Sankaranarayanan Rajiv
Cardiology Specialist Registrar in Electrophysiology and British Heart Foundation Clinical Research Fellow Manchester Heart Centre (Manchester Royal Infirmary) and University of Manchester, Cardiovascular Research Group, 3rd Floor, Core Technology Facility, 46, Grafton Street, Manchester M13 9PL, United Kingdom.
J Atr Fibrillation. 2012 Oct 6;5(3):554. eCollection 2012 Oct-Nov.
Atrial fibrillation (AF) complicating myocardial infarction (MI) has been a controversial topic for the last few decades. It has generated a plethora of debates regarding whether it is a risk indicator of co-morbidities and poor haemodynamic status or independent causal mediator of poor outcomes. The management of this condition has also been idiosyncratic probably due to confusion regarding its prognostic significance. We shall review the literature and attempt to elucidate the prognostic significance as well as evidence available for defining management strategies.
在过去几十年里,心房颤动(AF)合并心肌梗死(MI)一直是一个备受争议的话题。关于它是合并症和血流动力学状态不佳的风险指标,还是不良结局的独立因果介导因素,引发了大量争论。由于对其预后意义存在困惑,这种情况的管理也一直很特殊。我们将回顾文献,并试图阐明其预后意义以及可用于确定管理策略的证据。