Impact of atrial fibrillation on the no-flow phenomenon during primary percutaneous coronary intervention
LIN Ming-duan
GUO Guan-hua
HUANG Zi-ming
CHEN Yu
PENG Chang
LING Guang-jiao
ZHANG Yan-qing
1.Cardiology department, Central People's Hospital of Zhanjiang, Zhanjiang 524000, Guangdong, China2.Cardiology department, Central People's Hospital of Zhanjiang, Zhanjiang 524000, Guangdong, China3.Cardiology department, Central People's Hospital of Zhanjiang, Zhanjiang 524000, Guangdong, China4.Cardiology department, Central People's Hospital of Zhanjiang, Zhanjiang 524000, Guangdong, China5.Cardiology department, Central People's Hospital of Zhanjiang, Zhanjiang 524000, Guangdong, China6.Cardiology department, Central People's Hospital of Zhanjiang, Zhanjiang 524000, Guangdong, China7.Cardiology department, Central People's Hospital of Zhanjiang, Zhanjiang 524000, Guangdong, China
摘要：Backrround Atrial fibrillation (AF) is reported to be associated with worse flow in patients with the treatment of coronary thrombolysis.However,few studies investigated the impact of atrial fibrillation on the noreflow phenomenon in ST-segment elevation myocardial infarction (STEIMI) patients undergoing primary percutaneous intervention (PCI).Methods 1163 STEMI patients undergoing primary PCI from Jan 2013 to Dec 2019 were enrolled.Atrial fibrillation was diagnosed based on the electrocardiogram's findings.Patients with a TIMI flow rate less than 3 were considered to have no-reflow.Factors related to the no-reflow phenomenon was analyzed by the logistic regression analysis.Results 158 patients were in the AF group and 1005 patients were in the non-AF group.The AF group had a significantly higher occurrence of cardiogenic shock (11.4％ vs.5.6％,P＜0.001),and in-hospital mortality (9.5％ vs.3.1％,P＜0.001) than the non-AF group.The multivariate analysis showed that AF was an independent risk factor for the no-reflow phenomenon after primary PCI (OR: 2.11,95％ CI: 1.27-3.88,P=0.014).Conclusions STEMI patients with AF would have higher in-hospital adverse events and no-reflow phenomenon than though without AF.
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论文发表日期：2020-06-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 98-103 )
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