| Autor: |
Mariusz Kowalewski, Michał Pasierski, Janina Finke, Michalina Kołodziejczak, Jakub Staromłyński, Radosław Litwinowicz, Grzegorz Filip, Adam Kowalówka, Wojciech Wańha, Przemysław Bławat, Andrzej Łoś, Sebastian Stefaniak, Wojciech Wojakowski, Marek Jemielity, Jan Rogowski, Marek Deja, Dariusz Jagielak, Krzysztof Bartus, Katarzyna Sierakowska, Silvia Mariani, Tong Li, Justine Mafalda Ravaux, Matteo Matteucci, Daniele Ronco, Federica Jiritano, Dario Fina, Gennaro Martucci, Paolo Meani, Giuseppe Maria Raffa, Pietro Giorgio Malvindi, Roberto Lorusso, Piotr Suwalski |
| Přispěvatelé: |
CTC, RS: Carim - V04 Surgical intervention, MUMC+: MA Med Staf Spec CTC (9) |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Heart Rhythm, 19(9), 1442-1449. Elsevier Science |
| ISSN: |
1547-5271 |
| Popis: |
BACKGROUND: Among patients referred for cardiac surgeries, atrial fibrillation (AF) is a common comorbidity and a risk factor for post-operative arrhythmias (such as sinus node dysfunction or atrioventricular heart blocks), including those requiring permanent pacemaker (PPM) implantation.OBJECTIVE: The current study aimed to evaluate the prevalence and long-term survival of post-operative PPM implantation in patients with pre-operative AF who underwent valve surgery with or without concomitant procedures.METHODS: Presented analysis pertains to the HEIST (HEart surgery In atrial fibrillation and Supraventricular Tachycardia) registry. During study period 11,949 patients underwent valvular (aortic, mitral or tricuspid valve replacement or repair) surgery and/or surgical ablation (SA) and were stratified according to post-operative PPM status.RESULTS: Permanent pacemaker implantation after surgery was necessary in 2.5% of patients, with a significant variation depending on the type of surgery (from 1.1% in mitral valve repair to 3.3% in combined mitral and tricuspid valve surgery). In a multivariate logistic regression model, tricuspid intervention (PCONCLUSION: In patients with pre-operative AF, the need for PPM implantation after valve surgery or SA is not an infrequent outcome, with SA not affecting its prevalence but actually improving long-term survival. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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