong>We searched databases from 1/1/1990 to 1/1/2020 for randomized studies comparing TAVR and SAVR. POAF was defined as either worsening or new-onset atrial fibrillation. Random effects model was used to estimate the risk of POAF with TAVR vs SAVR in all trials, and in subgroups (low, intermediate, high risk, and in self-expandable vs balloon expandable valves). Sensitivity analysis was performed including only studies reporting new-onset atrial fibrillation.</p><p><strong>Results: </strong>Seven RCTs were identified that enrolled 7,934 patients (3,999 to TAVR and 3,935 to SAVR). The overall incidence of POAF was 9.7% after TAVR and 33.3% after SAVR. TAVR was associated with a lower risk of POAF compared with SAVR (OR 0.21 [0.18-0.24]; P < 0.0001). Compared with SAVR, TAVR was associated with a significantly lower risk of POAF in the high-risk cohort (OR 0.37 [0.27-0.49]; P < 0.0001), in the intermediate-risk cohort (OR 0.23 [0.19-0.28]; P < 0.0001), low-risk cohort (OR 0.13 [0.10-0.16]; P < 0.0001). Sensitivity analysis of 4 trials including only new-onset POAF showed similar summary estimates (OR 0.21, 95% CI [0.18-0.25]; P< 0.0001).</p><p><strong>Conclusions: </strong>TAVR is associated with a significantly lower risk of post-operative atrial fibrillation compared with SAVR in all strata. Further studies are needed to identify the contribution of post-operative atrial fibrillation to the differences in clinical outcomes after TAVR and SAVR.</p>","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2411"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691290/pdf/jafib-13-02411.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39758642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unexpected Detection of Floating Thrombi in Left Atrium After Left Atrial Appendage Ligation with Atriclip Device: A Case Report.","authors":"Sana N Buttar,&nbsp;Peter B Hansen,&nbsp;Christian Hassager,&nbsp;Henrik Ø Andersen","doi":"10.4022/jafib.2368","DOIUrl":"https://doi.org/10.4022/jafib.2368","url":null,"abstract":"<p><p>AtriClip device has demonstrated an excellent efficacy, long-term durability and safety of left atrium appendage (LAA) closure. We report, the unexpected postoperative transesophageal echocardiography (TEE) finding of thrombi in left atrium (LA) after deployment of an AtriClip in a 73-year-old man with chronic atrial fibrillation and 3-vessel-coronary artery disease undergoing coronary artery bypass grafting (CABG) surgery and LA appendage ligation. The heart was re-arrested and thrombi were retrieve successfully through a left atriotomy. This case emphasizes the unanticipated role of AtriClip in dislodging the thrombus from LAA, in addition to the importance of sufficient and well-founded imaging (Transesophageal Echocardiogram/ Multidetector Computed Tomography) before and after the deployment of AtriClip device.</p>","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2368"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691296/pdf/jafib-13-02368.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39847491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiac Resynchronization Therapy in continuous flow Left Ventricular Assist Device Recipients: A Systematic Review and Meta-analysis from ELECTRAM Investigators.","authors":"Kuldeep Shah,&nbsp;Vallabh Karpe,&nbsp;Mohit K Turagam,&nbsp;Mahek Shah,&nbsp;Andrea Natale,&nbsp;Rakesh Gopinathannair,&nbsp;Dhanunjaya Lakkireddy,&nbsp;Jalaj Garg","doi":"10.4022/jafib.2441","DOIUrl":"https://doi.org/10.4022/jafib.2441","url":null,"abstract":"<p><strong>Introduction: </strong>Whether cardiac resynchronization therapy (CRT) continues to augment left ventricular remodeling in patients with the continuous-flow left ventricular assist device (cf-LVAD) remains unclear.</p><p><strong>Methods: </strong>We performed a systematic review and meta-analysis of all clinical studies examining the role of continued CRT in end-stage heart failure patients with cf-LVAD reporting all-cause mortality, ventricular arrhythmias, and ICD shocks. Mantel-Haenszel risk ratio (RR) random-effects model was used to summarize data.</p><p><strong>Results: </strong>Eight studies (7 retrospective and 1 randomized) with a total of 1,208 unique patients met inclusion criteria. There was no difference in all-cause mortality (RR 1.08, 95% CI 0.86 - 1.35, p = 0.51, I2=0%), all-cause hospitalization (RR 1.01, 95% CI 0.76-1.34, p = 0.95, I²=11%), ventricular arrhythmias (RR 1.08, 95% CI 0.83 - 1.39, p = 0.58, I² =50%) and ICD shocks (RR 0.87, 95% CI 0.57 - 1.33, p = 0.52, I² =65%) comparing CRT versus non-CRT. Subgroup analysis demonstrated significant reduction in ventricular arrhythmias (RR 0.76, 95% CI 0.64 - 0.90, p = 0.001) and ICD shocks (RR 0.65, 95% CI 0.44 - 0.97, p = 0.04) in \"CRT on\" group versus \"CRT off\" group.</p><p><strong>Conclusions: </strong>CRT was not associated with a reduction in all-cause mortality or increased risk of ventricular arrhythmias and ICD shocks compared to non-CRT in cf-LVAD patients. It remains to be determined which subgroup of cf-LVAD patients benefit from CRT. The findings of our study are intriguing, and therefore, larger studies in a randomized prospective manner should be undertaken to address this specifically.</p>","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2441"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691299/pdf/jafib-13-02441.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39758646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contemporary Anticoagulation Practices for Postoperative Atrial Fibrillation: A Single Center Experience.","authors":"Fady S Riad,&nbsp;Konstantin German,&nbsp;Sarah Deitz,&nbsp;Jayakumar Sahadevan,&nbsp;Varun Sundaram,&nbsp;Albert L Waldo","doi":"10.4022/jafib.2443","DOIUrl":"https://doi.org/10.4022/jafib.2443","url":null,"abstract":"<p><strong>Aims: </strong>Postoperative atrial fibrillation (POAF) is a frequent in-hospital complication after cardiac surgery. Surprisingly, despite its prevalence, management of this condition has not been well studied. One promising approach that has been evaluated in a limited number of studies is use of anticoagulation. However, the trends and patterns of real-world use of anticoagulation in POAF patients has not been systemically investigated. In this study, we aimed to determine real-world patterns of anticoagulation use for patients with POAF.</p><p><strong>Methods: </strong>We identified 200 patients undergoing coronary artery bypass (CABG) or cardiac valve surgery at University Hospitals Cleveland Medical Center over a 2 year period beginning January 2016 with new onset POAF. We reviewed charts to verify candidacy for inclusion in the study and to extract data on anticoagulation use, adverse outcomes, and CHA₂DS₂-VASc scores.</p><p><strong>Results: </strong>Anticoagulation use was low after CABG, but high after bioprosthetic valve surgery. The most common anticoagulant used was warfarin. Anticoagulation use was not correlated with CHA₂DS₂-VASc score or cardioversion. Stroke and mortality were higher among patients not receiving anticoagulation, however, confirmation of this finding in larger randomized studies is warranted.</p><p><strong>Conclusions: </strong>Anticoagulation use is low after CABG and this practice does not appear to be affected by CHA₂DS₂VASc score or cardioversion. This differs with previously reported provider attitudes towards management of this condition. Stroke and mortality appear to be elevated for patients not receiving anticoagulation but further investigation is required to confirm this observation.</p>","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2443"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691297/pdf/jafib-13-02443.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39758647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Obstructive Pulmonary Disease and Risk of Atrial Arrhythmias After ST-Segment Elevation Myocardial Infarction.","authors":"Laurien Goedemans,&nbsp;Rachid Abou,&nbsp;José M Montero-Cabezas,&nbsp;Nina Ajmone Marsan,&nbsp;Victoria Delgado,&nbsp;Jeroen J Bax","doi":"10.4022/jafib.2360","DOIUrl":"https://doi.org/10.4022/jafib.2360","url":null,"abstract":"<p><strong>Background: </strong>ST-segment elevation myocardial infarction (STEMI) and cardiac arrhythmias frequently occur in patients with chronic obstructive pulmonary disease (COPD). However, little is known about the association of COPD with the occurrence of atrial arrhythmias after STEMI.</p><p><strong>Methods: </strong>This retrospective analysis consisted of 320 patients with first STEMI without a history of atrial arrhythmias, with available 24-hour holter-ECG at 3- and/or 6 months follow-up. In total, 80 COPD patients were compared with 240 non-COPD patients, matched by age and gender (mean age 67±10 years, 74% male). Atrial arrhythmias were defined as: atrial fibrillation/flutter, atrial tachycardia (≥3 consecutive premature atrial contractions (PAC's)) and excessive supraventricular ectopy activity (ESVEA, ≥30 PAC's/hour or runs of ≥20 PAC's).</p><p><strong>Results: </strong>Baseline characteristics were similar among COPD and non-COPD patients regarding infarct location, β-blocker use and cardiovascular risk profile except for smoking (69% vs. 49%, respectively, p=0.002). Additionally, atrial volumes, LVEF and TAPSE were comparable. During 1 year follow-up, a significantly higher prevalence of atrial tachycardia and ESVEA was observed in patients with COPD as compared to non-COPD patients (70% vs. 46%; p<0.001 and 21% vs. 11%; p=0.024, respectively). In multivariate analysis, COPD was independently associated with the occurrence of atrial arrhythmias (combined) during 1 year of follow-up (HR 3.59, 95% CI 1.78-7.22; p<0.001).</p><p><strong>Conclusion: </strong>COPD patients after STEMI have a significantly higher prevalence of atrial tachycardia and ESVEA within 1 year follow-up as compared to age- and gender matched patients without COPD. Moreover, COPD is independently associated with an increased prevalence of atrial arrhythmias after STEMI.</p>","PeriodicalId":15072,"journal":{"name":"Journal of atrial fibrillation","volume":"13 4","pages":"2360"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691293/pdf/jafib-13-02360.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39847489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}