| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
a Department of Surgical Sciences, Cardiac Surgery Unit, Varese University Hospital, Varese, Italy
b Department of Surgical and Perioperative Sciences, Heart Center, Cardiothoracic Division, Umeå University Hospital, Umeå, Sweden
Accepted for publication July 23, 2009.
* Address correspondence to Dr Mariscalco, Department of Surgical Sciences, Cardiac Surgery Division, Varese University Hospital, University of Insubria, Viale Guicciardini, 7, Varese, I-21100, Italy (Email: giovannimariscalco{at}yahoo.it).
Background: Numerous studies have attempted to determine the etiology and prophylactic measures concerning atrial fibrillation (AF) after cardiac surgery. However, limited data are available analyzing the association between postoperative AF and late mortality. We sought to determine if AF after cardiac surgery affects postoperative survival.
Methods: All cardiac surgery patients (n = 9,495) undergoing cardiac surgery between January 1994 and December 2004 were studied. The study population comprised coronary artery bypass graft surgery (CABG [n = 7,621]), valvular surgeries (n = 995), and their combination (n = 879). Patients affected by postoperative AF were identified, and long-term survival was obtained from Swedish population registry and evaluated using Cox proportional hazards methods to adjust for baseline differences.
Results: The overall AF incidence was 26.7%, subdivided into 22.9%, 39.8%, and 45.2% for CABG, valve surgery, and combined procedures, respectively. The median follow-up for the entire study population was 7.9 years (maximum, 13.4). Postoperative AF independently affected long-term survival in CABG patients (hazard ratio 1.22; 95% confidence interval: 1.08 to 1.37). For isolated valvular surgery or combined procedures, AF was not significantly associated with long-term survival (hazard ratio 1.21, 95% confidence interval: 0.92 to 1.58; and hazard ratio 1.15, 95% confidence interval: 0.90 to 1.46, respectively).
Conclusions: Postoperative AF increases late mortality after isolated CABG surgery only. This finding was not statistically confirmed after isolated or combined valvular procedures. Our results draw the attention to possible AF recurrence after hospital discharge, indicating a strict postoperative surveillance.
Related Article
Ann. Thorac. Surg. 2009 88: 1876.
This article has been cited by other articles:
|
|
 |
|
  B. Maesen, J. Nijs, J. Maessen, M. Allessie, and U. Schotten Post-operative atrial fibrillation: a maze of mechanisms Europace, February 1, 2012; 14(2): 159 - 174. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Bramer, A. H. M. van Straten, M. A. Soliman Hamad, K. C. van den Broek, J. G. Maessen, and E. Berreklouw New-Onset Postoperative Atrial Fibrillation Predicts Late Mortality After Mitral Valve Surgery Ann. Thorac. Surg., December 1, 2011; 92(6): 2091 - 2096. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Girerd, J. Magne, P. Pibarot, P. Voisine, F. Dagenais, and P. Mathieu Postoperative atrial fibrillation predicts long-term survival after aortic-valve surgery but not after mitral-valve surgery: a retrospective study BMJ Open, November 27, 2011; 1(2): e000385 - e000385. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Kaw, A. V. Hernandez, I. Masood, A. M. Gillinov, W. Saliba, and E. H. Blackstone Short- and long-term mortality associated with new-onset atrial fibrillation after coronary artery bypass grafting: A systematic review and meta-analysis J. Thorac. Cardiovasc. Surg., May 1, 2011; 141(5): 1305 - 1312. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Attaran, M. Shaw, L. Bond, M. D. Pullan, and B. M. Fabri Atrial fibrillation postcardiac surgery: a common but a morbid complication Interact CardioVasc Thorac Surg, May 1, 2011; 12(5): 772 - 777. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Shingu, S. Kubota, S. Wakasa, N. Ebuoka, D. Mori, T. Ooka, T. Tachibana, and Y. Matsui Left-ventricular electromechanical delay is prolonged in patients with postoperative atrial fibrillation Eur J Cardiothorac Surg, May 1, 2011; 39(5): 684 - 688. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. E. Vardas, E. P. Koutalas, and E. N. Simantirakis Chapter 54 Atrial fibrillation and supraventricular arrhythmias The ESC Textbook of Acute and Intensive Cardiac Care, December 1, 2010; 1(1): med-9780199584314-chapter - med-9780199584314-chapter. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Bramer, A. H. M. van Straten, M. A. Soliman Hamad, E. Berreklouw, E. J. Martens, and J. G. Maessen The Impact of New-Onset Postoperative Atrial Fibrillation on Mortality After Coronary Artery Bypass Grafting Ann. Thorac. Surg., August 1, 2010; 90(2): 443 - 449. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. B. Albacker Invited Commentary Ann. Thorac. Surg., August 1, 2010; 90(2): 449 - 450. [Full Text] [PDF]
|
|
|
|
|
|
G. Filardo, C. Hamilton, B. Hamman, R. F. Hebeler Jr, J. Adams, and P. Grayburn New-Onset Postoperative Atrial Fibrillation and Long-Term Survival After Aortic Valve Replacement Surgery Ann. Thorac. Surg., August 1, 2010; 90(2): 474 - 479. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. L. Creswell Invited Commentary Ann. Thorac. Surg., August 1, 2010; 90(2): 479 - 480. [Full Text] [PDF]
|
|
|
|
|
|
G. Filardo and J. Adams Postoperative Atrial Fibrillation and Late Mortality After Valvular Surgery Ann. Thorac. Surg., June 1, 2010; 89(6): 2073 - 2073. [Full Text] [PDF]
|
|
|
|
|
|
G. Mariscalco and K. G. Engstrom Reply Ann. Thorac. Surg., June 1, 2010; 89(6): 2073 - 2074. [Full Text] [PDF]
|
|
|
|
|
|
L. L. Creswell Invited Commentary Ann. Thorac. Surg., December 1, 2009; 88(6): 1876 - 1876. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
