Predictive Factors of Supraventricular Arrhythmias after Noncardiac Thoracic Surgery: A Multicenter Study

Elrakhawy, Hany M.; Alassal, Mohamed; Elsadeck, Nabil; Shaalan, Ayman; Ezeldin, Tamer H.; Shalabi, Ali

doi:10.1532/hsf98.2014412

Cited by 9 publications

(7 citation statements)

References 24 publications

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“…The incidence of AF was significantly higher in patients after pneumonectomy, in agreement with other studies [4][5][6]. Although none of the patients presented with myocardial ischemia, it can also be speculated that postoperative AF might be a result of silent myocardial ischemia.…”

Section: Discu/ssionsupporting

confidence: 91%

“…A 6.4% incidence of postoperative AF was lower than that in other reports [1][2][3][4][5][6]. A significantly wider spQRS-T angle was noted in all of these patients.…”

Section: Discu/ssioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

“…Cardiac arrhythmias, including atrial fibrillation (AF), have been recognized as frequent complications after thoracic surgery [1][2][3][4]. Different kinds of cardiac arrhythmias have been noted in one-fifth of patients after lung resection, AF being the most common [4,5]. Many studies have documented an increased risk of morbidity and mortality in thoracic surgical patients with postoperative cardiac arrhythmias [5][6][7][8][9][10][11]; however, only some have proposed risk factors for predicting postoperative cardiac disorders [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Elective lung resection increases spatial QRS-T angle and QTc interval

et al. 2020

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Background: Lung resection changes intra-thoracic anatomy, which may affect electrocardiographic results. While postoperative cardiac arrhythmias have been recognized after lung resection, no study has documented changes in vectorcardiographic variables in patients undergoing this surgery. The purpose of this study was to analyse changes in spatial QRS-T angle (spQRS-T) and corrected QT interval (QTc) after lung resection. Methods: Adult patients undergoing elective lung resection under general anaesthesia were studied. The patients were allocated into four groups: those undergoing (1) left lobectomy (LL); (2) left pneumonectomy (LP); (3) right lobectomy (RL); and (4) right pneumonectomy (RP). The spQRS-T angle and QTc interval were measured one day before surgery (baseline) and 24, 48 and 72 h after surgery. Results: Seventy-one adult patients (47 men and 24 women) aged 47-80 (65 ± 7) years were studied. In the study group as a whole, lung resection was associated with significant increases in spQRS-T (p < 0.001) and QTc (p < 0.05 at 24 and 48 h and p < 0.01 at 72 h). The greatest changes were noted in patients undergoing LP. Postoperative atrial fibrillation (AF) was noted in 6.4% of patients studied, in whom the widest spQRS-T angle and the most prolonged QTc intervals were also noted. Conclusions: Lung resection widens the spQRS-T angle and prolongs the QTc interval, especially in patients undergoing LP. While postoperative AF was a relatively rare complication after lung resection in this study, it was associated with the widest spQRS-T angles and most prolonged QTc intervals.

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Section: Discu/ssionsupporting

confidence: 91%

“…A 6.4% incidence of postoperative AF was lower than that in other reports [1][2][3][4][5][6]. A significantly wider spQRS-T angle was noted in all of these patients.…”

Section: Discu/ssioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Elective lung resection increases spatial QRS-T angle and QTc interval

et al. 2020

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“…NT-proBNP, N terminal pro-brain natriuretic peptide. *Age, history of previous heart disease, and preoperative supraventricular arrhythmia in patients undergoing major thoracic operations 26,27. …”

mentioning

confidence: 99%

Relative incremental costs of complications of lobectomy for stage I non–small cell lung cancer

Geller

Mathisen

Wright

et al. 2018

The Journal of Thoracic and Cardiovascular Surgery

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Complications, both major and minor, contribute significantly to the total 90-day direct hospital cost of lobectomy for stage I NSCLC. Analysis of 90-day postoperative outcomes more accurately captures costs. Major pulmonary complications, atrial arrhythmia, pneumonia, and prolonged air leak represent 4 high-yield targets for cost reduction. Efforts to control health care spending while improving patient outcomes might optimally focus on reducing complications that incur the greatest relative incremental cost.

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