P 波变量在增强急性心肌梗死患者新发心房颤动预测中的作用》（The Role of Pave Variables in Enhanced Predicting of New-Onset Atrial Fibrillation in Patients with Acute Myocardial Infarction）。
Na Yang, Xiaoyan Li, Bo Wu, Longhao Dai, Shaobin Yang, Qinning Zhang, Shaobin Jia
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This study aimed to assess the predictive value of P-wave variables for post-AMI NOAF.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We retrospectively analyzed 1581 AMI patients with no prior AF, using follow-up data from January 2023 to January 2024. P-wave variables were measured, and patients were grouped based on in-hospital NOAF occurrence.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Overall, 164 (10.3%) of the 1581 patients had NOAF. The age (61.08 ± 12.02 vs. 67.91 ± 11.60, <i>p</i> < 0.001), left atrial size (36.31 ± 3.94 vs. 39.12 ± 5.51, <i>p</i> < 0.001), Brain Natriuretic Peptide (1588.45 ± 3346.18 vs. 3864.39 ± 6251.92, <i>p</i> < 0.001), P-wave variables (PWD: 102.78 ± 12.56 vs. 117.88 ± 18.81, <i>p</i> < 0.001; P-wave amplitude: 0.12 ± 0.04 vs. 0.13 ± 0.04, <i>p</i> = 0.041; interatrial block: 89.6% vs. 10.3%, <i>p</i> < 0.001), congestive heart failure (4.7% vs. 23.2%, <i>p</i> < 0.001), and Killip > 1 (25.3% vs. 55.5%, <i>p</i> < 0.001) showed significant differences between the non-AF and NOAF groups. P-wave variables were significantly associated with an increased risk of NOAF in multivariable regression analysis.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The addition of P-wave variables to AF risk factors from literature and guidelines significantly improved NOAF risk discrimination. P-wave variables were strongly associated with NOAF after AMI. Adding these variables enhanced the predictive performance for post-AMI NOAF.</p>\n </section>\n </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"30 1","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anec.70041","citationCount":"0","resultStr":"{\"title\":\"The Role of P-Wave Variables in Enhancing Prediction of New-Onset Atrial Fibrillation in Patients With Acute Myocardial Infarction\",\"authors\":\"Na Yang, Xiaoyan Li, Bo Wu, Longhao Dai, Shaobin Yang, Qinning Zhang, Shaobin Jia\",\"doi\":\"10.1111/anec.70041\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>After acute myocardial infarction (AMI), it is common to observe new-onset atrial fibrillation (NOAF), which is often related to a negative prognosis. Some P-wave variables (P-wave duration [PWD], P-wave amplitude, and interatrial block [IAB]), reflecting the process of electrical and structural remodeling, could predict the risk of atrial fibrillation (AF). This study aimed to assess the predictive value of P-wave variables for post-AMI NOAF.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>We retrospectively analyzed 1581 AMI patients with no prior AF, using follow-up data from January 2023 to January 2024. P-wave variables were measured, and patients were grouped based on in-hospital NOAF occurrence.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Overall, 164 (10.3%) of the 1581 patients had NOAF. The age (61.08 ± 12.02 vs. 67.91 ± 11.60, <i>p</i> < 0.001), left atrial size (36.31 ± 3.94 vs. 39.12 ± 5.51, <i>p</i> < 0.001), Brain Natriuretic Peptide (1588.45 ± 3346.18 vs. 3864.39 ± 6251.92, <i>p</i> < 0.001), P-wave variables (PWD: 102.78 ± 12.56 vs. 117.88 ± 18.81, <i>p</i> < 0.001; P-wave amplitude: 0.12 ± 0.04 vs. 0.13 ± 0.04, <i>p</i> = 0.041; interatrial block: 89.6% vs. 10.3%, <i>p</i> < 0.001), congestive heart failure (4.7% vs. 23.2%, <i>p</i> < 0.001), and Killip > 1 (25.3% vs. 55.5%, <i>p</i> < 0.001) showed significant differences between the non-AF and NOAF groups. P-wave variables were significantly associated with an increased risk of NOAF in multivariable regression analysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The addition of P-wave variables to AF risk factors from literature and guidelines significantly improved NOAF risk discrimination. P-wave variables were strongly associated with NOAF after AMI. 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The Role of P-Wave Variables in Enhancing Prediction of New-Onset Atrial Fibrillation in Patients With Acute Myocardial Infarction
Background
After acute myocardial infarction (AMI), it is common to observe new-onset atrial fibrillation (NOAF), which is often related to a negative prognosis. Some P-wave variables (P-wave duration [PWD], P-wave amplitude, and interatrial block [IAB]), reflecting the process of electrical and structural remodeling, could predict the risk of atrial fibrillation (AF). This study aimed to assess the predictive value of P-wave variables for post-AMI NOAF.
Methods
We retrospectively analyzed 1581 AMI patients with no prior AF, using follow-up data from January 2023 to January 2024. P-wave variables were measured, and patients were grouped based on in-hospital NOAF occurrence.
Results
Overall, 164 (10.3%) of the 1581 patients had NOAF. The age (61.08 ± 12.02 vs. 67.91 ± 11.60, p < 0.001), left atrial size (36.31 ± 3.94 vs. 39.12 ± 5.51, p < 0.001), Brain Natriuretic Peptide (1588.45 ± 3346.18 vs. 3864.39 ± 6251.92, p < 0.001), P-wave variables (PWD: 102.78 ± 12.56 vs. 117.88 ± 18.81, p < 0.001; P-wave amplitude: 0.12 ± 0.04 vs. 0.13 ± 0.04, p = 0.041; interatrial block: 89.6% vs. 10.3%, p < 0.001), congestive heart failure (4.7% vs. 23.2%, p < 0.001), and Killip > 1 (25.3% vs. 55.5%, p < 0.001) showed significant differences between the non-AF and NOAF groups. P-wave variables were significantly associated with an increased risk of NOAF in multivariable regression analysis.
Conclusions
The addition of P-wave variables to AF risk factors from literature and guidelines significantly improved NOAF risk discrimination. P-wave variables were strongly associated with NOAF after AMI. Adding these variables enhanced the predictive performance for post-AMI NOAF.
期刊介绍：
The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients.
ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation.
ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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