Rizwan Ullah, Abdul Sami, Malik Faisal Iftekhar, Imran Khan, Zahid Aslam Awan, Hameed Ullah.
New onset atrial fibrillation among patients presenting with anterior wall myocardial infarction.
Pak Heart J Jan ;51(2):161-5.

Objective: To determine frequency of new onset atrial fibrillation among patients presenting with anterior wall myocardial infarction. Methodology: This cross sectional study was conducted at Hayatabad Medical Complex, Peshawar from October 2016 to March 2017.Both male and female patients aged between 35 and 70 years admitted to CCU with anterior wall myocardial infarction were included in the study. Patients with severe co morbid conditions, preexisting left ventricular dysfunction, preexisting atrial fibrillation and stroke history were excluded. ECGs of these patients were analyzed for presence or absence of atrial fibrillation at admission and during hospital stay. Non-probability consecutive sampling technique was used for sample collection. Results: Our study included 278 patients. Mean age was 57 +- 7.70 years. Of 278 patients, 180(64.74%) patients were males while 98 (35.25%) patients were females. STEMI patients were 174 (62.58%), whereas 104 (37.41%) patients presented with NSTEMI. Out of 278 patients, atrial fibrillation was recorded in 20(7.19%) patients. Atrial fibrillation was stratified according to age, gender, type of myocardial infarction, smoking status, obesity, hypertension and diabetes. Conclusion: Our study concluded that atrial fibrillation complicates acute myocardial infarction which is common in our population, Identification of atrial fibrillation complicating AMI is important not only during hospitalization but also during the follow up period. Key Words:+-+-Atrial Fibrillation, Acute Myocardial Infarction, Stroke.

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