About this trial
To validate the prognostic importance of the burden of new-onset atrial fibrillation (NOAF) complicating acute myocardial infarction (AMI) in a prospectively designed hospital-based registry. To characterize those factors that contribute to the progression of post-MI NOAF burden. To establish a prediction model for the risk stratification of patients with NOAF complicating AMI. To explore the clinical usefulness of NOAF burden in guiding the anticoagulation therapy among patients with post-MI NOAF.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients (>18 years old);
Patient with AMI (including STEMI and NSTEMI) who developed NOAF during the index hospitalization;
Patients must have received in-hospital CEM for at least 5 days;
Patients must give informed consent.
Disqualifiers
Patients with a medical history of pre-existing AF;
Patients with a medical history of rheumatic valvular disease;
Patients with a medical history of sick sinus syndrome;
Patients undergoing emergent coronary artery bypass surgery;
Trial population
Patients with AMI who do not have a medical history of AF and develop an incident AF episode during the index hospitalization.
Trial design
Cohort
Prospective
Treatments tested in this trial
Continuous Electronic Monitor
DeviceAll patients with NOAF complicating AMI will receive at least 5 days electronic monitoring for the evaluation of NOAF burden
Treatment groups
Trial outcomes
Primary outcomes
All-cause death
Death from any cause
Secondary outcomes
Cardiovascular death
All deaths without a clear non-cardiovascular cause would be classified as cardiovascular deaths
Heart failure hospitalization
Heart failure hospitalization is defined as a minimum of an overnight hospital stay of a participant who presented with symptoms and signs of HF or received intravenous diuretics
Recurrent myocardial infarction
Recurrent myocardial infarction is defined as the myocardial infarction episode that occurs after 28 days following the index AMI hospitalization.
Ischemic stroke
Ischemic stroke is defined as the presence of a new focal neurologic deficit thought to be ischemic in origin, with signs or symptoms lasting\>24h.
Sponsors and contacts
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Shanghai 10th People's Hospital
Lead sponsor
Shanghai Tong Ren Hospital
Collaborator
Kaifeng Central Hospital
Collaborator
Shanghai 7th People's Hospital
Collaborator
The First Affiliated Hospital of Zhengzhou University
Collaborator
Luoyang Central Hospital
Collaborator