Cited by 314Atrial Fibrillation Management and OutcomesAcute Myocardial Infarction ResearchCardiac Health and Mental Health

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Mortality Associated With Atrial Fibrillation in Patients With Myocardial Infarction: A Systematic Review and Meta-Analysis

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Jabre, Patricia, Roger, Véronique L., Murad, Mohammad H., Chamberlain, Alanna M., Prokop, Larry, Adnet, Frédéric, Jouven, Xavier·2011·Circulation

DOI 10.1161/circulationaha.110.986661PMC PMC3082773

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Abstract

Background—: Atrial fibrillation (AF) is a common finding in patients with myocardial infarction (MI). Atrial fibrillation is not generally perceived by clinicians as a critical event during the acute phase of MI; however, its prognostic influence in MI remains controversial. Furthermore, contradictory data exist concerning the risk of death according to AF timing. This article, a systematic review and first meta-analysis, aims to quantify the mortality risk associated with AF in MI patients and its timing. Methods and Results—: A comprehensive search of several electronic databases (1970 to 2010; adults, any language) identified MI studies that evaluated mortality related to AF. Evidence was reviewed by 2 blinded reviewers with a formal assessment of the methodological quality of the studies. Adjusted odds ratios were pooled across studies using the random-effects model. The I 2 statistic was used to assess heterogeneity. In the 43 included studies (278 854 subjects), the mortality odds ratio associated with AF was 1.46 (95% confidence interval, 1.35 to 1.58; I 2 =76%; 23 studies). This worse prognosis persisted regardless of the timing of AF; the odds ratio of mortality for new AF with no prior history of AF was 1.37 (95% confidence interval, 1.26 to 1.49), I 2 =28%, 9 studies), and for prior AF was 1.28 (95% confidence interval, 1.16 to 1.40; I 2 =24%; 4 studies). The sensitivity analysis of new AF studies adjusting for confounding factors did not show a decrease in risk of death. Conclusions—: Atrial fibrillation is associated with increased risk of mortality in MI patients. New AF with no history of AF before MI remained associated with an increased risk of mortality even after adjustment for several important AF risk factors. These subsequent increases in mortality suggest that AF can no longer be considered a nonsevere event during MI.

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Additional file 2 of Are there sex differences in the effect of type 2 diabetes in the incidence and outcomes of myocardial infarction? A matched-pair analysis using hospital discharge data
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Additional file 1 of Are there sex differences in the effect of type 2 diabetes in the incidence and outcomes of myocardial infarction? A matched-pair analysis using hospital discharge data
Lopez-de-Andres, A., Jiménez‐García, R., Hernández‐Barrera, V., de Miguel-Yanes, J. M., Albaladejo‐Vicente, R., Villanueva-Orbáiz, R., Carabantes-Alarcon, D., Zamorano-Leon, J. J., López‐Herránz, M., & de Miguel-Diez, J. (2021) · Figshare · doi:10.6084/m9.figshare.14471348
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Authors: Jabre, P., Roger, V. L., Murad, M. H., Chamberlain, A. M., Prokop, L., Adnet, F., & Jouven, X.
Affiliations: Mayo Clinic (US)
From the Department of Health Sciences Research (P.J., V.L.R., A.M.C.), Knowledge and Encounter Research Unit (M.H.M.), and Mayo Clinic Library System (L.P.), Mayo Clinic, Rochester, MN; Department of Emergency Medicine, Avicenne University Medical Center, Assistance Publique–Hôpitaux de Paris, Bobigny, France (F.A.); SAMU de Paris, Paris–Descartes University, Paris, France (P.J.); and INSERM, U970, Cardiovascular Epidemiology, Paris–Descartes University, Paris, France (P.J., X.J.).
ORCID: Jabre, Patricia
Murad, Mohammad H.
Chamberlain, Alanna M.
Prokop, Larry
Jouven, Xavier
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2011-04-19
Volume: 123
Issue: 15
Pages: 1587-1593
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/circulationaha.110.986661
PMC: PMC3082773
OpenAlex: W2041453711
Cited by: 314
References: 60
Citations by year: 2026: 18 · 2025: 15 · 2024: 16 · 2023: 24 · 2022: 18 · 2021: 32 · 2020: 23 · 2019: 25 · 2018: 14 · 2017: 20 · 2016: 14 · 2015: 23 · 2014: 22 · 2013: 18 · 2012: 25
FWCI: 15.62
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Institut National de la Santé et de la Recherche Médicale
Société Française de Médecine d'Urgence
Shandong First Medical University
National Institutes of Health
National Heart, Lung, and Blood Institute (R01HL59205, R01HL059205)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR030582, AR30582)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords: atrial fibrillation, myocardial infarction, mortality risk, prognosis, acute myocardial infarction
MeSH terms: Adult, Atrial Fibrillation, Humans, Myocardial Infarction, Risk Factors

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Mortality Associated With Atrial Fibrillation in Patients With Myocardial Infarction: A Systematic Review and Meta-Analysis

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