Does Myocardial Infarction Beget Atrial Fibrillation and Atrial Fibrillation Beget Myocardial Infarction?

Rob A. Vermond, Isabelle C. Van Gelder, Harry J. Crijns, Michiel Rienstra*

*Corresponding author for this work

Research output: Contribution to journalEditorialAcademicpeer-review

14 Citations (Scopus)

Abstract

Atrial fibrillation (AF) affects millions of people worldwide.(1) It is already known several decades that AF is not a benign condition, and it's associated with a 5-fold increased risk of stroke, 3-fold increased risk of heart failure, and doubling of risk of dementia and death.(2-4) Myocardial infarction, and coronary heart disease, are traditional risk factors of AF,(5) however, whether myocardial infarction is a consequence of AF, has not been studied in great detail yet. The focus of current treatment for AF is pointed towards prevention of stroke. This is of utmost importance; however the other cardiovascular morbidities and mortality should not be overseen. An analysis of patients originally diagnosed with idiopathic AF, demonstrated that these patients develop frequently cardiovascular disease, including myocardial infarction and coronary artery disease.(6) An analysis of Medicare data emphasized the importance of cardiovascular events beyond stroke, such as heart failure, myocardial infarction and death in older adults with AF.(7).

Original languageEnglish
Pages (from-to)1824-1826
Number of pages3
JournalCirculation
Volume131
Issue number21
DOIs
Publication statusPublished - 26-May-2015

Keywords

  • Editorials
  • atrial fibrillation
  • epidemiology
  • myocardial infarction
  • risk factors
  • OLDER-ADULTS
  • EVENTS
  • RISK
  • EPIDEMIOLOGY
  • ASSOCIATION
  • DABIGATRAN
  • WARFARIN
  • TRIAL

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