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Article Open Access

Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction

  • Authors:
    • Yingchun Zhang
    • Lingzhi Zhang
    • Hongzhi Zheng Zheng
    • Hongfen Chen
  • View Affiliations / Copyright

    Affiliations: Department of Emergency, Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031, P.R. China, Department of Stomatology, Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031, P.R. China, Department of Public Health, Affiliated Hospital of Weifang Medical University, Weifang, Shandong 261031, P.R. China
    Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 3574-3578
    |
    Published online on: August 22, 2018
       https://doi.org/10.3892/etm.2018.6640
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Abstract

The effects of atrial fibrillation on complications and prognosis of patients receiving emergency percutaneous coronary intervention after acute myocardial infarction (AMI) were investigated. Eighty AMI pati­ents treated with interventional vascular recanalization in the Affiliated Hospital of Weifang Medical University (Weifang, China) from July 2015 to October 2016 were selected, including 40 patients complicated with atrial fibrillation before operation (control group) and 40 patients without atrial fibrillation before operation (observation group). The systolic blood pressure, diastolic blood pressure, heart rate, arrhythmia and common complications after MI were compared. Changes in the coronary artery thrombolysis in myocardial infarction (TIMI) flow grade and left ventricular ejection fraction (LVEF) of patients were also recorded. Moreover, changes in brain natriuretic peptide (BNP) levels were compared. The recovery time of myocardial enzyme and total troponin in both groups was recorded. The systolic and diastolic blood pressure in the observation group were significantly higher than those in the control group (p<0.05). During the intervention, the total proportion of patients with ventricular arrhythmia, atrial arrhythmia, atrioventricular block and sinus tachycardia in the observation group was significantly lower than that in the control group (p<0.05). The total proportion of common complications after MI in the observation group was obviously lower than that in the control group (p<0.05). Coronary artery TIMI flow grades and LVEFs in the observation group were obviously higher than those in the control group. BNP levels in the observation group were significantly lower than those in the control group. The recovery time of myocardial enzyme and total troponin in the observation group was significantly earlier than that in the control group. Atrial fibrillation has a certain negative effect on the circulatory function in patients with AMI after the interventional therapy, and the proportions of arrhythmia and complications in patients after MI are increased at the same time, so the postoperative recovery of patients is slow with many complications.
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Copy and paste a formatted citation
Spandidos Publications style
Zhang Y, Zhang L, Zheng H and Chen H: Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction. Exp Ther Med 16: 3574-3578, 2018.
APA
Zhang, Y., Zhang, L., Zheng, H., & Chen, H. (2018). Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction. Experimental and Therapeutic Medicine, 16, 3574-3578. https://doi.org/10.3892/etm.2018.6640
MLA
Zhang, Y., Zhang, L., Zheng, H., Chen, H."Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction". Experimental and Therapeutic Medicine 16.4 (2018): 3574-3578.
Chicago
Zhang, Y., Zhang, L., Zheng, H., Chen, H."Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction". Experimental and Therapeutic Medicine 16, no. 4 (2018): 3574-3578. https://doi.org/10.3892/etm.2018.6640
Copy and paste a formatted citation
x
Spandidos Publications style
Zhang Y, Zhang L, Zheng H and Chen H: Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction. Exp Ther Med 16: 3574-3578, 2018.
APA
Zhang, Y., Zhang, L., Zheng, H., & Chen, H. (2018). Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction. Experimental and Therapeutic Medicine, 16, 3574-3578. https://doi.org/10.3892/etm.2018.6640
MLA
Zhang, Y., Zhang, L., Zheng, H., Chen, H."Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction". Experimental and Therapeutic Medicine 16.4 (2018): 3574-3578.
Chicago
Zhang, Y., Zhang, L., Zheng, H., Chen, H."Effects of atrial fibrillation on complications and prognosis of patients receiving emergency PCI after acute myocardial infarction". Experimental and Therapeutic Medicine 16, no. 4 (2018): 3574-3578. https://doi.org/10.3892/etm.2018.6640
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