Echocardiography is useful to predict postoperative atrial fibrillation in patients undergoing isolated coronary bypass surgery: A prospective study

Magné, Julien; Salerno, Baptiste; Mohty, Dania; Serena, Claire; Rolle, F.; Piccardo, Alessandro; Echahidi, Najmeddine; Guyader, Alexandre Le; Aboyans, Victor

doi:10.1177/2048872616688419

Cited by 18 publications

(16 citation statements)

References 23 publications

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“…Advanced age has been de ned as one of the most powerful risk factors for incident AF after open heart surgery [8,9]. This could be interpreted considering the presence of preexisting structural changes of the atria related to ageing and to arterial hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…the time between surgery and discharge, de ned as any sustained (i.e. >10 min) recorded episodes [6,8]. Antiarrhythmic agents, such as amiodarone, were most frequently used as a treatment option, alone or in combination with electric cardioversion.…”

Section: Study Population and Data Collectionmentioning

confidence: 99%

“…However, almost all studies reporting such association have used the Body Mass Index (BMI, Kg/m 2 ) to evaluate weight excess [6]. Indeed, BMI is still considered the most practical parameter taken to represent the role played by overweight [7], while other recognized risk factors for POAF are advanced age [8,9], left atrial dimension [10,11] and left ventricular systolic dysfunction [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Overweight and Aging Increase the Risk of Atrial Fibrillation After Cardiac Surgery Independently of Left Atrial Size and Left Ventricular Ejection Fraction

Stefàno

Bugetti

Monaco

et al. 2020

Preprint

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Background: Body mass index (BMI), age, left atrium (LA) dimensions and left ventricular ejection fraction (LVEF) have been linked to post-operative atrial fibrillation (POAF) after cardiac surgery. The aim was to better define the role of these risk factors. Methods: This study evaluated 249 patients (without prior atrial dysrhythmia) undergoing cardiac or aortic surgery . Prior to surgery the following data were collected: age (yrs), BMI (kg/m2), LA diameter (cm), LA area (cm2), LVEF (%), the presence of arterial hypertension (AH) and of diabetes, tyroid stimulating hormone (TSH, mU/L) and, creatinine (mg/dL). Results: Patients with (n. 127, 51%) and without POAF (n. 122, 49%) were compared. No difference was observed for sex, LA diameter, LA area, LVEF, TSH and diabetes. Instead, patients with PoAF had higher values of age, BMI, creatinine and a greater prevalence of AH and Bentall procedures. Multivariable analysis showed that the only independent predictors of PoAF were: age (OR = 1,05, CI 95% 1,025-1,076, p= 0,0001) and BMI (OR=1,095, CI 95% 1,015-1,182, p= 0,019). Conclusions: Results suggest that advanced age and a higher value of BMI are strong risk factors for POAF in patients without previous AF. This even in the presence of comparable LA dimensions and LVEF.

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Section: Discussionmentioning

confidence: 99%

Section: Study Population and Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Overweight and Aging Increase the Risk of Atrial Fibrillation After Cardiac Surgery Independently of Left Atrial Size and Left Ventricular Ejection Fraction

Stefàno

Bugetti

Monaco

et al. 2020

Preprint

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“…38,39 Several prospective and retrospective studies have reported that a larger preoperative LA is associated with POAF after both cardiac valve surgery and CABG. [40][41][42][43][44][45][46][47] More advanced TTE measurements, such as speckletracking and strain analysis of the LA, have recently been investigated in numerous cardiac surgical populations. 44,[48][49][50][51][52] Impaired LA strain has a higher sensitivity in the prediction of POAF compared with measurements focusing solely on dilatation of the LA.…”

Section: Imagingmentioning

confidence: 99%

<p>Predictors of Postoperative Atrial Fibrillation After Abdominal Surgery and Insights from Other Surgery Types</p>

Madsen¹,

Jørgensen²,

Leerhøy³

et al. 2020

RRCC

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Postoperative atrial fibrillation (POAF) in relation to abdominal surgery can cause clinical deterioration, prolonged hospitalization, admittance to intensive care units, stroke and increased mortality. The current review focus on patients developing POAF in relation to abdominal surgery and aims to present the current knowledge on predictors of this condition. Furthermore, predictors identified in other surgical populations that may be transferable and guide future research within the field of abdominal surgery will be presented. A systematic literature search of patients undergoing abdominal surgery and developing POAF was performed on PubMed and Embase. All types of study interventions, comparators and designs were included. All studies included reported POAF as primary or secondary outcome. All peer-reviewed English full-text manuscripts regardless of publication date were included. We included five studies out of the 149 unique records identified. Age, congestive heart failure, hypertension, vascular disease and surgical approach are risk factors associated with the development of POAF. Furthermore, inflammation biomarkers, dobutamine stress echocardiography and cardiac single-photon emission computed tomography can predict POAF. Insights from other surgical cohorts reveal that other biomarkers (ie, brain natriuretic peptide (BNP) and N-terminal pro-BNP), electrocardiography and echocardiography can be used to predict POAF and may be applied in future research projects within the field of abdominal surgery. In conclusion, very scarce evidence is currently available in predicting POAF after abdominal surgery. However, predicting POAF seems possible and feasible, why the authors encourage readers to initiate new research to close the current knowledge gap and improve clinical management.

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“…the time between surgery and discharge, defined as any sustained; i.e. > 10 min, recorded episodes [6,8]). The presence of pleural and pericardial effusion were evaluated postoperatively.…”

Section: Study Population and Data Collectionmentioning

confidence: 99%

Overweight and aging increase the risk of atrial fibrillation after cardiac surgery independently of left atrial size and left ventricular ejection fraction

Stefàno

Bugetti

Monaco

et al. 2020

J Cardiothorac Surg

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Background Body mass index (BMI), age, left atrium (LA) dimension and left ventricular ejection fraction (LVEF) have been linked to post-operative atrial fibrillation (POAF) after cardiac surgery. The aim of this study was to better define the role of these risk factors. Methods This retrospective cohort study evaluated 249 patients (without prior atrial dysrhythmia) undergoing cardiac or aortic surgery. Prior to surgery, the following data were collected: age, BMI, LA diameter, LA area, LVEF, thyroid stimulating hormone (TSH), creatinine and the presence of arterial hypertension (AH) and diabetes. Intraoperative data such as operation time, total clamp time, cardiopulmonary bypass time, and presence of pericardial/pleural effusion were also collected. Only patients without pre- and post-surgery prophylactic anti-arrhythmic therapy were included. Results Patients with (N = 127, 51%) and without POAF (N = 122, 49%) were compared. No difference was observed for sex, LA diameter, LA area, LVEF, TSH, diabetes and use of ACE inhibitors or statins prior to intervention. Moreover, no difference was observed in terms of operation time, total clamp time, cardiopulmonary bypass time, and presence of pericardial/pleural effusion. However, patients with POAF were older (70.6 ± 10.7 vs. 60.4 ± 16.4 years, p = 0.001), had higher BMI (26.8 ± 4.5 vs. 24.9 ± 3.6 kg/m2, p = 0.001), higher baseline creatinine (1.06 ± 0.91 vs. 0.88 ± 0.32 mg/dL, p = 0.038) and a higher frequency of arterial hypertension (73.2% vs. 50%, p = 0.001) and Bentall procedure (24.4% vs. 9.8%, p = 0.023). Multivariate analysis showed that the only independent predictors of POAF were age (OR = 1.05, 95%CI 1.02–1.07, p = 0.001) and BMI (OR = 1.11 95%CI 1.03–1.2,p = 0.006). Conclusions These findings suggest that advanced age and a higher BMI are strong risk factors for POAF in patients without previous AF even in the presence of comparable LA dimensions and LVEF.

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Echocardiography is useful to predict postoperative atrial fibrillation in patients undergoing isolated coronary bypass surgery: A prospective study

Cited by 18 publications

References 23 publications

Overweight and Aging Increase the Risk of Atrial Fibrillation After Cardiac Surgery Independently of Left Atrial Size and Left Ventricular Ejection Fraction

Overweight and Aging Increase the Risk of Atrial Fibrillation After Cardiac Surgery Independently of Left Atrial Size and Left Ventricular Ejection Fraction

<p>Predictors of Postoperative Atrial Fibrillation After Abdominal Surgery and Insights from Other Surgery Types</p>

Overweight and aging increase the risk of atrial fibrillation after cardiac surgery independently of left atrial size and left ventricular ejection fraction

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