Diabetes mellitus is an independent predictor of obstructive coronary artery disease in patients presenting with atrial fibrillation and elevated troponin.
James K FaheyHamish ProsserPrue LescaiJithin K SajeevHarrison YaoLouise RobertsPaul BuntineAndrew W TehPublished in: Internal medicine journal (2023)
Atrial fibrillation can present with symptoms of myocardial infarction and elevated troponin, even in the absence of obstructive coronary artery disease (CAD). We sought to determine the characteristics that predict underlying obstructive CAD. Obstructive CAD was far more likely in those with troponin elevation. In those with elevated troponin, diabetes mellitus was an independent predictor of obstructive CAD.
Keyphrases
- coronary artery disease
- percutaneous coronary intervention
- atrial fibrillation
- cardiovascular events
- coronary artery bypass grafting
- heart failure
- left atrial
- catheter ablation
- left atrial appendage
- type diabetes
- aortic stenosis
- glycemic control
- direct oral anticoagulants
- cardiovascular disease
- oral anticoagulants
- depressive symptoms
- aortic valve
- transcatheter aortic valve replacement
- physical activity