The Clinical Course of New-Onset Atrial Fibrillation After Elective Aortic Operations

Valentine, R. James; Rosen, Scott F.; Cigarroa, Joaquin E.; Jackson, Mark R.; Modrall, J. Gregory; Clagett, G. Patrick

doi:10.1016/s1072-7515(01)01028-6

Cited by 30 publications

(19 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 In Goldman's series, 7 myocardial infarction (MI) was thought to be the primary precipitant of SVA in 4 patients while pneumonia triggered arrhythmias in another 4. An antecedent MI accounted for only 3 of 22 episodes of atrial fibrillation following aortic surgery 13 while sepsis accounted for 4 episodes in this cohort. However, pulmonary oedema was the initiating insult in 8 of 22.…”

Section: Arrhythmias and Other Cardiac Complicationsmentioning

confidence: 73%

“…They also had an increased risk of bacteraemia (RR 6.2; 95% CI 4.0-9.7). 8 Several other series also found that 20-30% of arrhythmia patients had underlying sepsis, 4,5,12,13 most often in the lower respiratory tract.…”

Section: Arrhythmias and Sepsismentioning

confidence: 94%

“…Over 80% of patients with new-onset arrhythmias revert to sinus rhythm prior to discharge. [4][5][6][7]13 In 20-30% of cases, no therapeutic intervention is required for the arrhythmia. 4,7 Haemodynamic compromise is uncommon and few patients require urgent cardioversion.…”

Section: Clinical Course Of Arrhythmiasmentioning

confidence: 99%

“…thoracic aorta. 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.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Postoperative Arrhythmias in General Surgical Patients

Walsh

Tang

Wijewardena

et al. 2007

annals

View full text Add to dashboard Cite

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.

show abstract

Section: Arrhythmias and Other Cardiac Complicationsmentioning

confidence: 73%

Section: Arrhythmias and Sepsismentioning

confidence: 94%

Section: Clinical Course Of Arrhythmiasmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Postoperative Arrhythmias in General Surgical Patients

Walsh

Tang

Wijewardena

et al. 2007

annals

View full text Add to dashboard Cite

show abstract

“…The postoperative incidence of AF in patients undergoing AAA repair has been documented as 10-20%. 23,[25][26][27] In these studies, serum magnesium levels have not been analysed as a potential precipitant to the arrhythmia. Until now, no association has been made between new onset arrhythmias and hypomagnesaemia after AAA surgery.…”

Section: Discussionmentioning

confidence: 99%

The incidence of hypomagnesaemia following abdominal aortic aneurysm surgery

Jolly

Faulconer

McEwan

et al. 2015

annals

View full text Add to dashboard Cite

INTRODUCTION Magnesium is important for cardiac function. Hypomagnesaemia is associated with a higher incidence of arrhythmias and poorer outcomes in cardiac surgery. No studies have investigated the incidence or impact of postoperative hypomagnesaemia after abdominal aortic aneurysm (AAA) surgery. We aim to assess the incidence of hypomagnesaemia after AAA repair in our population. METHODS Retrospective analysis was performed of patients who underwent elective AAA surgery at a single vascular centre. The last 110 patients undergoing open or endovascular AAA repair were identified. The hospital pathology system was used to identify the immediate postoperative serum magnesium levels as well as patient demographics and admission details. Hypomagnesaemia was defined as serum magnesium of <0.7mmol/l. RESULTS A total of 211 patients were studied and there were 3 deaths. Of the patients included, 101 underwent open elective AAA repair and 110 underwent endovascular repair. In the elective open repair group, 73 patients (73%) were hypomagnesaemic. In the endovascular repair group, 35 (32%) had hypomagnesaemia. A t-test showed a statistically significant difference in hypomagnesaemia between the open and endovascular groups (p<0.001). CONCLUSIONS AAA surgery is associated with a high incidence of postoperative hypomagnesaemia, which is significantly greater among open repair patients. This is likely to have an effect on cardiac activity and lead to cardiac complications such as arrhythmias and poorer postoperative outcomes, especially in the open AAA repair subgroup. This stresses the importance of serum magnesium and cardiac monitoring in the postoperative phase. A prospective study is proposed to further investigate these findings, and their potential implications on perioperative morbidity and mortality.

show abstract

Temporal Patterns of Postoperative Complications

Thompson

Baxter

Allison³

et al. 2003

Arch Surg

125

View full text Add to dashboard Cite

A variety of major complications occur after intra-abdominal operations. Knowledge of when specific complications occur during the postoperative period would be useful in their diagnosis, prevention, and management. Our aim was to determine the incidence of major complications during specific postoperative intervals. Design: One thousand twenty-one patients undergoing intra-abdominal operations were studied postoperatively as part of a randomized clinical trial. Thirteen defined major complications were sought at the following specific intervals: less than 1, 1 through 3, 4 through 7, and 8 through 30 days after the operation. Setting: Cooperative trial from 15 Veterans Affairs medical centers.

show abstract

The Clinical Course of New-Onset Atrial Fibrillation After Elective Aortic Operations

Cited by 30 publications

References 11 publications

Postoperative Arrhythmias in General Surgical Patients

Postoperative Arrhythmias in General Surgical Patients

The incidence of hypomagnesaemia following abdominal aortic aneurysm surgery

Temporal Patterns of Postoperative Complications

Contact Info

Product

Resources

About