Skip to main content
SpringerLink
Log in

Post-PCI Atrial Fibrillation: Possible Clinical and Prognostic Significance

  • Chapter
Book cover Cardiac Arrhythmias 2005

  • 691 Accesses

Conclusions

Atrial flutter may occur as a complication of PCI, but most of the time the Patients’ characteristics play important roles in the occurrence of this type of arrhythmia. For instance, ongoing acute MI can be the real reason for AF. Generally, AF tends to revert spontaneously, but when necessary treatment must be given promptly. If the patient is compromised by ventricular rate or by the loss of atrial contribution to cardiac output, synchronised DC cardioversion should be performed without delay. Intravenous beta-blockade can be effective for acute rate control. Calcium-channel blockers can be administered to promptly control ventricular rate. Digoxin, amiodarone and dofetilide are the drugs of choice for treating patients with acute MI with heart failure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Benjamin EJ, Wolf PA, D’Agostino RB et al (1998) Impact of atrial fibrillation on the risk of death: the Framingham Heart Study. Circulation 98:946–952

    PubMed  CAS  Google Scholar 

  2. Chugh SS, Blackshear JL, Shen WK et al (2001) Epidemiology and natural history of atrial fibrillation: clinical implications. J Am Coll Cardiol 37:371–378

    Article  PubMed  CAS  Google Scholar 

  3. Mehta RH, Harjai KJ, Grines L et al (2004) Sustained ventricular tachycardia or fibrillation in the cardiac catheterization laboratory among patients receiving primary percutaneous coronary intervention: incidence, predictors, and outcomes. J Am Coll Cardiol 43:1765–1772

    Article  PubMed  Google Scholar 

  4. Kinjo K, Sato H, Sato H et al (2003) Prognostic significance of atrial fibrillation/atrial flutter in patients with acute myocardial infarction treated with percutaneous coronary intervention. Am J Cardiol 92:1150–1154

    Article  PubMed  Google Scholar 

  5. Dilaveris PE, Gialafos EJ, Sideris SK et al (1998) Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J 135:733–738

    Article  PubMed  CAS  Google Scholar 

  6. Gorenek B, Kudaiberdieva G, Cavusoglu Y (2002) Immediate recurrence of atrial fibrillation after internal cardioversion: importance of right atrial conduction variations. J Electrocardiol 35:313–320

    Article  PubMed  Google Scholar 

  7. Gialafos JE (1999) P-wave dispersion. Eur Heart J 20:317

    Article  PubMed  CAS  Google Scholar 

  8. Tanigawa M, Fukatani M, Konoe A et al (1991) Prolonged and fractionated right atrial electrograms during sinus rhythm in patients with paroxysmal atrial fibrillation and sinus sick node syndrome. J Am Coll Cardiol 17:403–408

    Article  PubMed  CAS  Google Scholar 

  9. Centurion OA, Isomoto S, Fukatani M et al (2002) Relationship between atrial conduction defects and fractioned atrial endocardial electrocardiograms in patients with sick sinus syndrome. PACE 16:2022–2023

    Google Scholar 

  10. Papageoriou P, Monahan K, Boyle NG et al (1996) Site dependent intra-atrial conduction delay: Relationship to initiation of atrial fibrillation. Circulation 94:348–349

    Google Scholar 

  11. Steinberg JS, Zelenkofske S, Wong SC et al (1993) Value of P-wave signal-averaged ECG for predicting atrial fibrillation after cardiac surgery. Circulation 88:2618–2622

    PubMed  CAS  Google Scholar 

  12. Vilani GQ, Piepoli M, Cripps T et al (1994) Atrial late potentials in patients with paroxysmal atrial fibrillation detected using a high gain, signal-averaged esophageal lead. PACE 17:1118–1123

    Google Scholar 

  13. Klein M, Evans SJL, Cataldo L et al (1995) Use of P-wave-triggered, P-wave signal-averaged electrocardiogram to predict atrial fibrillation after coronary artery bypass surgery. Am Heart J 129:895–901

