Atrial fibrillation after non-cardiac surgery: P-wave characteristics and Holter monitoring in risk assessment☆

Abstract

P-wave dispersion, but not duration, was associated with atrial fibrillation after thoracic surgery. Preoperative Holter monitoring adds further information and could be used to enhance the P-wave predictive power.

Update on cardiac arrhythmias in the ICU

“…The most robust risk factors for increased incidence of postoperative atrial fibrillation that were most consistently reported were advanced age and extent of pulmonary resection (with decreasing incidence: pneumonectomy vs. lobectomy vs. VATS) [24,32]. Other factors included male gender, preoperative arrhythmias, peripheral vascular disease, mediastinal lymph node dissection, need for repeated thoracotomy or right sided procedure, history of diabetes mellitus, hypertension, chronic obstructive pulmonary disease (COPD), preoperative pulmonary functional status, postoperative respiratory complication, chylothorax, history of congestive heart failure, coronary artery disease, beta-blocker ingestion, previous cardiopulmonary disease and anesthetic technique [24,25,[28][29][30][31]33].…”

Atrial Arrhythmias After Lung Transplantation

“…Inflammation has been associated with AF, and a higher inflammatory state after surgery may explain the higher incidence of AF early but not late in our cohort. 7,21 AF, AFL, and AT have been described after thoracic surgery and after LT. 2,20,[22][23][24][25] Left AFL has also been described after LT in the pediatric population and after orthotopic heart transplantation. 25,26 The donor PV-left atrial cuff anastomosis with the recipient LA results in putative lines of conduction block that serve as potential substrate for macroreentrant tachyarrhythmia while possibly also compartmentalizing the LA to reduce the incidence of AF.…”

“…1,2 After cardiac transplantation, atrial fibrillation (AF) or atrial flutter (AFL) are frequent in the immediate postoperative period and are associated with acute rejection or transplant vasculopathy, but macroreentrant or focal atrial tachycardia (AT) are observed later after cardiac transplantation. 3 AT and AFL observed after atrial surgery are often related to surgical lines of conduction block and regions of slow conduction.…”

Physiological Values of P-Wave Dispersion in Silesian Breed Horses and Polish Primitive Horses

“…P-wave dispersion is an electrocardiographic parameter that is used in human medicine to predict the risk of supraventricular arrhythmia, specifically to diagnose patients at risk for atrial fibrillation (3,7,8,14). This parameter can also be successfully used in the veterinary medicine.…”

“…P-wave dispersion is an index that is evaluated both in human and veterinary medicine (8,14,16,17). The index is described as the difference between the longest and shortest duration time of P-wave measured in all ECG leads.…”