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Heart Disease Health Center

After a Heart Attack, Heartbeat Disturbance Can Be Deadly

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March 6, 2000 (New York) -- Elderly people hospitalized for a major heart attack have a greater risk of dying if they develop atrial fibrillation, a disturbance of the heart's natural rhythm. In a study appearing in the March 7 issue of Circulation, researchers say more attention should be paid to this common complication, which occurred in 22% of the elderly people studied.

Atrial fibrillation (AF), which is the rapid, uncontrolled beating of the two upper chambers of the heart, affects more than 2 million Americans. Though AF is known to increase a person's future risk of death, the new study shows it to be a significant risk factor for death following a heart attack.

"We know that atrial fibrillation is a problem following [heart attack]," study co-author Allen J. Solomon, MD, tells WebMD. "Outside of [heart attack] we know that it is common in the elderly, but what was not clear was how common it was in elderly [heart attack] patients. In this study we found it to be even more common than suspected." Solomon is with the division of cardiology of Georgetown University Medical Center in Washington.

The authors evaluated more than 100,000 people 65 and older who were hospitalized with heart attacks.

AF, which occurred in close to a quarter of the study participants, was more likely in the older patients and those who had a history of heart disease. The patients with AF were more likely to have died while in the hospital -- 25% of them died, compared to 16% of those without the condition -- and up to 30 days after discharge. One year after their heart attacks, close to a half of the AF patients had died, compared to just under a third of the patients without AF.

The likelihood that atrial fibrillation will hurt recovery appears to depend on when it develops. Some studies have shown that only those who develop it while hospitalized are at increased risk of dying. Adding to the controversy, at least one large study found no connection between developing AF and dying after a heart attack.

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