Burden of Arrhythmias in Acute Myocardial Infarction Complicated by Cardiogenic Shock

There are limited data on arrhythmias in acute myocardial infarction with cardiogenic shock (AMI-CS). Using a 17-year AMI-CS population from the National Inpatient Sample, we identified common arrhythmias – atrial fibrillation (AF), atrial flutter, supraventricular tachycardia, ventricular tachycard...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of cardiology 2020-06, Vol.125 (12), p.1774-1781
Main Authors: Vallabhajosyula, Saraschandra, Patlolla, Sri Harsha, Verghese, Dhiran, Ya'Qoub, Lina, Kumar, Vinayak, Subramaniam, Anna V., Cheungpasitporn, Wisit, Sundaragiri, Pranathi R., Noseworthy, Peter A., Mulpuru, Siva K., Bell, Malcolm R., Gersh, Bernard J., Deshmukh, Abhishek J.
Format: Article
Language:English
Subjects:
Arrhythmia
Cardiac arrhythmia
Clinical outcomes
Comorbidity
Confidence intervals
Demographics
Fibrillation
Flutter
Heart
Heart attacks
Heart surgery
Morbidity
Mortality
Myocardial infarction
Population
Race
Regression analysis
Resource utilization
Tachycardia
Trends
Ventricle
Ventricular fibrillation
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:There are limited data on arrhythmias in acute myocardial infarction with cardiogenic shock (AMI-CS). Using a 17-year AMI-CS population from the National Inpatient Sample, we identified common arrhythmias – atrial fibrillation (AF), atrial flutter, supraventricular tachycardia, ventricular tachycardia, ventricular fibrillation, and atrioventricular blocks (AVB). Admissions with concomitant cardiac surgery were excluded. Outcomes of interest included temporal trends, predictors, in-hospital mortality, and resource utilization in cohorts with and without arrhythmias. Of the 420,319 admissions with AMI-CS during 2000 to 2016, arrhythmias were noted in 213,718 (51%). AF (45%), ventricular tachycardia (35%) and ventricular fibrillation (30%) were the most common arrhythmias. Compared with those without, the cohort w`ith arrhythmias was more often male, of white race, with ST-segment elevation AMI-CS presentation, and had higher rates of cardiac arrest and acute organ failure (all p
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2020.03.015