Postoperative Atrial Fibrillation after Coronary Artery Bypass Grafting Surgery: A Two-dimensional Speckle Tracking Echocardiography Study

Özben, Beste; Akaslan, Dursun; Sünbül, Murat; Filinte, Deniz; Ak, Koray; Sarı, İbrahim; Tigen, Kürşat; Başaran, Yelda

doi:10.1016/j.hlc.2016.02.003

Cited by 27 publications

(28 citation statements)

References 28 publications

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“…The role of both the LA and ventricle in the development of AF has been extensively demonstrated. [14][15][16] While LAVi was reported to have better predictive value than LVGLS in the estimation of POAF development in one study, another study reported that lower preoperative LVGLS could be associated with POAF. 17,18 Although the involvement of LA volume and functions is well known in the development of POAF, [19][20][21] Finally, AF with rapid ventricular response may also cause myocardial ischemia and tachycardiomyopaty.…”

Section: Resultsmentioning

confidence: 99%

“…In our study, LAVi, LVGL, and sPAP were closely associated with POAF development, which is consistent with the literature data. The role of both the LA and ventricle in the development of AF has been extensively demonstrated . While LAVi was reported to have better predictive value than LVGLS in the estimation of POAF development in one study, another study reported that lower preoperative LVGLS could be associated with POAF .…”

Section: Discussionmentioning

confidence: 99%

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The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Aksu

Kalkan

Gülcü

et al. 2019

J of Clinical Ultrasound

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Purpose Atrial fibrillation (AF) is relatively frequent in the postoperative period, and is associated with an increased frequency of adverse events. The role of right atrial (RA) volume and functions in the development of AF is unknown. In this study, we investigated the effect of RA echocardiographic indices on AF development in the postoperative period. Method We enrolled 142 consecutive patients who underwent coronary artery bypass surgery, and assigned them into two groups depending on the occurrence or not of AF development in the postoperative period. Results A propensity score matching analysis was performed to balance the groups, and 37 pairs were eventually included in the analysis. The median age was 67.5 (63‐75) years and 73.3% of them were males. In the univariate analysis, right atrial volume index (RAVi), right atrial strain during reservoir phase (RASr), left ventricular global longitudinal strain, right ventricular strain, left atrial volume index, left atrial strain during reservoir phase, and systolic pulmonary artery pressure were associated with AF development. In the regression analysis, we found that RAVi (OR: 3.1, 95% CI: 2.2‐6.3, P: .033) and RASr (OR: 0.82, 95% CI: 0.67‐0.93, P: .048) were independent predictors of AF development. Conclusions RA structure and functions are closely associated with AF development in the postoperative period, and screening of RA functions prior to surgery may be useful for preventing AF development.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Aksu

Kalkan

Gülcü

et al. 2019

J of Clinical Ultrasound

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“…There were a multitude of risk factors that were found across the papers for POAF involving the left atrium such as: left atrial enlargement or an increased diameter of the left atrium [5,14,16,17], higher left atrial volume index of ≥36 mL/m 2 (sensitivity of 84.6% and specificity of 68.6% in the cohort p = 0.006) [18] and reduced longitudinal left atrial strain [19,20]. One study found that left atrial strain was significantly associated with the occurrence of POAF in those that had a normal left atrial volume index.…”

Section: Abnormalities Of the Left Atrium And Ventriclesmentioning

confidence: 99%

Determinants of atrial fibrillation after cardiac surgery

Qureshi¹,

Ahmed²,

Massie³

et al. 2021

Rev. Cardiovasc. Med.

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Post-operative Atrial fibrillation (POAF) is a common complication post cardiac surgery. It can result in detrimental short-and long-term outcomes due to the increased risk of stroke, cardiac arrest and congestive heart failure in addition to prolonged intensive care and total hospital stay raising the overall healthcare cost. Accurately identifying predictors and biomarkers for POAF ensures that patients at greatest risk can be given the appropriate prophylactic measures; resources can be distributed to the groups who are most in need and where they will gain the optimum effect. Commonly recurring predictors can be investigated further to unveil the pathophysiology behind POAF, which has yet to be fully understood. This literature review aims to examine relevant studies on the proposed predictors of POAF: increased age, gender, history of atrial fibrillation, hypertension, cardiopulmonary bypass time and the use of beta blockers amongst others. This paper will discuss the significance of both the well-known and newfound risk factors to consolidate the areas that require further exploration in order to highlight those at risk and to unravel the mechanism behind POAF.

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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%

“…[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. 49,51,52 It should be noted that in cardiac surgery, the incidence of POAF is high (up to 60% of patients undergoing mitral valve surgery and 35% of patients undergoing CABG) 53,54 and all these patients must be considered to have some degree of structural abnormality upon referral for cardiac surgery.…”

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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Postoperative Atrial Fibrillation after Coronary Artery Bypass Grafting Surgery: A Two-dimensional Speckle Tracking Echocardiography Study

Cited by 27 publications

References 28 publications

The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Determinants of atrial fibrillation after cardiac surgery

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

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