{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:18:08Z","timestamp":1771633088404,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T00:00:00Z","timestamp":1548288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The purpose of this study was to evaluate the prognostic value of atrial fibrillation (<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>) in patients with acute coronary syndrome (<jats:styled-content style=\"fixed-case\">ACS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total 648 of consecutive <jats:styled-content style=\"fixed-case\">ACS<\/jats:styled-content> patients were divided into non\u2010<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> and all\u2010<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> groups. The all\u2010<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> group was further subdivided into new\u2010onset <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> and pre\u2010existing <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> groups. We compared prognosis among these groups using the Cox regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean follow\u2010up period was 1.4\u00a0\u00b1\u00a01.2\u00a0years. Overall patient numbers were 538 in non\u2010<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> and 110 in all\u2010<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> groups (67 in new\u2010onset <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> and 43 in pre\u2010existing <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>). Seventy\u2010eight all\u2010cause deaths and 42 cardiac deaths were observed. New\u2010onset <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> had a worse prognosis than the other groups in the Kaplan\u2010Meier analysis (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.025) after observation. Cox regression analysis indicated no significant difference for all\u2010cause death among the three groups. The hazard ratio of congestive heart failure requiring hospitalization was significantly higher in the all\u2010<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> and new\u2010onset <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> group than in the non\u2010<jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> group. Multivariate logistic regression analysis revealed that renal dysfunction, peripheral arterial disease, Killip classification \u22652, and left ventricular ejection fraction (<jats:styled-content style=\"fixed-case\">LVEF<\/jats:styled-content>) were independent predictors of all\u2010cause death. The new\u2010onset <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> group had the highest prevalence of Killip classification \u22652 and the lowest <jats:styled-content style=\"fixed-case\">LVEF<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our study, <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> was not an independent predictor of all\u2010cause death, but new\u2010onset <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content> may be associated with worse prognosis and future heart failure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/joa3.12154","type":"journal-article","created":{"date-parts":[[2019,1,24]],"date-time":"2019-01-24T22:31:17Z","timestamp":1548369077000},"page":"182-189","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["New\u2010onset atrial fibrillation in patients with acute coronary syndrome may be associated with worse prognosis and future heart failure"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0196-6240","authenticated-orcid":false,"given":"Mizuyoshi","family":"Nagai","sequence":"first","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Memorial Heart Center Iwate Medical University  Morioka Iwate Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomonori","family":"Itoh","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Memorial Heart Center Iwate Medical University  Morioka Iwate Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaru","family":"Ishida","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Memorial Heart Center Iwate Medical University  Morioka Iwate Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Fusazaki","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Memorial Heart Center Iwate Medical University  Morioka Iwate Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Komatsu","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Memorial Heart Center Iwate Medical University  Morioka Iwate Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoyuki","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine Memorial Heart Center Iwate Medical University  Morioka Iwate Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Morino","sequence":"additional","affiliation":[{"name":"Division of Cardiology Department of Internal Medicine 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