Temporal trends in prevalence and outcomes of atrial fibrillation in patients undergoing percutaneous coronary intervention.

ABSTRACT:

Background

Atrial fibrillation (AF) is the most common arrhythmia in patients undergoing percutaneous coronary intervention (PCI).

Hypothesis

Large administrative data may provide further insight into temporal trends in the prevalence and burden of AF in patients who underwent PCI.

Methods

Using the National Inpatient Sample database in the U.S., AF patients ?18?years who underwent PCI between 2005 and 2014 and were identified by the International Classification of Diseases, ninth revision, Clinical Modification, were examined. In-hospital mortality, morbidity, resource use, and medical costs were evaluated in crude and propensity-matched analyses.

Results

Among an estimated 6?272?232 hospitalizations, of patients undergoing PCI, AF prevalence was 9.9% and steadily increased from 8.6% to 12.0% between 2005 and 2014 (P?ConclusionAF becomes more prevalent in patients undergoing PCI, possibly due to a higher comorbidity, particularly in elderly patients with non-acute indications. Less favorable trends in mortality, bleeding, and stroke among AF patients who underwent PCI were consistent over time. Continuous efforts are needed to improve outcomes and manage strategies for AF patients undergoing PCI.

SUBMITTER: Morita Y 

PROVIDER: S-EPMC6954373 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature