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Ann Thorac Surg 2001;71:400-401
© 2001 The Society of Thoracic Surgeons
a Section of Cardiovascular and Thoracic Surgery, Mayo Clinic Jacksonville, 4500 San Pablo Rd, Jacksonville, FL 32224, USA
e-mail: odell.john@mayo.edu
To the Editor
The multicenter review of risk factors for stroke by John and associates is unique in that all patients undergoing coronary artery bypass grafting (CABG) in 1995 within the state of New York were evaluated [1]. The paper is very similar to Frye and associates paper of Coronary Artery Surgery Registry (CASS) data published in 1992 [2]. A major shortcoming of both publications is that in neither is the impact on overall stroke risk of pre- or postoperative atrial fibrillation (AF) analyzed.
AF increases with age in a population, such that in the modern era, approximately 14% of patients have preoperative AF [3, 4
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