P-Wave Characteristics on Routine Preoperative Electrocardiogram Improve Prediction of New-Onset Postoperative Atrial Fibrillation in Cardiac Surgery

Wong, Jim; Lobato, Robert L.; Pinesett, Andre; Maxwell, Bryan G.; Mora-Mangano, Christina; Pérez, Marco

doi:10.1053/j.jvca.2014.04.034

Cited by 22 publications

(13 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1 The main findings of this work indicated that there were several p-wave characteristics that were associated with postoperative atrial fibrillation with premature atrial contraction, P-wave index, and p-frontal axis all showing independent association.…”

Section: Interatrial Block Is Not a Predictor Of Post-cabg Atrial Fibmentioning

confidence: 67%

Interatrial Block Is Not a Predictor of Post-CABG Atrial Fibrillation

Oosten

Baranchuk

2015

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

Section: Interatrial Block Is Not a Predictor Of Post-cabg Atrial Fibmentioning

confidence: 67%

Interatrial Block Is Not a Predictor of Post-CABG Atrial Fibrillation

Oosten

Baranchuk

2015

Journal of Cardiothoracic and Vascular Anesthesia

View full text Add to dashboard Cite

“…); but, these indexes are less readily available and thus more difficult to apply in clinical practice. 12,[33][34][35][36][37] ECG is generally easily accessible and commonly used prior to abdominal surgery, hence, potentially a promising tool for identifying POAF. Upcoming prediction models in abdominal surgical populations should consider including ECG indexes such as PR-interval, P-wave duration and QRS-duration similarly to the model developed by Gu et al for patients undergoing cardiac surgery.…”

Section: Electrocardiogramsmentioning

confidence: 99%

<p>Predictors of Postoperative Atrial Fibrillation After Abdominal Surgery and Insights from Other Surgery Types</p>

Madsen¹,

Jørgensen²,

Leerhøy³

et al. 2020

RRCC

View full text Add to dashboard Cite

Postoperative atrial fibrillation (POAF) in relation to abdominal surgery can cause clinical deterioration, prolonged hospitalization, admittance to intensive care units, stroke and increased mortality. The current review focus on patients developing POAF in relation to abdominal surgery and aims to present the current knowledge on predictors of this condition. Furthermore, predictors identified in other surgical populations that may be transferable and guide future research within the field of abdominal surgery will be presented. A systematic literature search of patients undergoing abdominal surgery and developing POAF was performed on PubMed and Embase. All types of study interventions, comparators and designs were included. All studies included reported POAF as primary or secondary outcome. All peer-reviewed English full-text manuscripts regardless of publication date were included. We included five studies out of the 149 unique records identified. Age, congestive heart failure, hypertension, vascular disease and surgical approach are risk factors associated with the development of POAF. Furthermore, inflammation biomarkers, dobutamine stress echocardiography and cardiac single-photon emission computed tomography can predict POAF. Insights from other surgical cohorts reveal that other biomarkers (ie, brain natriuretic peptide (BNP) and N-terminal pro-BNP), electrocardiography and echocardiography can be used to predict POAF and may be applied in future research projects within the field of abdominal surgery. In conclusion, very scarce evidence is currently available in predicting POAF after abdominal surgery. However, predicting POAF seems possible and feasible, why the authors encourage readers to initiate new research to close the current knowledge gap and improve clinical management.

show abstract

Section: Introductionunclassified

“…La fibrilación auricular (FA) es la arritmia más común, su incidencia es cercana al 60% en pacientes con historia de cirugía cardíaca [4,5]. La FA se encuentra asociada a un incremento en el riesgo de mortalidad, de ingreso a Unidad de Cuidados Intensivos (UCI) y prolongación de la estancia hospitalaria [4]. La alta morbimortalidad atribuida a la FA se deriva del riesgo aumentado de presentar un Accidente Cerebro Vascular (ACV) o un evento tromboembólico como consecuencia de los cambios fisiopatológicos que produce esta condición [5][6][7].…”

Section: Introductionunclassified

Caracterización de un grupo de pacientes del programa de anticoagulación de una institución de salud y evaluación de los resultados de la escala HAS - BLED y la escala CHA2DS2 – VASc, Medellín (Colombia), 2011 - 2012.

Jaramillo-Jaramillo¹,

Velásquez-Viveros²,

Castro³

et al. 2017

archmed

View full text Add to dashboard Cite

Objetivo: evaluar la utilidad clínica de la puntuación de las escalas HAS-BLED y CHA2DS-VASc para predecir los episodios de sangrado mayor y eventos cardiovasculares. Materiales y métodos: se llevó a cabo un estudio analítico de cohorte con la revisión retrospectiva de las historias clínicas y seguimiento de un año de evolución de los pacientes activos en el programa de anticoagulación de una institución de salud de alto nivel de complejidad. Resultados: se recolectó un total de 76 pacientes, el 56.6% de los cuales pertenecían al sexo femenino con un promedio de edad de 73.5 años. El riesgo para presentar un evento de sangrado mayor en los paciente que presentan un HAS-BLED en la categoria de alto riesgo es 2.09 veces mayor en comparación con las otras categorias de riesgo (RR: 3.09, IC 95%: 1.15 - 8.31). Conclusión: las escalas HAS-BLED y CHA2DS2-VASc continúan siendo importantes herramientas en la predicción de eventos hemorrágicos y tromboembólicos respectivamente; al igual que del CHA2DS2-VASc para eventos hemorrágicos.

show abstract

P-Wave Characteristics on Routine Preoperative Electrocardiogram Improve Prediction of New-Onset Postoperative Atrial Fibrillation in Cardiac Surgery

Abstract: Several p-wave characteristics are independently associated with postoperative atrial fibrillation. Addition of these parameters improves the postoperative atrial fibrillation prediction model.

Cited by 22 publications

References 16 publications

Interatrial Block Is Not a Predictor of Post-CABG Atrial Fibrillation

Interatrial Block Is Not a Predictor of Post-CABG Atrial Fibrillation

<p>Predictors of Postoperative Atrial Fibrillation After Abdominal Surgery and Insights from Other Surgery Types</p>

Caracterización de un grupo de pacientes del programa de anticoagulación de una institución de salud y evaluación de los resultados de la escala HAS - BLED y la escala CHA2DS2 – VASc, Medellín (Colombia), 2011 - 2012.

Contact Info

Product

Resources

About