scholarly journals Postoperative Atrial Fibrillation and Flutter in Liver Transplantation: An Important Predictor of Early and Late Morbidity and Mortality

2019 ◽  
Vol 26 (1) ◽  
pp. 34-44 ◽  
Author(s):  
Rayan Jo Rachwan ◽  
Issa Kutkut ◽  
Taylor J. Hathaway ◽  
Lava R. Timsina ◽  
Chandrashekhar A. Kubal ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Liver Transplantation ◽  
Postoperative Atrial Fibrillation ◽  
Important Predictor ◽  
Morbidity And Mortality ◽  
Late Morbidity ◽  
Atrial Fibrillation And Flutter

Postoperative Atrial Fibrillation and Cardiac Complications After Liver Transplantation

2018 ◽  
Vol 27 ◽  
pp. S337
Author(s):  
M. Omair ◽  
H. Salehi ◽  
R. Jones ◽  
M. Ord ◽  
P. Calafiore ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Liver Transplantation ◽  
Postoperative Atrial Fibrillation ◽  
Cardiac Complications

scholarly journals Impact of postoperative atrial fibrillation on long- term morbidity and mortality after cardiac surgery

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P2150-P2150 ◽  
Author(s):  
H. Pohjantahti-Maaroos ◽  
M. Maaroos ◽  
J. Halonen ◽  
J. Hartikainen ◽  
T. Hakala
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Postoperative Atrial Fibrillation ◽  
Morbidity And Mortality

scholarly journals Postoperative Atrial Fibrillation and Long-Term Risk of Stroke in Patients Undergoing Liver Transplantation

Stroke ◽  
2021 ◽  
Vol 52 (1) ◽  
pp. 111-120
Author(s):  
Anoop N. Koshy ◽  
Anees Enyati ◽  
Laurence Weinberg ◽  
Hui-Chen Han ◽  
Mark Horrigan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Liver Transplantation ◽  
Independent Predictor ◽  
Hazard Ratio ◽  
Postoperative Atrial Fibrillation ◽  
Prior History ◽  
Thromboembolic Events ◽  
Systemic Embolism ◽  
Increased Risk

Background and Purpose: Postoperative atrial fibrillation (POAF) is the commonest cardiovascular complication following liver transplantation (LT). This study sought to assess a possible association of POAF with subsequent thromboembolic events in patients undergoing LT. Methods: A retrospective cohort study of consecutive adults undergoing LT between 2010 and 2018 was undertaken. Patients were classified as POAF if atrial fibrillation (AF) was documented within 30 days of LT without a prior history of AF. Cases of ischemic stroke or systemic embolism were adjudicated by a panel of 2 independent physicians. Results: Among the 461 patients included, POAF occurred in 47 (10.2%) a median of 3 days following transplantation. Independent predictors of POAF included advancing age, postoperative sepsis and left atrial enlargement. Over a median follow-up of 4.9 (interquartile range, 2.9–7.2) years, 21 cases of stroke and systemic embolism occurred. Rates of thromboembolic events were significantly higher in patients with POAF (17.0% versus 3.1%; P <0.001). After adjustment, POAF remained a strong independent predictor of thromboembolic events (hazard ratio, 8.36 [95% CI, 2.34–29.79]). Increasing CHA 2 DS 2 VASc score was also an independent predictor of thromboembolic events (hazard ratio, 1.58 [95% CI, 1.02–2.46]). A model using POAF and a CHA 2 DS 2 VASc score ≥2 alone yielded a C statistic of 0.77, with appropriate calibration for the prediction of thromboembolic events. However, POAF was not an independent predictor of long-term mortality. Conclusions: POAF following LT is associated with an 8-fold increased risk of thromboembolic events and the use of the CHA 2 DS 2 VASc score may facilitate risk stratification of these patients. Prospective studies are warranted to assess whether the use of oral anticoagulants can reduce the risk of thromboembolism following LT.

scholarly journals Postoperative Atrial Fibrillation in Liver Transplantation

2015 ◽  
Vol 15 (3) ◽  
pp. 687-694 ◽  
Author(s):  
V. W. Xia ◽  
A. Worapot ◽  
S. Huang ◽  
A. Dhillon ◽  
V. Gudzenko ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Liver Transplantation ◽  
Postoperative Atrial Fibrillation
Sign in / Sign up

Export Citation Format

Share Document