Early Transthoracic Echocardiography after Cardiac Surgery Predicts Postoperative Atrial Fibrillation

Lacalzada, Juan; Jiménez, Juan J.; Iribarren, J; Rosa, Alejandro de la; Martín-Cabeza, Marta María; Izquierdo, María Manuela; Marí‐López, Belén; García-González, Martín J.; Jorge-Pérez, Pablo; Barragán, Antonio; Laynez, Ignacio

doi:10.1111/echo.13254

Cited by 10 publications

(13 citation statements)

References 28 publications

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“…It has been suggested that LA structure and functions, echocardiographic variables such as ejection fraction or LV global strain, RV global strain, and sPAP could be associated with POAF. 8,13,14 In our study, LAVi, LVGL, and sPAP were closely associated with POAF development, which is consistent with the literature data. The role of both the LA and ventricle in the development of AF has been extensively demonstrated.…”

Section: Resultssupporting

confidence: 92%

“…Its occurrence increases hospitalization duration and is associated with increased cardiovascular complications such as stroke. It has been suggested that LA structure and functions, echocardiographic variables such as ejection fraction or LV global strain, RV global strain, and sPAP could be associated with POAF . In our study, LAVi, LVGL, and sPAP were closely associated with POAF development, which is consistent with the literature data.…”

Section: Discussionsupporting

confidence: 92%

“…Sympathetic system activation may also be associated with POAF development, which has been reported to be reduced by the use of beta‐blockers before the procedure. Many associated predictors such as left atrial (LA) volume, LV ejection fraction, or left ventricular global longitudinal strain (LVGLS) have thus been described, and can be measured by echocardiography before the procedure …”

Section: Introductionmentioning

confidence: 99%

“…Many associated predictors such as left atrial (LA) volume, LV ejection fraction, or left ventricular global longitudinal strain (LVGLS) have thus been described, and can be measured by echocardiography before the procedure. [5][6][7][8] The right atrial (RA) structure and functions are affected by various diseases, including pulmonary hypertension (PHT), and right-or left-sided heart diseases. RA functions and volume may be useful predictors for the diagnosis and staging of other cardiac and lung diseases.…”

Section: Introductionmentioning

confidence: 99%

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The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Aksu

Kalkan

Gülcü

et al. 2019

J of Clinical Ultrasound

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Purpose Atrial fibrillation (AF) is relatively frequent in the postoperative period, and is associated with an increased frequency of adverse events. The role of right atrial (RA) volume and functions in the development of AF is unknown. In this study, we investigated the effect of RA echocardiographic indices on AF development in the postoperative period. Method We enrolled 142 consecutive patients who underwent coronary artery bypass surgery, and assigned them into two groups depending on the occurrence or not of AF development in the postoperative period. Results A propensity score matching analysis was performed to balance the groups, and 37 pairs were eventually included in the analysis. The median age was 67.5 (63‐75) years and 73.3% of them were males. In the univariate analysis, right atrial volume index (RAVi), right atrial strain during reservoir phase (RASr), left ventricular global longitudinal strain, right ventricular strain, left atrial volume index, left atrial strain during reservoir phase, and systolic pulmonary artery pressure were associated with AF development. In the regression analysis, we found that RAVi (OR: 3.1, 95% CI: 2.2‐6.3, P: .033) and RASr (OR: 0.82, 95% CI: 0.67‐0.93, P: .048) were independent predictors of AF development. Conclusions RA structure and functions are closely associated with AF development in the postoperative period, and screening of RA functions prior to surgery may be useful for preventing AF development.

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Section: Resultssupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Aksu

Kalkan

Gülcü

et al. 2019

J of Clinical Ultrasound

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“…[9][10][11] Beyond these, certain echocardiographic parameters, such as left atrial dimension (LAD) and left ventricular function, have also been shown to be associated with POAF. 12,13 Right heart catheterization is widely used in cardiac surgery to detect the hemodynamic parameters and to guide the use of vasoactive drugs, but previous studies have not shown the effect of hemodynamic parameters in predicting POAF after cardiac surgery. Rongxin Lu and Nan Ma were co-first authors and contributed equally to this work.…”

Section: Introductionmentioning

confidence: 99%

Hemodynamic parameters predict the risk of atrial fibrillation after cardiac surgery in adults

Jiang

et al. 2017

Clinical Cardiology

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Background Postoperative atrial fibrillation (POAF) is a common complication following cardiac surgery and is associated with poorer prognosis. This study attempted to evaluate whether hemodynamic parameters determined by a right heart catheter predict the occurrence of POAF. Hypothesis We hypothesized that atrial fibrillation after cardiac surgery can be predicted by hemodynamic parameters determined by a right heart catheter. Methods Between October 2015 and January 2017, 126 patients with preoperative sinus rhythm undergoing coronary artery bypass grafting and/or aortic valve replacement were enrolled in this study. Complete echocardiographic examination was performed preoperatively, and hemodynamic parameters were recorded via a right heart catheter before anesthesia induction. Postoperative telemetry strips and electrocardiogram were used to detect atrial fibrillation until discharge. Multivariate logistic regression was used to identify risk factors of POAF. Results The overall incidence of POAF was 40/126 (31.7%). Multivariate logistic regression analysis determined that left atrial dimension (LAD) (adjusted odds ratio [OR]: 1.118, 95% confidence interval [CI]: 1.020‐1.227, P = 0.018), pulmonary capillary wedge pressure (PCWP) (adjusted OR: 1.225, 95% CI: 1.082‐1.387, P = 0.001), and pulmonary artery systolic pressure (PASP) (adjusted OR: 1.076, 95% CI: 1.019‐1.137, P = 0.008) were significant predictors of POAF. Conclusions The present study suggested that LAD, PCWP, and PASP were robust predictors of POAF. These parameters may indicate a patient's susceptibility toward developing POAF and help to identify patients who need preventive treatment.

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Clinical practices for defining, detecting, and diagnosing postoperative atrial fibrillation after coronary revascularization surgery – A scoping review

Higgs,

McDonagh,

Sim

2024

Australian Critical Care

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Early Transthoracic Echocardiography after Cardiac Surgery Predicts Postoperative Atrial Fibrillation

Abstract: Apart from age, the simple determination by postoperative TTE of long-axis LA dimension and DFG after cardiac surgery proved to be powerful independent predictors of POAF and may be useful for risk stratification of these patients.

Cited by 10 publications

References 28 publications

The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

The role of the right atrium in development of postoperative atrial fibrillation: A speckle tracking echocardiography study

Hemodynamic parameters predict the risk of atrial fibrillation after cardiac surgery in adults

Clinical practices for defining, detecting, and diagnosing postoperative atrial fibrillation after coronary revascularization surgery – A scoping review

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