Incidence and predictors of atrial fibrillation after aortic repairs

Perzanowski, Christian; Gandhi, Siddharth; Pai, Ramdas G.

doi:10.1016/j.amjcard.2003.12.039

Cited by 15 publications

(8 citation statements)

References 14 publications

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“…In our analysis, the incidence of PA after TAAA repair was 27%. This incidence did not differ significantly by extent of repair in unadjusted analysis (Table 2), but logistic regression associated extent IV repair with a lower risk of PA. Perzanowski and colleagues [22] reported a 20% incidence of new-onset atrial fibrillation after thoracic and abdominal aortic aneurysm surgery, which is similar to our 27% rate, but they associated thoracic aortic repair with a risk ratio of 4.5 compared with abdominal aortic repair. The lower risk of PA in patients with extent IV repair in our study similarly reflects a lower risk of PA after abdominal aortic intervention.…”

Section: Commentsupporting

confidence: 84%

“…Several authors have described a variety of mechanisms that may underlie the onset of PA after cardiovascular surgery. These include inflammation, neurohormonal activation, excessive catecholamine production, autonomic imbalance during the postoperative period, disruption of the ascending aortic fat pad and associated autonomic innervations [22], interstitial mobilization of fluid, and atrial dilation [24]. Various patient-related and procedure-related risk factors have been described for PA [25][26][27], such as older age, obesity, history of pulmonary obstructive disease, and longer clamp times.…”

Section: Commentmentioning

confidence: 99%

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Cardiac Arrhythmia After Open Thoracoabdominal Aortic Aneurysm Repair

Dolapoglu¹,

Volguina

Price

et al. 2017

The Annals of Thoracic Surgery

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Section: Commentsupporting

confidence: 84%

Section: Commentmentioning

confidence: 99%

Cardiac Arrhythmia After Open Thoracoabdominal Aortic Aneurysm Repair

Dolapoglu¹,

Volguina

Price

et al. 2017

The Annals of Thoracic Surgery

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“…13,14 Thoracic aortic surgery involves disruption of the aortic fat pad, leading to a reduction in cardiac vagal tone which may predispose these patients to postoperative arrhythmias. 14 Both series were retrospective. Continuous cardiac monitoring was used.…”

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confidence: 99%

Postoperative Arrhythmias in General Surgical Patients

Walsh

Tang

Wijewardena

et al. 2007

annals

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INTRODUCTION New-onset arrhythmias are a common problem in cardiothoracic surgery. They are also common following major non-cardiac surgery. This review examines the available literature to establish the incidence and significance of new-onset arrhythmias following major non-cardiothoracic surgery.MATERIALS AND METHODS A literature search was performed using the Medline and Pubmed databases using the terms 'postoperative arrhythmia', 'peri-operative arrhythmia', 'atrial fibrillation/flutter', 'supraventricular arrhythmia/tachycardia', 'cardiac complications' and 'non-cardiothoracic surgery'. Articles were cross-referenced for additional relevant publications and reviewed for data regarding new-onset arrhythmias following major non-cardiothoracic surgery.RESULTS There was considerable heterogeneity in the literature regarding cardiac monitoring, types of arrhythmias considered and potential associations investigated, thus hindering interpretation. The available data suggest that new-onset arrhythmias affect about 7% of patients following major non-cardiothoracic surgery. These arrhythmias are often associated with other underlying complications.

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“…Maybe due to the small number of patients with that complication, its causing factors could not be determined. In the study by Perzanowski et al 25 , age (73 ± 10 years), systemic arterial hypertension, diabetes, chronic obstructive pulmonary disease, and preoperative infarction were predictors of acute atrial fibrillation.…”

Section: Discussionmentioning

confidence: 99%

Estudo prospectivo da morbi-mortalidade precoce e tardia da cirurgia do aneurisma da aorta abdominal

Carvalho¹,

Brito²,

Tribulatto³

et al. 2005

Arq. Bras. Cardiol.

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ObjectiveTo prospectively assess early and late morbidity and mortality of patients undergoing elective surgical repair of abdominal infrarenal aortic aneurysms and to determine the independent predictors of cardiac events. MethodsFor 6 consecutive years, this study analyzed 130 patients, who underwent routine standardized preoperative assessment always with the same clinical, surgical, and anesthesia teams. ResultsIn-hospital mortality was 3.1% (4 patients ConclusionAlthough this is considered a highly complex surgery, mortality is low, the cardiac complications are not very significant, and the patients have a good long-term evolution.

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Incidence and predictors of atrial fibrillation after aortic repairs

Cited by 15 publications

References 14 publications

Cardiac Arrhythmia After Open Thoracoabdominal Aortic Aneurysm Repair

Cardiac Arrhythmia After Open Thoracoabdominal Aortic Aneurysm Repair

Postoperative Arrhythmias in General Surgical Patients

Estudo prospectivo da morbi-mortalidade precoce e tardia da cirurgia do aneurisma da aorta abdominal

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