Risk Factors for Atrial Fibrillation After Thoracic Surgery

New-onset atrial fibrillation after anatomic lung resection: predictive factors, treatment and follow-up in a UK thoracic centre

“…However, conversely to previous studies, other risk factors, such as male sex, ischaemic heart disease, extent of resection and surgical approach, were not found to be significantly associated with POAF [10]. Our overall incidence of POAF of 11.4% is in line with previous studies, which estimate the incidence to be between 4 and 37% [1][2][3]. Only 4 out of 43 POAF patients (9.3%) in this study remained in AF on discharge, and 3 (7%) were found to have sustained AF at 4-week follow-up.…”

“…BACKGROUND Atrial fibrillation remains one of the most common complications occurring after thoracic surgery, with a reported incidence of between 4 and 37% [1][2][3]. De novo postoperative atrial fibrillation (POAF) may significantly increase morbidity and mortality after thoracic surgery in both the short term and long term [1][2][3][4]. Furthermore, through increases in hospital stay and resource utilization, POAF may confer considerable costs to patient care [5,6].…”

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

“…Thoracic surgery remains a high-risk procedure for many patients, and supraventricular cardiac arrhythmias, especially atrial fibrillation (AF), are the most common rhythm disturbances in this patient population [Vaporciyan 2004;Bobbio 2007;Von Knorring 1992;Neragi-Miandoab 2008]. Arrhythmias are associated with higher morbidity and longer hospital stay and, therefore, higher hospital costs, as well as with increased perioperative mortality and worse long-term survival [Ziomek 1993;Dyszkiewicz 1998;Krowka 1987;Gómez-Caro 2006]. The etiology of these complications following thoracotomy is still not clearly understood, although several factors are likely to be involved including change in hemodynamics of the right heart, violation of chest cavity, operative stress, pain leading to increased sympathetic activity, and irritation of the epicardium following violation of the pericardium and patch repair after extra pleural pneumonectomy.…”

Perioperative Landiolol Infusion Reduces the Incidence of Atrial Fibrillation after Pulmonary Lobectomy: Postoperative Randomized Controlled Study

“…The present study demonstrated that landiolol decreases the incidence of intraoperative AF with only a small dose. Studies of a similar-blocker, metoprolol, have also shown a significant reduction in the incidence of AF [8]. However, metoprolol was orally administered from preoperatively to 4 days postoperatively, which is less convenient than the administration of landiolol in the present study.…”