Open AccessPrediction of atrial and ventricular fibrillation complicating myocardial infarction from admission data: A Prospective Study
Author(s) -
Flugelman M. Y.,
Flugelman A. A.,
Rozenman J.,
BenDavid J.,
Shefer A.,
Koren G.,
Gotsman M. S.
Publication year - 1987
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960100909
Subject(s) - medicine , cardiology , atrial fibrillation , myocardial infarction , prospective cohort study , ventricular fibrillation , blood pressure , electrocardiography
This study set out to examine prospectively two logistic formulae based on admission clinical data to predict ventricular or atrial fibrillation complicating acute myocardial infarction. A prospective study of 87 consecutive patients with acute transmural myocardial infarction was conducted. The formula for predicting ventricular fibrillation from the diastolic blood pressure, degree of ST‐segment elevation, and QTc had a sensitivity of 93%, specificity of 83 %, and a predictive value for an abnormal test of 62% (13 of 14 patients who developed ventricular fibrillation were identified). The formula for predicting atrial fibrillation from the age of the patient, a history of heart failure, systolic blood pressure, and four electrocardiographic parameters had a sensitivity of 78%, specificity of 85%, and a predictive value of 67% (14 of 18 patients identified). Our study shows that patients with myocardial infarction who are liable to develop ventricular or atrial fibrillation can be identified on admission from simple clinical data.