Risk factors associated with atrial fibrillation after noncardiac thoracic surgery: analysis of 2588 patients

Vaporciyan, Ara A.; Correa, Arlene M.; Rice, David C.; Roth, Jack A.; Smythe, W. Roy; Swisher, Stephen G.; Walsh, Garrett L.; Putnam, Joe B.

doi:10.1016/j.jtcvs.2003.07.011

Cited by 321 publications

(237 citation statements)

References 29 publications

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“…In previous reports, advanced age has been described as the most significant predictor of newonset AF after CABG. [23][24][25] Aging leads to structural changes in heart such as atrial fibrosis, scarring, and dilatation. [26] Increased sympathetic activation and prolonged atrial conduction time by aging are likely responsible for PoAF development.…”

Section: Discussionmentioning

confidence: 99%

Validation of SYNTAX and clinical SYNTAX scores in predicting atrial fibrillation following on-pump coronary artery bypass grafting

Oktay¹

2017

Turk Gogus Kalp Dama

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Section: Discussionmentioning

confidence: 99%

Validation of SYNTAX and clinical SYNTAX scores in predicting atrial fibrillation following on-pump coronary artery bypass grafting

Oktay¹

2017

Turk Gogus Kalp Dama

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“…Postoperatif atriyal fibrilasyonda izlenecek yol [11] . [21][22][23][24] . Akciğer rezeksiyonundan sonra AF oluşumunu önlemek için amiodarone, MgSO 4 , digoksin, ve Ca2…”

Section: Postoperatif Gün +5unclassified

Anesteziyolog Bakış Açısından Atriyal Fibrilasyon

Kabukçu¹,

Şahin²,

Titiz³

2017

GKDA Derg

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ÖZ GiRiŞAtriyal fibrilasyon (AF) en sık görülen kardiyak aritmidir, atriyal miyositlerdeki elektiriksel aktivitenin bozukluğu ile oluşur. AF serebral tromboemboli zemininde inme ve diğer tromboembolik olaylar, sol ventrikül fonksiyon bozukluğu, kalp yetmezliği gibi mortaliteyi artıran ciddi komplikasyonlar ile birliktedir. Ayrıca hastaneye yatış oranında artma, yaşam kalitesinin bozulması ve egzersiz kapasitesinin azalması gibi nedenlerle morbiditeyi etkilemektedir [1] . AF genel popülasyonun %1-2'sinde ve görülme sıklığı 40-50 yaş aralığındadır. Yaşla birlikte artmakta ve 80 yaşında % 5-15 oranına ulaşmaktadır [2][3][4][5][6] . Erkekler kadınlardan daha fazla etkilenmektedir [7] .EKG'de P dalgalarının yokluğu ve düzensiz RR aralı-ğı saptanması ile AF tanısı konur. Aritminin başlangıç ve seyrine göre paroksismal, ısrarcı ve kalıcı olmak üzere üç sekilde sınıflandırılır. Paroksismal AF 48 saat içinde genellikle kendiliğinden düzelir. Israrcı AF 1 haftadan 1 yıla kadar sürebilir, kendiliğinden düzelmez medikal veya doğru akım (DC) kardiyoversiyon ile sinüs ritmine döndürülebilir (Tablo 1). Kalıcı AF'de medikal veya kardiyoversiyon ile sinüs ritmine dönüş olası olmaz [1,8,9] . AF tanısı EKG ile kolaylıkla konmasına rağmen, birçok hastada asemptomatiktir. Komplikasyonlar gelişene kadar tanı konamayabilir. AF nedeni kardiyovasküler veya değildir. Örneğin, geçirilmiş miyokard infarktüsü, kardiyomiyopati, hipertansiyon, kapak hastalıkları ve kalp yetmezliği kardiyovasküler nedenlerdir. Diyabet, obezite, alkol, hipertiroidi, KOAH ve diğer metabolik bozukluklar ise diğer AF nedenleridir [8,10] .Preoperatif AF tanısı alan hastada anestezist, semptomları hafifletme, hemodinamik stabiliteyi devam ettirme ve kardiyopulmoner komplikasyonları önle-meye odaklanmalıdır. Cerrah ile birlikte anestezist, cerrahiye devam kararına varmadan önce kalp açısın-dan temel laboratuvar ve görüntüleme tetkiklerinin gerekliliğine karar vermelidir [1,11] .

