Atrial fibrillation and atrial tachycardia in patients with chronic thromboembolic pulmonary hypertension treated with pulmonary endarterectomy

Havránek, Štěpán; Fingrová, Zdeňka; Ambrož, David; Jansa, Pavel; Kuchař, Jan; Dusík, Milan; Lindner, Jaroslav; Kunstýř, Jan; Aschermann, Michael; Linhart, Aleš

doi:10.1093/eurheartj/suaa096

Cited by 10 publications

(23 citation statements)

References 28 publications

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“…The prevalence of SVA (18.5%) in our overall PH population was lower than that of two recent studies (29%) 14,15 . Havranek et al 14 analyzed the prevalence of AF/AT in CTEPH patients treated with pulmonary endarterectomy (PEA).…”

Section: Discussioncontrasting

confidence: 61%

“…The prevalence of SVA (18.5%) in our overall PH population was lower than that of two recent studies (29%). 14,15 Havranek et al 14 analyzed the prevalence of AF/AT in CTEPH patients treated with pulmonary endarterectomy (PEA). In their study, early post-PEA arrhythmia was also taken into account, which might be the reason of high prevalence of AF/AT.…”

Section: Prevalence Of Arrhythmiasmentioning

confidence: 99%

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The spectrum and prevalence of arrhythmia in different clinical pulmonary hypertension groups in Chinese population

Xue

Yang

Zhao

et al. 2022

Clinical Cardiology

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Background Arrhythmia is not uncommon among pulmonary hypertension (PH) population, and may be associated with disease severity. Hypothesis To investigate different spectrums and prevalence of arrhythmias in different clinical PH groups in Chinese population. Methods Patients diagnosed with PH between April 15, 2019, and August 2, 2021, were enrolled prospectively. The prevalence of different types of arrhythmias in PH patients were calculated. Logistic regression analyses were conducted to determine independent predictors for arrhythmia. Results One thousand patients were enrolled. The prevalence of any arrhythmia, sinus node dysfunction, sinus tachycardia, atrial fibrillation, atrial flutter, other types of atrial tachycardia, atrioventricular block, and ventricular tachycardia is 44.4%, 12.2%, 15.2%, 8.1%, 4.1%, 10.2%, 7.1%, and 2.5%. Logistic regression analyses revealed that older age and larger right ventricle (odds ratio: 1.111 and 1.095, p < .05) were independently related with higher probability of supraventricular arrhythmia; Complicating with coronary artery disease, larger right ventricle, and increased left ventricular end‐diastolic diameter (odds ratio: 19.540, 1.106, and 1.085, p < .05) were independently correlated with sinus node dysfunction/atrioventricular block in patients with pulmonary arterial hypertension. Conclusions Nearly half of PH patients experienced at least one type of arrhythmia. The most common seen arrhythmias were supraventricular arrhythmia, sinus tachycardia, and sinus node dysfunction. Older age and larger right ventricle were independently related with higher probability of supraventricular arrhythmia; Complicating with coronary artery disease, larger right ventricle and increased left ventricular end‐diastolic diameter were independently correlated with higher probability of sinus node dysfunction/atrioventricular block in patients with pulmonary arterial hypertension.

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Section: Discussioncontrasting

confidence: 61%

Section: Prevalence Of Arrhythmiasmentioning

confidence: 99%

The spectrum and prevalence of arrhythmia in different clinical pulmonary hypertension groups in Chinese population

Xue

Yang

Zhao

et al. 2022

Clinical Cardiology

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“…Supraventricular tachycardias (SVT), including atrial fibrillation (AF), have been reported as a common condition in patients with idiopathic pulmonary arterial hypertension (PAH) [3,4] (range of cumulative incidence 10-36%), including all types of PAH [4][5][6][7][8], Eisenmenger's syndrome [9] or inoperable chronic thromboembolic pulmonary hypertension (CTEPH) [4,5,7]. Recently, high prevalence of AF and atrial tachycardia (AT) in CTEPH patients treated with pulmonary endarterectomy was identified with an excessive number of newly diagnosed AF/AT during long-term follow-up after surgery [10]. It has also been demonstrated that SVT in patients with PH frequently lead to clinical deterioration [3][4][5]7,11].…”

Section: Introductionmentioning

confidence: 99%

The prevalence and clinical outcome of supraventricular tachycardia in different etiologies of pulmonary hypertension

et al. 2021

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Purpose Patients with pulmonary hypertension (PH) frequently suffer from supraventricular tachycardias (SVT). The main purpose of our study was to identify the cumulative incidence of SVT in patients with different etiologies of PH. The secondary objective was to analyse the clinical impact of SVT. Methods We retrospectively studied the prevalence of SVT and the clinical outcome in 755 patients (41% males; 60 ± 15 years; mean follow-up 3.8 ± 2.8 years) with PH of different etiologies. The prevalence of SVT was analysed separately in isolated pre-capillary PH (Ipc-PH) and in patients with combined post- and pre-capillary PH (Cpc-PH). Results The prevalence of SVT in the Ipc-PH group (n = 641) was 25% (n = 162). The most prevalent arrhythmias were atrial fibrillation followed by a typical atrial flutter (17% and 4.4% of all Icp-PH patients). An excessive prevalence of SVT was found in patients with pulmonary arterial hypertension associated with congenital heart disease (35%, p = 0.01). Out of the overall study population, Cpc-PH was present in 114 (15%) patients. Patients with Cpc-PH manifested a higher prevalence of SVT than subjects with Ipc-PH (58; 51% vs. 162; 25%; p <0.0001) and were more likely to have persistent or permanent atrial fibrillation (38; 29% vs. 61; 10%; p <0.0001). Parameters significantly associated with mortality in a multivariate analysis included age, male gender, functional exercise capacity and right atrial diameter (p < 0.05). Neither diagnosis of SVT nor type of arrhythmia predicted mortality. Conclusions The study detected a significant prevalence of SVT in the population of PH of different origins. Different spectrum and prevalence of arrhythmia might be expected in different etiologies of PH. Patients with an elevated post-capillary pressure showed a higher arrhythmia prevalence, predominantly due to an excessive number of atrial fibrillations. The diagnosis of SVT was not associated with mortality.

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“…DVT prophylaxis is begun on the evening of surgery and is typically replaced by therapeutic anticoagulation with heparin when the chest tube output is < 50 ml/h for 2 consecutive hours. Atrial arrhythmias occur in about 20-30% of patients postoperatively [83,84].…”

Section: Pulmonary Thromboendarterectomy (Pea)mentioning

confidence: 99%

Chronic Thromboembolic Pulmonary Hypertension: the Bedside

Matusov

Singh

et al. 2021

Curr Cardiol Rep

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Atrial fibrillation and atrial tachycardia in patients with chronic thromboembolic pulmonary hypertension treated with pulmonary endarterectomy

Cited by 10 publications

References 28 publications

The spectrum and prevalence of arrhythmia in different clinical pulmonary hypertension groups in Chinese population

The spectrum and prevalence of arrhythmia in different clinical pulmonary hypertension groups in Chinese population

The prevalence and clinical outcome of supraventricular tachycardia in different etiologies of pulmonary hypertension

Chronic Thromboembolic Pulmonary Hypertension: the Bedside

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