742 Is It More Cost-Effective to Use Steroids or Colchicine in Patients at Moderate to High Risk for Atrial Fibirillation to Prevent Post- Cardiac Surgery Atrial Fibrillation?

2012 ◽  
Vol 28 (5) ◽  
pp. S384-S385
Author(s):  
R.A. Manji ◽  
J. Witt ◽  
A.H. Menkis
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
High Risk ◽  
Cost Effective ◽  
Post Cardiac Surgery

Post–Cardiac Surgery Atrial Fibrillation

2021 ◽  
Vol 13 (1) ◽  
pp. 133-140
Author(s):  
Jason D. Matos ◽  
Frank W. Sellke ◽  
Peter Zimetbaum
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Post Cardiac Surgery

Risk Factors and Outcomes Associated With Sepsis After Coronary Artery Bypass and Open Heart Valve Surgeries

2018 ◽  
Vol 22 (4) ◽  
pp. 359-368 ◽  
Author(s):  
Sergey Karamnov ◽  
Ethan Y. Brovman ◽  
Katherine J. Greco ◽  
Richard D. Urman
Keyword(s):  
Risk Factors ◽  
Cardiac Surgery ◽  
Coronary Artery ◽  
High Risk ◽  
Coronary Artery Bypass ◽  
Heart Valve ◽  
Artery Bypass ◽  
Open Heart ◽  
Postoperative Sepsis ◽  
Post Cardiac Surgery

Purpose. Sepsis causes significant morbidity and mortality after cardiac surgery and carries a significant burden on health care costs. There is a general association of increased risk of post–cardiac surgery sepsis in patients with postoperative complications. We sought to investigate significant patient and procedural risk factors and outcomes associated with sepsis after cardiac surgery. Materials and Methods. In this retrospective study, we analyzed 531 coronary artery bypass grafting and open heart valve surgery cases that developed postoperative sepsis in the National Surgical Quality Improvement Program database between 2007 and 2014. Patient-based and surgery-based parameters were analyzed for risk factors and outcomes reported in the 30 days postoperatively. The association between sepsis and patient outcomes was assessed in a propensity-matched cohort using univariable logistic regression. Results. Modifiable and nonmodifiable patient characteristics, including age >80, poor preoperative functional status, chronic diseases such as diabetes mellitus, congestive heart failure, chronic kidney disease with serum creatinine ⩾1.5, as well as serum albumin <3.5 and emergent nature of the case were associated with post–cardiac surgery sepsis. Surgical outcomes associated with sepsis included mortality (15.4% vs 4.5%), unplanned intubation (29.8% vs 8.2%), transfusion (53.4% vs 48.4%), acute kidney injury (7.1% vs 1.4%), postoperative dialysis (18.8% vs 3.5%), and return to the operating room (29.8% vs 8.2%). Conclusions. We identified multiple patient and surgical characteristics as well as postoperative outcomes associated with postoperative sepsis development in the high-risk population of patients undergoing cardiac surgery. Early identification of patients who are at high risk for postoperative sepsis can facilitate early treatment interventions.

scholarly journals Landiolol for managing atrial fibrillation in post-cardiac surgery

2018 ◽  
Vol 20 (suppl_A) ◽  
pp. A4-A9 ◽  
Author(s):  
Jean-Luc Fellahi ◽  
Matthias Heringlake ◽  
Johann Knotzer ◽  
William Fornier ◽  
Laure Cazenave ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Post Cardiac Surgery

Rationale and Design of the Randomized Controlled Trial of New Oral Anticoagulants vs. Warfarin for post Cardiac Surgery Atrial Fibrillation

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Asishana A. Osho ◽  
Philicia Moonsamy ◽  
Breanna R. Ethridge ◽  
Gregory A. Leya ◽  
David A. D’Alessandro ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Randomized Controlled Trial ◽  
Cardiac Surgery ◽  
Controlled Trial ◽  
Oral Anticoagulants ◽  
New Oral Anticoagulants ◽  
Randomized Controlled ◽  
Post Cardiac Surgery

scholarly journals SURGICAL TREATMENT OF ATRIAL FIBRILLATION IN ELDERLY PATIENTS UNDERGOING HIGH RISK CARDIAC SURGERY

2021 ◽  
Author(s):  
Mohsin Uzzaman ◽  
Imthiaz Manoly ◽  
Mohini Panikkar ◽  
Maciej Matuszewski ◽  
Nicolas Nikolaidis ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Surgical Treatment ◽  
High Risk ◽  
Elderly Patients ◽  
Control Group ◽  
Surgical Ablation ◽  
Af Ablation

BACKGROUND/AIM To evaluate outcomes of concurrent Cox-Maze procedures in elderly patients undergoing high-risk cardiac surgery. MEHODS We retrospectively identified patients aged over 70 years with Atrial Fibrillation (AF) from 2011 to 2017 who had two or more other cardiac procedures. They were subdivided into two groups: 1. Cox-Maze IV AF ablation 2. No-Surgical AF treatment. Patients requiring redo procedures or those who had isolated PVI or LAAO were excluded. Heart rhythm assessed from Holter reports or 12-lead ECG. Follow-up data collected through telephone consultations and medical records. RESULTS There were 239 patients. Median follow up was 61 months. 70 patients had Cox-Maze IV procedures (29.3%). Demographic, intra- and post-operative outcomes were similar between groups although duration of pre-operative AF was shorter in Cox-Maze group (p=0.001). One (1.4%) patient in Cox maze group with 30-day mortality compared to 14 (8.2%) the control group (p=0.05). Sinus rhythm at annual and latest follow-up was 84.9% and 80.0% respectively in Maze group - significantly better than No-Surgical AF treatment groups (P<0.001). 160 patients (66.9%) were alive at long-term follow-up with better survival curves in Cox Maze group compared to No-Surgical treatment group (p=0.02). There was significantly higher proportion of patients in NYHA 1 status in Cox-Maze group (p=0.009). No differences observed in freedom from stroke (p=0.80) or permanent pacemaker (p=0.33). CONCLUSIONS. Surgical ablation is beneficial in elderly patients undergoing high-risk surgery - promoting excellent long-term freedom from AF and symptomatic/prognostic benefits. Therefore, surgical risk need not be reason to deny benefits of concomitant AF-ablation.

Amiodarone plus Ranolazine for Conversion of Post-Cardiac Surgery Atrial Fibrillation: Enhanced Effectiveness in Reduced Versus Preserved Ejection Fraction Patients

2018 ◽  
Vol 32 (6) ◽  
pp. 559-565 ◽  
Author(s):  
Vasilios Simopoulos ◽  
Athanasios Hevas ◽  
Apostolia Hatziefthimiou ◽  
Konstantina Dipla ◽  
Ioannis Skoularigis ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Ejection Fraction ◽  
Preserved Ejection Fraction ◽  
Post Cardiac Surgery
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