Left Atrial Volume and Post-Operative Atrial Fibrillation after Aortic Valve Replacement

Autor: Yeruva, Madhu Reddy, Ruby, Satpathy, Xuedong, Shen, Mark, Holmberg, Claire, Hunter, Aryan, Mooss, Dennis, Esterbrooks
Rok vydání: 2010
Předmět:
Zdroj: Journal of Atrial Fibrillation. 2
ISSN: 1941-6911
DOI: 10.4022/jafib.v2i3.589
Popis: Post-operative atrial fibrillation (POAF) after valve surgery is associated with increased morbidity and mortality. Risk factors identified in the past to predict POAF are of moderate accuracy. We performed a retrospective analysis of 139 patients undergoing aortic valve replacement for aortic stenosis. Post-operative AF occurred in 44% of the patients. In multivariate analysis only left atrial volume (LAV) index was a predictor of POAF. A LAV index of >46 cc/m2 predicted POAF with a sensitivity and specificity of 92% and 77%. We propose that LAV index can be used preoperatively to identify patients at risk for POAF to target preventive interventions.
Databáze: OpenAIRE