New Onset Postoperative Atrial Fibrillation is Associated with a Long-Term Risk for Stroke and Death Following Cardiac Surgery

2012 ◽  
Vol 28 (1) ◽  
pp. 8-13 ◽  
Author(s):  
Peter Horwich ◽  
Karen J. Buth ◽  
Jean-Francois Légaré
2017 ◽  
Vol 154 (2) ◽  
pp. 492-498 ◽  
Author(s):  
Ben M. Swinkels ◽  
Bas A. de Mol ◽  
Johannes C. Kelder ◽  
Freddy E. Vermeulen ◽  
Jurriën M. ten Berg

2016 ◽  
Vol 102 (6) ◽  
pp. 2018-2026 ◽  
Author(s):  
Martin I. Sigurdsson ◽  
Nicholas T. Longford ◽  
Mahyar Heydarpour ◽  
Louis Saddic ◽  
Tzuu-Wang Chang ◽  
...  

2015 ◽  
Vol 170 (4) ◽  
pp. 659-668 ◽  
Author(s):  
Rowlens M. Melduni ◽  
Hartzell V. Schaff ◽  
Kent R. Bailey ◽  
Stephen S. Cha ◽  
Naser M. Ammash ◽  
...  

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. P2150-P2150 ◽  
Author(s):  
H. Pohjantahti-Maaroos ◽  
M. Maaroos ◽  
J. Halonen ◽  
J. Hartikainen ◽  
T. Hakala

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Marcella Meykler ◽  
Sahar Abdelmoneim ◽  
Emelie Rosenberg ◽  
Bimal Patel ◽  
Bharath Reddy ◽  
...  

Introduction: New onset postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery that is associated with an increased risk for stroke and all-cause mortality. Long term data on POAF recurrence and anticoagulation remains sparse. We aimed to characterize the natural progression and recurrence of new onset POAF during a long-term follow up post cardiac surgery utilizing continuous event monitoring. Methods: This is a single-center, prospective observational study evaluating 42 patients undergoing cardiac surgery and diagnosed during indexed admission with new onset, transient POAF who were discharged in sinus rhythm between May 2015 and December 2019. Prior to discharge, all patients received implantable loop recorders (ILR) for continuous monitoring. Study outcomes were the presence and timing of AF recurrence (first and repeated AF recurrence), all-cause mortality and cerebrovascular accidents (CVA). Results: Forty-two patients [mean age 67.6± 9.6 years, 74% male, mean CHADS 2- VASc 3.5±1.5] were evaluated during a mean follow-up of 1.7 ± 1.2 years. AF recurrence after discharge occurred in 30 patients (71%). Twenty-four of these 30 patients (80%) had their first AF recurrence within the first month, 3 (10%) patients during months 1-12, and 3 (10%) patients beyond 1 year. Repeated AF recurrence occurred in 13 (43%) patients between 1 and 12-months. Beyond one year of follow-up, 5 (17%) patients had either their first AF recurrence (3) or repeated AF recurrence (2). During follow-up, there was one death ((-) AF recurrence) and two CVAs ((+) AF recurrence). Conclusions: In this study of continuous monitoring with ILR , the recurrence of AF in patients who develop transient POAF is common. Seventy percent of patients had either their first AF recurrence 6 (20%) or repeated episodes of recurrent AF 15 (50%) after 1-month post-operative follow-up.


Author(s):  
Alessandro Albini ◽  
Vincenzo Livio Malavasi ◽  
Marco Vitolo ◽  
Jacopo Francesco Imberti ◽  
Marco Marietta ◽  
...  

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