Incidence and predictors of post‐surgery atrial fibrillation occurrence: A cohort study in 53,387 patients

Autor: Enrico Brunetta, Guido Del Monaco, Stefano Rodolfi, Donah Zachariah, Kostantinos Vlachos, Alessia Chiara Latini, Maria De Santis, Carlo Ceriotti, Paola Galimberti, Antonio Taormina, Vincenzo Battaglia, Giulio Falasconi, Diego Penela Maceda, Michael Efremidis, Konstantinos P. Letsas, Carlo Selmi, Giulio Giuseppe Stefanini, Gianluigi Condorelli, Antonio Frontera
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Arrhythmia, Vol 40, Iss 4, Pp 815-821 (2024)
Druh dokumentu: article
ISSN: 1883-2148
1880-4276
DOI: 10.1002/joa3.13058
Popis: Abstract Introduction Atrial fibrillation (AF) represents the most common arrhythmia in the postoperative setting. We aimed to investigate the incidence of postoperative AF (POAF) and determine its predictors, with a specific focus on inflammation markers. Methods We performed a retrospective single tertiary center cohort study including consecutive adult patients who underwent a major surgical procedure between January 2016 and January 2020. Patients were divided into four subgroups according to the type of surgery. Results Among 53,387 included patients (79.4% male, age 64.5 ± 9.5 years), POAF occurred in 570 (1.1%) with a mean latency after surgery of 3.4 ± 2.6 days. Ninety patients died (0.17%) after a mean of 13.7 ± 8.4 days. The 28‐day arrhythmia‐free survival was lower in patients undergoing lung and cardiovascular surgery (p
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