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Paroxysmal Atrial Fibrillation in the Course of Acute Pulmonary Embolism: Clinical Significance and Impact on Prognosis
Joint Authors
Milewski, Robert
Ptaszynska-Kopczynska, Katarzyna
Kiluk, Izabela
Sobkowicz, Bozena
Krajewska, Agnieszka
Kosacka, Urszula
Krajewski, Jacek
Musial, Wlodzimierz Jerzy
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-09
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The relationship and clinical implications of atrial fibrillation (AF) in acute pulmonary embolism (PE) are poorly investigated.
We aimed to analyze clinical characteristics and prognosis in PE patients with paroxysmal AF episode.
Methods.
From the 391 patients with PE 31 subjects with paroxysmal AF were selected.
This group was compared with patients with PE and sinus rhythm (SR) and 32 patients with PE and permanent AF.
Results.
Paroxysmal AF patients were the oldest.
Concomitant DVT varies between groups: paroxysmal AF 32.3%, SR 49.5%, and permanent AF 28.1% (p=0.02).
The stroke history frequency was 4.6% SR, 12.9% paroxysmal AF, and 21.9% permanent AF (p<0.001).
Paroxysmal AF comparing to permanent AF and SR individuals had higher estimated SPAP (56 versus 48 versus 47 mmHg, p=0.01) and shorter ACT (58 versus 65 versus 70 ms, p=0.04).
Patients with AF were more often classified into high-risk group according to revised Geneva score and sPESI than SR patients.
In-hospital mortality was lower in SR (5%) and paroxysmal AF (6.5%) compared to permanent AF group (25%) (p<0.001).
Conclusions.
Patients with PE-associated paroxysmal AF constitute a separate population.
More severe impairment of the parameters reflecting RV afterload may indicate relation between PE severity and paroxysmal AF episode.
Paroxysmal AF has no impact on short-term mortality.
American Psychological Association (APA)
Krajewska, Agnieszka& Ptaszynska-Kopczynska, Katarzyna& Kiluk, Izabela& Kosacka, Urszula& Milewski, Robert& Krajewski, Jacek…[et al.]. 2017. Paroxysmal Atrial Fibrillation in the Course of Acute Pulmonary Embolism: Clinical Significance and Impact on Prognosis. BioMed Research International،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1137398
Modern Language Association (MLA)
Krajewska, Agnieszka…[et al.]. Paroxysmal Atrial Fibrillation in the Course of Acute Pulmonary Embolism: Clinical Significance and Impact on Prognosis. BioMed Research International No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1137398
American Medical Association (AMA)
Krajewska, Agnieszka& Ptaszynska-Kopczynska, Katarzyna& Kiluk, Izabela& Kosacka, Urszula& Milewski, Robert& Krajewski, Jacek…[et al.]. Paroxysmal Atrial Fibrillation in the Course of Acute Pulmonary Embolism: Clinical Significance and Impact on Prognosis. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1137398
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1137398