Advanced

Converting Persistent Non-Valvular Atrial Fibrillation to Sinus Rhythm in Critical Stenosis of Left Circumflex (LCX) Artery: Is it Ischaemic-related?: A Case Report

Author : F. Ratih, M.F. Rizky, K. Agoes
Upload Date : 19-04-2018

Introduction: Atrial fibrillation (AF) is a common complication of acute myocardial infarction (AMI). The reported incidence of AF was widely ranged from 2.3 to 21.0%. Based on The Cooperative Cardiovascular Project, there was, unexpectedly, a high incidence of AF in AMI patient group according to a systematic review of records of 106.780 subjects over the age of 64 years who were treated for AMI. 

 Case Description: A 62-years-old male patient was admitted to ER. Her BP was 140/80 with HR 62 bpm, irregular. Her chief complaint was weakness and slightly dizzy prior to admission. ECG showed atrial fibrillation normo response with pathologic Q-waves in lead III and aVF. Cardiac enzyme and echocardiography was normal. Therapy given in the ER were oxygen with nasal cannula 5 l/m, IV fluid, and Bisoprolol 1x2.5 mg. Patient was transferred to ward and stayed for 5 days until AF was stabilized until finally discharged and underwent cor-angiography two weeks later. Cardiologist team found out a 99% stenosis in LCX, which then released by PCI procedure. Patient passed through a VT episode but successfully stabilized. Patient takes DAPT for one year and visits the doctor regularly once a month for careful follow-up until now.

Discussion: MI may precede AF, and about one quarter of the AF population has a history of MI; thus, MI is considered a risk factor for AF. AF is also associated with systemic signs of inflammation that could promote a pro-thrombotic state and eventually MI. In this case, AF may promotes MI or the process of MI went first and manifested as AF, remains unclear, but indeed there’re many studies suggest the association between AF and MI.

Conclusion: In conclusion, MI and AF are closely related; MI may precede or complicate the clinical course of AF. The bulk of evidence demonstrates that AF in patients hospitalized for AMI carries adverse prognostic implications regarding in-hospital, but also long-term mortality. Atrial fibrillation complicating MI not only increases stroke risk during hospitalization but also after discharge, therefore a careful follow-up is needed.

KEYWORDS : Atrial fibrillation, coronary stenosis, myocardial infarction


Save Item
Download
Similar Articles

The Predictors of No Reflow Phenomenon after Percutaneous Coronary Intervention in Patients with ST Elevation Myocardial Infarction: A Meta-Analysis(Mohammad Saifur Rohman)

Q/R duration as a Predictor of No-Reflow in Patients with Acute Anterior Myocardial Infarction Who Underwent Primary Percutaneous Intervention(P. Meidianaser, Andri, F. Harben, S. Masrul)

The Differences of Echocardiographic Features between Mitral Regurgitation Patients with Sinus Rhythm and Atrial Fibrillation (V. B Kusmanto, A. M. Soesanto, E. Rudiktyo, R. Ariani, B. R. M. A. S. Kuncoro)

Fixed Low Dose Warfarin As Alternative Therapy To Prevent Thromboembolic Event In Atrial Fibrillation at Remote Area(K. S. P. Adnyana, D. Y. Hermanto, Irnizarifka)

Association between Left Ventricular Global Longitudinal Strain and Functional Capacity Measured with 6 MWT in Patients after Acute Myocardial Infarction(P. Wulandari, T. Wasyanto, N. Purwaningtyas)

Atrial Fibrillation is as a Predictor of in-Hospital Mortality of Acute Stroke Patients(N. H. Karunawan, R.T. Pinzon)

Comparison of Interleukin-6 Post Percutaneous Coronary Intervention between Patients with Acute Myocardial Infarction that Underwent Complete and Incomplete Revascularization(P. K. Dewi, S. Rifqi, N. Anggriyani, N. Wijayahadi)

Association between Neutrophil to Lymphocyte Ratio and Left Ventricle Global Longitudinal Strain in Acute Myocardial Infarctions Patients(A. A. Nursidiq, N. Purwaningtyas, T. Wasyanto)

Precordial ST Segment Depression on Admission Electrocardiogram as a Simple Noninvasive Tool for Predicting Coronary Artery Disease Complexity in Patients with Inferior Myocardial Infarction(J. Suganti, A. C. Lubis, A. A. Siregar, A. Sitepu, C. A. Andra, A. N. Nasution, H. Hasan)

