scholarly journals Gender Differences in Predictors and Long-Term Mortality of New-Onset Postoperative Atrial Fibrillation Following Isolated Aortic Valve Replacement Surgery

2020 ◽  
Vol 26 (6) ◽  
pp. 342-351 ◽  
Author(s):  
Mariana Fragão-Marques ◽  
Jennifer Mancio ◽  
João Oliveira ◽  
Inês Falcão-Pires ◽  
Adelino Leite-Moreira
2010 ◽  
Vol 90 (2) ◽  
pp. 474-479 ◽  
Author(s):  
Giovanni Filardo ◽  
Cody Hamilton ◽  
Baron Hamman ◽  
Robert F. Hebeler ◽  
John Adams ◽  
...  

Cor et Vasa ◽  
2019 ◽  
Vol 61 (4) ◽  
pp. e411-e419
Author(s):  
Tomáš Toporcer ◽  
Andrea Kraus ◽  
Tomáš Grendel ◽  
Milan Bajmoczi ◽  
Adrián Kolesár ◽  
...  

2017 ◽  
Vol 154 (2) ◽  
pp. 492-498 ◽  
Author(s):  
Ben M. Swinkels ◽  
Bas A. de Mol ◽  
Johannes C. Kelder ◽  
Freddy E. Vermeulen ◽  
Jurriën M. ten Berg

Author(s):  
Mohamed Farag ◽  
Yusuf Kiberu ◽  
Ashwin Reddy ◽  
Ahmad Shoaib ◽  
Mohaned Egred ◽  
...  

Introduction Atrial fibrillation (AF) is frequent after any cardiac surgery, but evidence suggests it may have no significant impact on survival if sinus rhythm (SR) is effectively restored early after the onset of the arrhythmia. In contrast, management of preoperative AF is often overlooked during or after cardiac surgery despite several proposed protocols. This study sought to evaluate the impact of preoperative AF on mortality in patients undergoing isolated surgical aortic valve replacement (AVR). Methods We performed a retrospective, single-centre study involving 2,628 consecutive patients undergoing elective, primary isolated surgical AVR from 2008 to 2018. A total of 268/ 2,628 patients (10.1%) exhibited AF before surgery. The effect of preoperative AF on mortality was evaluated with univariate and multivariate analyses. Results Short-term mortality was 0.8% and was not different between preoperative AF and SR cohorts. Preoperative AF was highly predictive of long-term mortality (median follow-up of 4 years [Q1-Q3 2-7]; HR: 2.24, 95% CI: 1.79-2.79, P<0.001), and remained strongly and independently predictive after adjustment for other risk factors (HR: 1.54, 95% CI: 1.21-1.96, P<0.001) compared with preoperative SR. In propensity score-matched analysis, the adjusted mortality risk was higher in the AF cohort (OR: 1.47, 95% CI: 1.04-1.99, P=0.03) compared with the SR cohort. Conclusions Preoperative AF was independently predictive of long-term mortality in patients undergoing isolated surgical AVR. It remains to be seen whether concomitant surgery or other preoperative measures to correct AF may impact long-term survival.


2009 ◽  
Vol 7 (3) ◽  
pp. 214-217 ◽  
Author(s):  
Osama Hamed ◽  
P.J. Persson ◽  
Amy M. Engel ◽  
Sarah McDonough ◽  
J. Michael Smith

2018 ◽  
Vol 86 (3) ◽  
pp. 190-195
Author(s):  
Daniel Navia ◽  
Fernando Piccinini ◽  
Mariano Vrancic ◽  
Mariano Camporrotondo ◽  
Juan Espinoza ◽  
...  

Global Heart ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e80-e81
Author(s):  
Tom Kai Ming Wang ◽  
David H.-M. Choi ◽  
Tharumenthiran Ramanathan ◽  
Peter Ruygrok

Perfusion ◽  
2020 ◽  
pp. 026765912094921
Author(s):  
João Pedro Oliveira ◽  
Mariana Fragão-Marques ◽  
André Lourenço ◽  
Inês Falcão-Pires ◽  
Adelino Leite-Moreira

Background: Atrial fibrillation (AF) is the most common arrhythmia with adverse clinical outcomes. Aortic valve replacement (AVR) is one of the most frequently performed cardiac surgeries, although there is scarce evidence on arrhythmic outcomes. We aimed to evaluate AF during the first year post- isolated aortic valve replacement surgery and its clinical, analytical, and echocardiographic predictors. Methods: Severe aortic stenosis patients with no prior atrial fibrillation submitted to isolated aortic valve replacement surgery were included in our study, of which 316 remained in sinus rhythm and 24 developed AF. We performed logistic regression searching for AF predictors and a longitudinal comparison between pre and post-operative echocardiographic data. Results: Postoperative AF (POAF), diabetes, and follow-up indexed Left Atrium Diameter (iLAD) were significantly higher in the group of patients developing AF. POAF and iLAD were independent AF predictors at follow-up. No differences between groups were found regarding baseline and follow-up echocardiographic data except for indexed Left Ventricle End-diastolic Diameter (LVED), which failed to decrease after surgery in the AF group. Conclusions: POAF and iLAD independently predicted AF at 1 year following isolated AVR surgery in aortic stenosis patients with no AF history. iLVED did not decrease significantly at follow-up in AF patients, possibly reflecting adverse ventricular remodeling.


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