The importance of age as a predictor of atrial fibrillation and flutter after coronary artery bypass grafting

Leitch, James; Thomson, Duncan; Baird, D. K.; Harris, Phillip

doi:10.1016/s0022-5223(19)35525-4

Cited by 286 publications

(106 citation statements)

References 16 publications

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“…Advanced age and male gender have been identified in multiple studies as strong risk factors for postoperative atrial fibrillation. [24][25][26] Gender differences in the prognosis for patients with atrial fibrillation have recently been identified. Analysis of the Framingham Heart Study cohort revealed the odds ratio for death to be 1.5 in men and 1.9 in women with atrial fibrillation after multivariate adjustment.…”

Section: Atrial Fibrillationmentioning

confidence: 99%

Gender differences in arrhythmias

Wolbrette

Naccarelli

Curtis

et al. 2002

Clinical Cardiology

103

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Summary: Electrocardiographic and electrophysiologic differences between men and women have long been noted. Women have a higher intrinsic heart rate than men, along with a longer corrected QT interval and a shorter sinus nodal recovery time. The incidence of and risk factors for a variety of arrhythmias differ between men and women. Atrioventricular nodal reentry tachycardia has a 2:1 female-to-male predominance, while accessory pathways are twice as frequent in men. Although atrial fibrillation is more prevalent in men of all age groups, the absolute numbers of men and women with atrial fibrillation are equal, and the associated morbidity and mortality experienced by women with atrial fibrillation appear to be worse. Women have a lower incidence of sudden cardiac death, and female survivors of sudden cardiac death have a lower frequency of spontaneous or inducible ventricular tachycardia. On the other hand, drug-induced torsade de pointes and symptomatic long QT syndrome have a female predominance. Therefore, greater caution should be used when prescribing QT-prolonging drugs in women. The incidence of arrhythmias is increased during pregnancy, and management of pregnant patients poses a significant challenge. The mechanisms of these gender differences are unclear but may be related to hormonal effects and the shorter QT interval in adult males. Pharmacologic and nonpharmacologic therapies are usually equally efficacious, but the risks of pharmacologic therapy are different in men and women. Atrial fibrillation may be more difficult to treat in women.

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Section: Atrial Fibrillationmentioning

confidence: 99%

Gender differences in arrhythmias

Wolbrette

Naccarelli

Curtis

et al. 2002

Clinical Cardiology

103

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show abstract

“…The incidence of postoperative AF (53.4% vs. 50.0%) was high but comparable to that reported previously in the high-risk group of postoperative AF. [1][2][3][4] This high incidence was not prevented by prophylactic medication, which was given in more than 60% of patients. The treatment of AF in the Syncrus TM patients followed a protocol of antiarrhythmic medication for at least 1 hour followed by the internal cardioversion.…”

Section: Discussionmentioning

confidence: 99%

Internal Cardioversion Shortens Periods of Postoperative Atrial Fibrillation: Results of a Prospective, Multicenter Trial

et al. 2006

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“…The incidence of post-CABG atrial arrhythmias including AF, which is the most common, is approximately 11 percent to 40 percent, (8)(9)(10)(11) and AF is a significant predictor of stroke following CABG. (12) Data on the efficacy and safety of anticoagulation therapy for episodes of AF following CABG are lacking; however, recommendations have been made based on studies in patients with chronic AF.…”

Section: Case 2 a 75-year-old Man Underwent Coronary Artery Bypass Grmentioning

confidence: 99%

Avoiding pitfalls of anticoagulation therapy

Nasraway

2007

J of Healthc Risk Manag

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Antithrombotic therapy poses a significant risk of litigation owing to the risk of devastating outcomes from both the condition for which the therapy is necessary and the therapy itself. Using a case-based approach, this article illustrates how evidence-based guidelines, documentation, and patient communication can potentially reduce the likelihood of errors associated with antithrombotic therapy.

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The importance of age as a predictor of atrial fibrillation and flutter after coronary artery bypass grafting

Cited by 286 publications

References 16 publications

Gender differences in arrhythmias

Gender differences in arrhythmias

Internal Cardioversion Shortens Periods of Postoperative Atrial Fibrillation: Results of a Prospective, Multicenter Trial

Avoiding pitfalls of anticoagulation therapy

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