Assessment of Coronary No-reflow in Patients with Acute Anterior STEMI Underwent Primary Percutaneous Coronary Intervention Using P Wave Peak Time Parameter(P. Andri, M. Meidianaser, Syaoqi, S. Masrul)

Cardiac Power Output Predicts In-Hospital Major Adverse Cardiac Events in Patients with Acute Myocardial Infarction(Y. F. Siregar, K. K. Ilyas, A. A. Siregar, H. Hasan)

Selvester Score in Myocardial Infarction, Could It Predict Degree of Severity in Coronary Lesion?(H. Pribadi, J. A. Pangemanan, S. H. Rampengan, A. L. Panda, I. Adriana, Ronaldi, V. F. K. Candra, N)

Estimated Glomerular Filtration Rate And Length of Stay in Patients with ST-Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention(H. Haryadi, A. A. Asrial, L. Raharjoyo, N. Virginia, K. Rizky ,Y. Herry)

Reduced Left Ventricular Ejection Fraction as A Predictor In-Hospital Major Cardiovascular Event in Patients Admitted with Acute Myocardial Infarction at Sanglah General Hospital Bali(I. D. G. D. Sumajaya, L. O. S. Suastika, A. A. A. D. A. Yasmin, I. G. N. P. Gunadhi)

Difference in Prevalence of Atrial Fibrillation and Non Atrial Fibrillation in Non Valvular Heart Disease Stroke Patient (E. Pramana, K. Susila)

Cerebrovascular Thromboembolic Events in Periprocedural Bridging Therapy vs Uninterrupted Anticoagulation in Long-Term Anticoagulant User with Atrial Fibrillation: A Mini Systematic Review(Vidyawati, P. M. H Putri, T. Jatiman)

Electrocardiographic Change Mimicking ST Elevation Myocardial infarction in Subdural Hemorrhage: Diagnostic Dilemma(P.I.N. Sigit, Y. Ahmad)

Isolated Posterior Myocardial Infarct: The Deadly Nightshade of the Electrocardiography(B.D.Guntoro, D.Ilmasari, M.G.Soewandi)

Localized ST Elevation in ECG: Acute Myopericarditis Mimicking ST Elevation Myocardial Infarction(T. N. P. Adityaputra, L. O. S. Suastika)

Recurrent Acute Myocardial Infarction in A-63 years old Man with Hypersensitivity to Aspirin Therapy: How to Deal with it?(M. Sanjiwani, N. Wiryawan)

Double Culprit Coronary Arteries in ST Elevation Myocardial Infarction Treated with Primary Percutaneous Intervention: A Case Report(H.H. Satoto, R. Puspitoadhi, R.A. Raharjo, S. Sungkar, I. Uddin)

Peri-Infarction Pericarditis, Rare Complication of Myocardial Infarction(S.A. Hutomo, Andrianto)

Non-ST Elevation Myocardial Infarction Induced by Sildenafil Consumption in a Patient with No Coronary Artery Disease History: A Case Report(I.M.E.A. Wardhana, P.G. Budiana*)

New ST-Segment Elevation After Coronary Artery Bypass: A Case Report(N. O. H. Rantung, L. A. Natalino, V. Sariowan, A. E. Haurissa, A. Tangkilisan, H. Abraham, J.A. Pang)

Extensive Anterior ST elevation Myocardial Infarction in Reproductive Woman Using Oral Contraceptive Pills (D.Ilmasari, A.F.Khalid, M.G.Soewandi)

Post infarction ventricle septal rupture: it is not always a lethal condition.(N.E. Damaiati, R. A. Sukaton, H. Isnanijah)

Subacute Coronary Stent Thrombosis in Patient after Elective Percutaneous Coronary Intervention : Causes, Risk Factors and Management(A. Chairunnisa, A. Wardhani, Y. Herry, I. Uddin, Safir)

Acute Pulmonary Embolism Mimicking an Acute Myocardial Infarction : A Case Report(O. M. Siregar, Y. Sarastri, Z. Safri, H. Hasan, )

How To Manage Total Atrioventricular Block In Inferior-Posterior AMI; Is PCI More Superior Than Permanent Pacemaker?(N.D Nuarisa, Y.H Oktaviono)

Copyrights 2018 ASMIHA | Managed by Indonesia Medical Event (IME)