Echocardiography is useful to predict postoperative atrial fibrillation in patients undergoing isolated coronary bypass surgery: A prospective study

Autor: Dania Mohty, Alessandro Piccardo, Florence Rollé, Julien Magne, Victor Aboyans, Baptiste Salerno, Alexandre Le Guyader, Claire Serena, Najmeddine Echahidi
Přispěvatelé: Clinical sciences, Neuroépidémiologie Tropicale (NET), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de cardiologie [CHU Limoges], CHU Limoges, Service de Chirurgie Thoracique et Vasculaire - Médecine vasculaire [CHU Limoges]
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
medicine.medical_specialty
macromolecular substances
030204 cardiovascular system & hematology
Critical Care and Intensive Care Medicine
Risk Assessment
Preoperative care
Electrocardiography
03 medical and health sciences
Coronary artery bypass surgery
Postoperative Complications
0302 clinical medicine
Predictive Value of Tests
Risk Factors
coronary artery bypass graft
Internal medicine
Atrial Fibrillation
medicine
Humans
echocardiography
In patient
Prospective Studies
030212 general & internal medicine
Major complication
cardiovascular diseases
Coronary Artery Bypass
Prospective cohort study
Aged
business.industry
Incidence
Atrial fibrillation
General Medicine
Middle Aged
medicine.disease
Echocardiography
Doppler
3. Good health
medicine.anatomical_structure
Bypass surgery
Cardiology
cardiovascular system
Female
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
France
Cardiology and Cardiovascular Medicine
business
left atrial volume
Artery
Zdroj: European Heart Journal: Acute Cardiovascular Care
European Heart Journal: Acute Cardiovascular Care, SAGE Publications, 2017, 8 (2), pp.104-113. ⟨10.1177/2048872616688419⟩
ISSN: 2048-8726
2048-8734
DOI: 10.1177/2048872616688419
Popis: Objective: Postoperative atrial fibrillation is a major complication following coronary artery bypass graft. We hypothesized that, beyond clinical and electrocardiogram (ECG) data, transthoracic echocardiography could improve the prediction of postoperative atrial fibrillation. Methods: We prospectively studied 169 patients in sinus rhythm who underwent isolated coronary artery bypass graft in our institution. Clinical, biological, ECG and transthoracic echocardiography data were collected within 24 h before surgery. The patients were continuously monitored during the first five days, and then had daily 12-lead ECG afterwards until discharge. Postoperative atrial fibrillation was defined by any episode >10 min. Results: Postoperative atrial fibrillation was found in 65 patients (38%). Compared with those without, patients with postoperative atrial fibrillation were significantly older ( p=0.008), had more frequently a history of hypertension ( p=0.009), history of atrial fibrillation ( p2) of the model, from 34 to 57. Conclusion: A history of atrial fibrillation and indexed left atrial maximal volume are the best predictors of the occurrence of postoperative atrial fibrillation following coronary artery bypass graft. The identification of high risk population of postoperative atrial fibrillation using these two factors could lead to the development of targeted strategies to limit this frequent complication in these patients.
Databáze: OpenAIRE
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