    Article  PubMed  CAS  Google Scholar 

  14. Yamada T, Fukunami M, Shimonagata T et al (1999) Dispersion of signal-averaged P wave duration on precordial body surface in patients with paroxysmal atrial fibrillation. Eur Heart J 20:211–220

    Article  PubMed  CAS  Google Scholar 

  15. Aytemir K, Aksoyek S, Yildirir A et al (1999) Prediction of atrial fibrillation recurrence after cardioversion by P wave signal-averaged electrocardiography. Int J Cardiol 70:15–21

    Article  PubMed  CAS  Google Scholar 

  16. Ozmen F, Atalar E, Aytemir K, Ozer N, et al (2001) Effect of balloon-induced acute ischemia on P wave dispersion during percutaneous transluminal coronary angioplasty. Europace 3:299–303

    Article  PubMed  CAS  Google Scholar 

  17. Budeus M, Hennersdorf M, Dierkes S et al (2003) Effects of right coronary artery PTCA on variables of P-wave signal averaged electrocardiogram. Ann Noninvasive Electrocardiol 8:150–156

    Article  PubMed  Google Scholar 

  18. Antman EM, Anbe DT, Armstrong PW et al (2004) ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction-executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1999 Guidelines for the Management of Patients With Acute Myocardial Infarction). Circulation 110:588

    Article  PubMed  Google Scholar 

  19. Eldar M, Canetti M, Rotstein Z, Boyko V et al (1998) Significance of paroxysmal atrial fibrillation complicating acute myocardial infarction in the thrombolytic era. SPRINT and Thrombolytic Survey Groups. Circulation 97:965–970

    PubMed  CAS  Google Scholar 

  20. Goldberg RJ, Yarzebski J, Lessard D et al (2002) Recent trends in the incidence rates of and death rates from atrial fibrillation complicating initial acute myocardial infarction: a community-wide perspective. Am Heart J 143:519–527

    Article  PubMed  Google Scholar 

  21. Grines CL, Browne KF, Marco J et al (1993) A comparison of immediate angioplasty with thrombolytic therapy for acute myocardial infarction. The Primary Angioplasty in Myocardial Infarction Study Group. N Engl J Med 328:673–679

    Article  PubMed  CAS  Google Scholar 

  22. Zijlstra F, de Boer MJ, Hoorntje JC et al (1993) A comparison of immediate coronary angioplasty with intravenous streptokinase in acute myocardial infarction. N Engl J Med 328:680–684

    Article  PubMed  CAS  Google Scholar 

  23. Akdemir R, Ozhan H, Gunduz H et al (2005) Effect of reperfusion on P-wave duration and P-wave dispersion in acute myocardial infarction: primary angioplasty versus thrombolytic therapy. Ann Noninvasive Electrocardiol 10:35–40

    Article  PubMed  Google Scholar 

  24. Gorenek B, Birdane A, Unalir A et al (2000) Restoring sinus rhythm in patients with atrial fibrillation complicating acute myocardial infarction: comparison of outcomes of primary angioplasty and thrombolytic therapy. Eur J Heart Fail, Suppl 1:32 (abs)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Cardiology Department, Osmangazi University, Eskisehir, Turkey

    B. Gorenek

Authors
  1. B. Gorenek
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Divisione di Cardiologia, Ospedale Umberto I, Via Circonvallazione 50, I-30174, Venezia Mestre

    Antonio Raviele MD

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag Italia

About this chapter

Cite this chapter

Gorenek, B. (2006). Post-PCI Atrial Fibrillation: Possible Clinical and Prognostic Significance. In: Raviele, A. (eds) Cardiac Arrhythmias 2005. Springer, Milano. https://doi.org/10.1007/88-470-0371-7_19

Download citation

  • DOI: https://doi.org/10.1007/88-470-0371-7_19

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0370-5

  • Online ISBN: 978-88-470-0371-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation