Time of Occurrence and Duration of Atrial Fibrillation Following Coronary Artery Bypass Grafting

Avdic, Sevleta; Osmanović, Enes; Kadric, Nedzad; Mujanovic, Emir; Ibišević, Merima; Avdić, Azra

doi:10.5455/medarh.2016.70.97-100

Cited by 5 publications

(4 citation statements)

References 12 publications

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“…Four studies were excluded from the meta-analysis because of insufficient data provided in the articles to perform a metaanalysis. 43,[45][46][47] The cumulative Cohen's d obtained from the meta-analysis was 0.8 (95% CI: 0.6-1.0). Figure 5B shows the average LAVI measured in the studies included in the meta-analysis.…”

Section: Meta-analysis For Left Atrial Volume Indexed For Body Surfacementioning

confidence: 94%

“…Twenty-seven studies investigated pre-operative left atrial volume indexed for body surface (LAVI) as a potential predictor of POAF (Table 3). [6][7][8][9][10][11][20][21][22][23][24][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53] Twenty-three studies were included in the continuous variables meta-analysis using random effects model (Figure 3). Four studies were excluded from the meta-analysis because of insufficient data provided in the articles to perform a metaanalysis.…”

Section: Meta-analysis For Left Atrial Volume Indexed For Body Surfacementioning

confidence: 99%

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Role of pre-operative transthoracic echocardiography in predicting post-operative atrial fibrillation after cardiac surgery: a systematic review of the literature and meta-analysis

et al. 2021

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Aims This systematic review and meta-analysis aims to evaluate the role of pre-operative transthoracic echocardiography in predicting post-operative atrial fibrillation (POAF) after cardiac surgery. Methods and results Electronic databases were searched for studies reporting on pre-operative echocardiographic predictors of POAF in PubMed, Cochrane library, and Embase. A meta-analysis of echocardiographic predictors of POAF that were identified by at least five different publications was performed. Forty-three publications were included in this systematic review. Echocardiographic predictors for POAF included surrogate parameters for total atrial conduction time (TACT), structural cardiac changes, and functional disturbances. Meta-analysis showed that prolonged pre-operative PA-TDI interval [5 studies, Cohen’s d = 1.4, 95% confidence interval (CI) 0.9–1.9], increased left atrial volume indexed for body surface area (LAVI) (23 studies, Cohen’s d = 0.8, 95% CI 0.6–1.0), and reduced peak atrial longitudinal strain (PALS) (5 studies, Cohen’s d = 1.4, 95% CI 1.0–1.8), were associated with POAF incidence. Left atrial volume indexed for body surface was the most important predicting factor in patients without a history of AF. These parameters remained important predictors of POAF in heterogeneous populations with variable age and comorbidities such as coronary artery disease and valvular disease. Conclusion This meta-analysis shows that increased TACT, increased LAVI, and reduced PALS are valuable parameters for predicting POAF in the early post-operative phase in a large variety of patients.

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Section: Meta-analysis For Left Atrial Volume Indexed For Body Surfacementioning

confidence: 94%

Section: Meta-analysis For Left Atrial Volume Indexed For Body Surfacementioning

confidence: 99%

Role of pre-operative transthoracic echocardiography in predicting post-operative atrial fibrillation after cardiac surgery: a systematic review of the literature and meta-analysis

et al. 2021

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“…Currently, the most widely used echocardiographic measurement in the clinic for predicting AF is the maximal volume of the left atrium (LAVmax) 6 . Several studies have found that functional measurements of the left atrium (LA), such as the LA emptying fraction (LAEF) and the LA minimum volume index (LAVmin), are useful in predicting AF 7,8 . Since it seems that the LA functional measures can play a role in predicting AF, we hypothesized that: (1) The LA functional measurements would be better predictors than LAVmax for AF following CABG.…”

Section: Introductionmentioning

confidence: 99%

Left atrial functional measurements’ utility in predicting long‐term risk of atrial fibrillation after isolated CABG

et al. 2023

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Background Atrial fibrillation (AF) is the most common cardiac arrhythmia following coronary artery bypass grafting (CABG). We hypothesized that measures of left atrial (LA) function would be useful in predicting AF in patients undergoing CABG. Methods and results In the study, 611 patients were included after CABG. All patients had echocardiograms performed preoperatively and LA functional measurements were assessed. These measurements were LA maximum volume index (LAVmax), LA minimum volume index (LAVmin) and LA emptying fraction (LAEF). The endpoint was AF occurring >14 days after surgery. During the follow‐up period of a median of 3.7 years, 52 (9%) developed AF. The mean age was 67 years, 84% were male and the average left ventricle ejection fraction was 50%. Patients who developed AF had a lower CCS class and lower LAEF (40 vs. 45%), otherwise no clinical differences were observed between outcome groups. No functional LA measurements were significant predictors of AF in the whole CABG population. However, in patients with normal‐sized LA (n = 532, events: 49), both LAEF and LAVmin were univariable predictors of AF. When the functional measurements were adjusted for the CHADS2 score, both LAVmin (HR = 1.07 [1.01‐1.13], p = .014) and LAEF (HR: 1.02 [1.00‐1.03], p = .023), remained significant predictors. Conclusion No echocardiographic measurements were significant predictors of AF after CABG. In patients with a normal LA size, LAVmin as well as LAEF were significant predictors of AF.

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“…6 Several studies have found that functional measurements of the left atrium (LA), such as the LA emptying fraction (LAEF) and the LA minimum volume index (LAVmin), are useful in predicting AF. 7,8 Since it seems that the LA functional measures can play a role in predicting AF, we hypothesized that: (1) The LA functional measurements would be better predictors than LAVmax for AF following CABG.…”

Section: Introductionmentioning

confidence: 99%

Left atrial functional measurements utility in predicting long-term risk of atrial fibrillation after isolated CABG

Dyhr

Lindberg

Olsen

et al. 2022

Preprint

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Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia following coronary artery bypass grafting (CABG). We hypothesized that measures of left atrial (LA) function would be useful in predicting AF in patients undergoing CABG. Methods and Results In the study, 611 patients were included after CABG. All patients had echocardiograms performed preoperatively and LA functional measurements were assessed. These measurements were LA maximum volume index (LAVmax), LA minimum volume index (LAVmin) and LA emptying fraction (LAEF). The endpoint was AF occurring >14 days after surgery. During the follow-up period of a median of 3.7 years, 52 (9%) developed AF. The mean age was 67 years, 84% were male and the average left ventricle ejection fraction was 50 %. No differences were observed between the patients developing AF and those who did not develop AF. No functional LA measurements were significant predictors of AF in the whole CABG population. However, in patients with normal-sized LA (n=532, events: 49), both LAEF and LAVmin were univariable predictors of AF. When the functional measurements were adjusted for the CHADS score, both LAVmin (HR=1.07 (1.01-1.13), p=0.014 ) and LAEF (HR: 1.02 (1.00-1.03, p= 0.023)), remained significant predictors. Conclusion No echocardiographic measurements were significant predictors of AF after CABG. In patients with a normal LA size, LAVmin as well as LAEF were significant predictors of AF. Keywords: atrial fibrillation; cardiac surgery; left atrium; echocardiography

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Time of Occurrence and Duration of Atrial Fibrillation Following Coronary Artery Bypass Grafting

Cited by 5 publications

References 12 publications

Role of pre-operative transthoracic echocardiography in predicting post-operative atrial fibrillation after cardiac surgery: a systematic review of the literature and meta-analysis

Role of pre-operative transthoracic echocardiography in predicting post-operative atrial fibrillation after cardiac surgery: a systematic review of the literature and meta-analysis

Left atrial functional measurements’ utility in predicting long‐term risk of atrial fibrillation after isolated CABG

Left atrial functional measurements utility in predicting long-term risk of atrial fibrillation after isolated CABG

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