Incidence and Prognostic Impact of Atrial Fibrillation After Discharge Following Revascularization for Significant Left Main Coronary Artery Narrowing
| Autor: | Marie-Claude Morice, Zixuan Zhang, Patrick W. Serruys, Arie Pieter Kappetein, Erick Schampaert, Gregg W. Stone, Bernard J. Gersh, Joseph F. Sabik, Björn Redfors, David E. Kandzari, Andrzej Bochenek, Ioanna Kosmidou, Yangbo Liu, Ori Ben-Yehuda, Paweł Buszman |
|---|---|
| Přispěvatelé: | Cardiothoracic Surgery |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology Coronary Angiography Revascularization Electrocardiography 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Internal medicine Atrial Fibrillation Myocardial Revascularization medicine Humans cardiovascular diseases 030212 general & internal medicine Myocardial infarction Propensity Score Stroke Aged medicine.diagnostic_test business.industry Incidence Hazard ratio Coronary Stenosis Percutaneous coronary intervention Drug-Eluting Stents Atrial fibrillation Prognosis medicine.disease Patient Discharge Conventional PCI Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | American Journal of Cardiology, 125(4), 500-506. Elsevier Inc. |
| ISSN: | 0002-9149 |
| Popis: | The incidence, recurrence rate, and prognostic significance of atrial fibrillation or flutter (AF) following hospital discharge after percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for left main coronary artery disease (LMCAD) are unknown. We sought to determine the 3-year incidence and clinical impact of postdischarge AF in patients with LMCAD treated with PCI or CABG. In the EXCEL trial, 1,905 patients with LMCAD were randomized to PCI versus CABG. We analyzed the occurrence of postdischarge AF through 3 years and its time-adjusted association with adverse outcomes. A total of 1,802 patients without AF at baseline comprised the study cohort. Within 3 years, 227 episodes of AF occurred (29 [12.8%] in the PCI arm and 198 [87.2%] in the CABG arm, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect