Atrial Fibrillation and Acute Myocardial Infarction: Antithrombotic Therapy and Outcomes

Atrial Fibrillation Saturday, July 21st, 2012

Sciencedirect.com: July 13, 2012.

 

Atrial fibrillation guidelines recommend long-term use of warfarin according to a patient’s predicted risk of stroke. After acute myocardial infarction, however, combining warfarin and antiplatelet medications poses challenges.

Methods

By using data from more than 69,255 patients with acute myocardial infarction who were enrolled in the National Cardiovascular Data Registry’s Acute Coronary Treatment and Intervention Outcomes Network Registry–Get With the Guidelines at 309 hospitals from July 1, 2008, to September 30, 2009, we describe the characteristics and outcomes of the population with myocardial infarction with atrial fibrillation diagnosed within 2 weeks before index myocardial infarction admission (7.1%, N = 4947). Use of discharge antithrombotic therapy is described overall and across levels of predicted stroke and bleeding risks. Read More

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