scholarly journals Does minimal invasive cardiac surgery reduce the incidence of post-operative atrial fibrillation?

2020 ◽  
Vol 23 (1) ◽  
pp. 7
Author(s):  
NikolaosG Baikoussis ◽  
Maria Maimari ◽  
Stelios Gaitanakis ◽  
Anna Dalipi-Triantafillou ◽  
Andreas Katsaros ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Minimal Invasive ◽  
Post Operative Atrial Fibrillation ◽  
Minimal Invasive Cardiac Surgery

Abstract 302: Echocardiographic Parameters in Perioperative Atrial Fibrillation in Cardiac and Non-Cardiac Surgery Patients

2014 ◽  
Vol 7 (suppl_1) ◽  
Author(s):  
Jaspreet Arora ◽  
Arjun Nair ◽  
Leigh Cagino ◽  
Le Du ◽  
Mikhail Torosoff
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Aortic Valve ◽  
Aortic Valve Stenosis ◽  
Academic Medical Center ◽  
Study Cohort ◽  
Post Operative Atrial Fibrillation ◽  
Increased Risk ◽  
Social Security Death Index ◽  
New Onset

Background: We hypothesized that patients with new onset atrial fibrillation (AFib) following cardiac or non-cardiac surgery have similar echocardiographic features, regardless of the type of surgery. Methods: Study cohort included 4562 consecutive patients without history of atrial fibrillation undergoing general, thoracic or cardiovascular surgeries at a single tertiary academic medical center. Retrospective chart and echocardiogram review was performed. Chi-square, logistic regression, and analysis of variance were performed. Long-term all cause mortality was determined through Social Security Death Index. The study was approved by the institutional IRB. Results: Post-operative AFib was noted in 24% (275/1141) after cardiac surgery, 1.2 % (10/804) after thoracic non-cardiac surgery, and 0.7% (18/2617) after general non-cardiac non-thoracic surgery (p<0.0001). On available echocardiograms, 18% (48/264) had LV dilatation and 38% (98/261) had moderate or severe LV dysfunction. The left atrium was dilated in 53% (139/260). Moderate or severe tricuspid regurgitation was noted in 11% (15/128), mitral regurgitation in 28% (45/16), mitral stenosis in 13% (11/82), aortic insufficiency in 27% (37/135), and aortic stenosis in 63% (19/135). When adjusted for the presence of coronary artery disease, valvular disease, age, and gender, only aortic valve stenosis remained an important independent predictor of post-operative atrial fibrillation in non-cardiac surgery patients, HR=13.9 (95%CI 1.5-132.3, p<0.022). Conclusion: Despite significantly increased prevalence of new onset AFib after cardiac surgery, pre-existing cardiovascular conditions, specifically aortic valve stenosis, confer an increased risk of post-operative atrial fibrillation rather than the procedure itself. Improved resource utilization can be expected if post-operative ECG monitoring is limited to the high risk patients, identifiable during peri-operative screening. Prospective studies of this important subject are needed.

Contrasting effects of diabetes and metabolic syndrome on post-operative atrial fibrillation and in-hospital outcome after cardiac surgery

2013 ◽  
Vol 167 (5) ◽  
pp. 2347-2350 ◽  
Author(s):  
Christopher Hurt ◽  
Augustin Coisne ◽  
Thomas Modine ◽  
Jean-Louis Edme ◽  
Xavier Marechal ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Metabolic Syndrome ◽  
Cardiac Surgery ◽  
Hospital Outcome ◽  
Post Operative Atrial Fibrillation
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