TY - JOUR
T1 - Atrial fibrillation after cardiac surgery
T2 - Incidence, risk factors, and economic burden
AU - Rostagno, Carlo
AU - La Meir, Mark
AU - Gelsomino, Sandro
AU - Ghilli, Lorenzo
AU - Rossi, Alessandra
AU - Carone, Enrico
AU - Braconi, Lucio
AU - Rosso, Gabriele
AU - Puggelli, Francesco
AU - Mattesini, Alessio
AU - Stefno, Pier Luigi
AU - Padeletti, Luigi
AU - Maessen, Jos
AU - Gensini, Gian Franco
PY - 2010/12
Y1 - 2010/12
N2 - Objective: To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization. Design: A prospective observational study. Methods: Patients who underwent cardiac surgery from January 1, 2007 to December 31, 2007. Interventions: Electrocardiography was continuously monitored after surgery. Patients with symptomatic new-onset atrial fibrillation or lasting >15 minutes were treated with amiodarone and with DC shock in prolonged cases. Results: POAF occurred in 29.7%, with the higher incidence between the 1st and 4th postoperative day. Age (p <0.001), atrial size >40 mm (p <0.001), previous episodes of AF (p <0.001), female sex (p = 0.010), and combined valve and bypass surgery (p = 0.012) were multivariate predictors of POAF at logistic regression. Sinus rhythm was restored by early treatment in 205 of 215 patients. This was associated with a low incidence of cerebrovascular events (
AB - Objective: To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization. Design: A prospective observational study. Methods: Patients who underwent cardiac surgery from January 1, 2007 to December 31, 2007. Interventions: Electrocardiography was continuously monitored after surgery. Patients with symptomatic new-onset atrial fibrillation or lasting >15 minutes were treated with amiodarone and with DC shock in prolonged cases. Results: POAF occurred in 29.7%, with the higher incidence between the 1st and 4th postoperative day. Age (p <0.001), atrial size >40 mm (p <0.001), previous episodes of AF (p <0.001), female sex (p = 0.010), and combined valve and bypass surgery (p = 0.012) were multivariate predictors of POAF at logistic regression. Sinus rhythm was restored by early treatment in 205 of 215 patients. This was associated with a low incidence of cerebrovascular events (
KW - Amiodarone
KW - Atrial fibrillation
KW - Cardiac surgery
KW - Perioperative complications
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U2 - 10.1053/j.jvca.2010.03.009
DO - 10.1053/j.jvca.2010.03.009
M3 - Article
C2 - 20570180
AN - SCOPUS:78649636757
VL - 24
SP - 952
EP - 958
JO - Journal of Cardiothoracic and Vascular Anesthesia
JF - Journal of Cardiothoracic and Vascular Anesthesia
SN - 1053-0770
IS - 6
ER -