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“…It has been reported that its occurrence, including atrial fibrillation (AF) and paroxysmal supraventricular tachycardia (PSVT), increases postoperative complications and mortality rates [3][4][5][6][7][8][9][10]. Postoperative tachyarrhythmia is associated with delayed early mobilization, prolonged postoperative hospital stay, and increased medical costs of open thoracic operations [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Although patient selection and improved postoperative care can significantly decrease hospital mortality rates, the morbidity rate remains high [11][12][13][14][15][16]. Tachyarrhythmia is among the most frequent complications of esophagectomy [10,[12][13][14]. Atrial fibrillation after esophagectomy was reported to be a marker for postoperative morbidity and mortality [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Predictive factors for postoperative tachyarrhythmia after thoracoscopic esophagectomy and the usefulness of landiolol hydrochloride for its treatment

et al. 2013

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Background Tachyarrhythmia after esophagectomy is a severe complication that should not be underestimated because of its negative impact. The aims of this study were to clarify the cause and impact of postoperative tachyarrhythmia after thoracoscopic esophagectomy. Additionally, we analyzed the usefulness of landiolol administration for postoperative tachyarrhythmia. Methods We evaluated the predictive factors for tachyarrhythmia onset after surgery and its clinical impact in 127 patients who underwent thoracoscopic esophagectomy with extended lymphadenectomy. Moreover, we analyzed the efficacy of landiolol for postoperative tachyarrhythmia. Results Tachyarrhythmia developed in 38 of the 127 patients. Multivariate analysis showed that advanced age, heart disease, and hyperlipidemia were associated with postoperative tachyarrhythmia. Hyponatremia, hypoalbuminemia, and leukocytosis on postoperative day 3 were significantly associated with tachyarrhythmia onset. The incidence of all complications and respiratory complications, including pneumonia, was significantly higher in patients with than in those without tachyarrhythmia. The mortality rate in the tachyarrhythmia group tended to be higher than that in the nontachyarrhythmia group. Landiolol as a treatment for tachyarrhythmia immediately decreased heart rate and safely reduced subsequent respiratory complications. ConclusionIn elderly patients with cardiac disease or hyperlipidemia, surgeons should be alert for the occurrence of tachyarrhythmia after esophagectomy. Postoperative tachyarrhythmia is a marker of morbidities with particular emphasis on respiratory complications. However, it can be adequately managed by landiolol, resulting in fewer respiratory complications. Landiolol might be a safe and convenient agent for managing postoperative tachyarrhythmia after thoracoscopic esophagectomy, resulting in lower mortality and morbidity rates.

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Risk factors associated with atrial fibrillation after noncardiac thoracic surgery: analysis of 2588 patients

Abstract: The significant variables identified by means of multivariate analysis were associated with the occurrence of atrial fibrillation. Preventive therapies in selected populations might reduce the incidence of atrial fibrillation.

Cited by 321 publications

References 29 publications

Validation of SYNTAX and clinical SYNTAX scores in predicting atrial fibrillation following on-pump coronary artery bypass grafting

Validation of SYNTAX and clinical SYNTAX scores in predicting atrial fibrillation following on-pump coronary artery bypass grafting

Anesteziyolog Bakış Açısından Atriyal Fibrilasyon

Predictive factors for postoperative tachyarrhythmia after thoracoscopic esophagectomy and the usefulness of landiolol hydrochloride for its treatment

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