Prognosis of patients with non-ST elevation acute coronary syndromeand acute atrial fibrillation
Aim of the study was to evaluate short- and long-term prognosis of non-ST elevation acute coronary syndrome (NSTEACS) patients with acute atrial fibrillation (AF). We examined 236 patients (pts) aged 56-68 years, 127 men and 109 women, who admitted to the coronary care unit with unstable angina or non-ST elevation myocardial infarction (MI) for period of 6 months in 2016. Pts were divided into two groups. The first group included patients with acute AF, whose sinus rhythm was restored by DC cardioversion at admission. The second group included patients without AF. Classic atherosclerosis risk factors were analyzed. Evaluation of patients included coronary angiography. Follow-up period lasted for 12 months. We analyzed in-hospital mortality, myocardial revascularization rate, 12-months mortality, 12-months myocardial infarction, ischemic stroke and life-threatening hemorrhage incidence rates. Acute MI was diagnosed rarer in pts with AF. Pts with AF less frequently had significant coronary atherosclerosis, consequently they had fewer myocardial revascularization procedures including follow-up period. In-hospital and 12-months mortality, 12-months MI incidence rates did not differ in both groups.