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Ann Thorac Surg 1999;68:1827-1831
© 1999 The Society of Thoracic Surgeons
a Cardiology Unit, Istituto Europeo di Oncologia, Istituto di Ricovero e Cura a Carattere Scientifico, University of Milan, Milan, Italy
b Thoracic Surgery Division, Istituto Europeo di Oncologia, Istituto di Ricovero e Cura a Carattere Scientifico, University of Milan, Milan, Italy
Address reprint requests to Dr Cardinale, Cardiology Unit, Istituto Europeo di Oncologia, Via Ripamonti 435, 20141 Milan, Italy
e-mail: dcardinale{at}ieo.cilea.it
Background. Atrial fibrillation is a common complication of early postoperative period in lung cancer thoracotomy. Its clinical incidence and short- and long-term impact on overall mortality has never been definitely assessed; moreover, it is unclear whether the arrhythmia represents an independent cardiac risk factor.
Methods. We prospectively studied 233 consecutive patients undergoing operation for lung cancer (170 with non–small-cell lung cancer). Postoperative atrial fibrillation incidence was related to different clinical factors possibly involved in its occurrence and to both short- and long-term survival.
Results. Atrial fibrillation occurred in 28 patients (12%) (same percentage in non–small-cell lung cancer); a strong relationship was observed between arrhythmia and age, history of hypertension and associated lymph node resection. The mean hospitalization time was 14 ± 4 days in patients developing atrial fibrillation and 13 ± 4 days in those who did not (p = not significant). No difference was observed between the two groups with regard to short- or long-term mortality or to long-term atrial fibrillation recurrences, also when considering the entire population and only non–small-cell lung cancer, separately.
Conclusions. At our institution, early atrial fibrillation occurrence after operation for lung cancer does not show any negative impact on short- and long-term mortality or on recurrence rate.
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