Incidence, Risk Factors, and Clinical Outcomes of Atrial Fibrillation and Atrial Flutter After Heart Transplantation

Dasari, Tarun W.; Pavlovic-Surjancev, Biljana; Patel, Nilamkumar; Williams, Alexander; Ezidinma, P.; Rupani, Arti; Sinacore, James; Heroux, Alain

doi:10.1016/j.amjcard.2010.04.035

Cited by 46 publications

(48 citation statements)

References 19 publications

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“…Atrial fibrillation (AF) in the early posttransplant period is a common phenomenon in patients after heart transplantation (HTX) with a previously described incidence of 7.9%–18.2% 1,2. Although several risk factors, such as immunosuppressive drug therapy, acute rejection, or ischemic time, may have an influence on the occurrence of AF, the type of surgical technique could play a key role in the development of posttransplant AF within 30 days after HTX 1–7…”

Section: Introductionmentioning

confidence: 99%

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The influence of surgical technique on early posttransplant atrial fibrillation — comparison of biatrial, bicaval, and total orthotopic heart transplantation

Rivinius¹,

Helmschrott²,

Ruhparwar³

et al. 2017

TCRM

140

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PurposeEarly posttransplant atrial fibrillation (AF) has been associated with worse clinical outcomes after heart transplantation (HTX). The type of surgical technique may constitute a relevant risk factor for AF.Patients and methodsThis retrospective single-center study included 530 adult patients. Patients were stratified by surgical technique (biatrial, bicaval, or total orthotopic HTX) and early posttransplant heart rhythm (AF or sinus rhythm). Univariate and multivariate analyses were performed to evaluate risk factors for AF.ResultsA total of 161 patients received biatrial HTX (30.4%), 115 bicaval HTX (21.7%), and 254 total orthotopic HTX (47.9%). Sixty-one of 530 patients developed early posttransplant AF (11.5%). Patients with AF showed a statistically inferior 5-year survival compared to those with sinus rhythm (P<0.0001). Total orthotopic HTX had the lowest rate of AF (total orthotopic HTX [6.3%], bicaval HTX [14.8%], biatrial HTX [17.4%], P=0.0012). Multivariate analysis showed pretransplant valvular heart disease (P=0.0372), posttransplant enlarged left atrium (P=0.0066), posttransplant mitral regurgitation (P=0.0370), and non-total orthotopic HTX (P=0.0112) as risk factors for AF.ConclusionEarly posttransplant AF was associated with increased mortality (P<0.0001). Total orthotopic HTX showed the lowest rate of AF compared to biatrial or bicaval HTX (P=0.0012).

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Section: Introductionmentioning

confidence: 99%

“…Although several risk factors, such as immunosuppressive drug therapy, acute rejection, or ischemic time, may have an influence on the occurrence of AF, the type of surgical technique could play a key role in the development of posttransplant AF within 30 days after HTX 1–7…”

Section: Introductionmentioning

confidence: 99%

The influence of surgical technique on early posttransplant atrial fibrillation — comparison of biatrial, bicaval, and total orthotopic heart transplantation

Rivinius¹,

Helmschrott²,

Ruhparwar³

et al. 2017

TCRM

140

View full text Add to dashboard Cite

show abstract

“…Поздняя послеоперационная фибрилляция пред-сердий наблюдается реже (4%), но ассоциирует-ся со значительно худшим прогнозом [3,[8][9][10]. По данным Pavri et al, фибрилляция предсер-дий у реципиентов ассоциируется с трехкрат-ным повышением риска смерти [11].…”

Section: классификацияunclassified

Atrial fibrillation after heart transplantation

Lepshokova¹,

Kosmachova²,

Pоrkhanov³

2018

Transplantologiâ (Mosk.)

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“…Ряд авторов, сравнивая две методики трансплантации сердца, также получили результаты, согласно которым при бикавальной методике зна-чительно реже наблюдаются различные виды арит-мий [33,34]. Была также выявлена положительная связь между частотой возникновения нарушений ритма и выявлением недостаточности обоих атрио-вентрикулярных клапанов [35].…”

Section: хирургическая методика трансплантации сердцаunclassified

Tricuspid Valve Insufficiency in Recipients With Transplanted Heart

Орлов

Саитгареев

Шевченко

2018

RJTAO

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Incidence, Risk Factors, and Clinical Outcomes of Atrial Fibrillation and Atrial Flutter After Heart Transplantation

Cited by 46 publications

References 19 publications

The influence of surgical technique on early posttransplant atrial fibrillation — comparison of biatrial, bicaval, and total orthotopic heart transplantation

The influence of surgical technique on early posttransplant atrial fibrillation — comparison of biatrial, bicaval, and total orthotopic heart transplantation

Atrial fibrillation after heart transplantation

Tricuspid Valve Insufficiency in Recipients With Transplanted Heart

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Incidence, Risk Factors, and Clinical Outcomes of Atrial Fibrillation and Atrial Flutter After Heart Transplantation

Cited by 46 publications

References 19 publications

The influence of surgical technique on early posttransplant atrial fibrillation &mdash; comparison of biatrial, bicaval, and total orthotopic heart transplantation

The influence of surgical technique on early posttransplant atrial fibrillation &mdash; comparison of biatrial, bicaval, and total orthotopic heart transplantation

Atrial fibrillation after heart transplantation

Tricuspid Valve Insufficiency in Recipients With Transplanted Heart

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The influence of surgical technique on early posttransplant atrial fibrillation — comparison of biatrial, bicaval, and total orthotopic heart transplantation

The influence of surgical technique on early posttransplant atrial fibrillation — comparison of biatrial, bicaval, and total orthotopic heart transplantation