Prediction of postoperative atrial fibrillation in a large coronary artery bypass grafting cohort.

Abstract:

:The objective of this study was to identify and evaluate predictors of postoperative atrial fibrillation (POAF) in a large coronary artery bypass grafting (CABG) cohort. This was a single centre study of 7115 consecutive patients with preoperative sinus rhythm who underwent isolated CABG between January 1996 and December 2009. Independent risk factors for POAF were identified with multiple logistic regression. The predictive quality of the final model was evaluated by comparing predicted and observed events of POAF, in an effort to find patients at high risk of developing POAF. After CABG, 2270 patients (32%) developed POAF during hospital stay. Independent risk factors of POAF included advancing age (odds ratio, OR 2.0-7.3), preoperative S-creatinine ≥ 150 µmol/l (OR 1.6), male gender (OR 1.2), New York Heart Association class III/IV (OR, 1.2), smoking (OR 1.1), prior myocardial infarction (OR 1.1) and absence of hyperlipidemia (OR 0.9). The final prediction model was moderate (area under curve, 0.62; 95% confidence interval, 0.61-0.64). Patients with POAF had more postoperative complications, including a higher incidence of stroke and increased length of hospital stay. In conclusion, several risk factors for POAF were identified, but the moderate value of the prediction model confirms the difficulty of identifying patients at high risk of developing POAF after CABG.

authors

Thorén E,Hellgren L,Jidéus L,Ståhle E

doi

10.1093/icvts/ivr162

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

588-93

issue

5

eissn

1569-9293

issn

1569-9285

pii

ivr162

journal_volume

14

pub_type

杂志文章
  • Endovascular stent placement for acute type-B aortic dissection with malperfusion--an intentional surgical delay and a possible 'bridging therapy'.

    abstract::Acute aortic dissection frequently causes life-threatening organ ischemia. The optimal therapy for acute type-B aortic dissection is still controversial. Early surgery for acute dissections with organ malperfusion is known to carry a high morbidity and mortality. Endovascular treatment, such as stent placement for bra...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.191361

    authors: Fujita W,Daitoku K,Taniguchi S,Fukuda I

    更新日期:2009-02-01 00:00:00

  • Cardiac myxoma mimicking extension of renal cell carcinoma.

    abstract::Cardiac myxomas are the commonest benign tumour of the heart. We are describing a rare presentation of a myxoma in a patient with renal cell carcinoma (RCC). Since there was no single reported case of myxoma with RCC, a presumptive diagnosis of RCC with right atrial extension of tumour thrombus was made. Both the tumo...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.227504

    authors: Gopalakrishnan M,Benjamin M,Kamath M,Thekkepurackal R

    更新日期:2010-05-01 00:00:00

  • Surgery for mediastinal neurogenic tumours: a 25-year single-centre retrospective study.

    abstract:OBJECTIVES:Mediastinal neurogenic tumours are uncommon and often benign neoplasms mostly located in the posterior mediastinum and usually diagnosed incidentally. We reviewed our results after surgical resection. We compared patient characteristics and tumour nature between children and adults. Differences between thora...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivab002

    authors: Lacquet M,Moons J,Ceulemans LJ,De Leyn P,Van Raemdonck D

    更新日期:2021-02-01 00:00:00

  • Computed tomography findings in a patient with fungal aortitis: acute aortic syndrome secondary to fusariosis.

    abstract::Fusarium is a mould widely distributed in soil and water which causes various diseases in plants and occasionally in animals. The Fusarium species cause a broad spectrum of infections in humans, of which, the degree of severity is largely determined by the immune-status of the host, occurring in the most severe and in...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt071

    authors: Calcaterra D,Karam K,Suzuki Y

    更新日期:2013-07-01 00:00:00

  • Proximal first: a beneficial strategy for no-touch saphenous vein graft.

    abstract::In the mid-1990s, a novel saphenous vein harvesting technique, in which the vein is harvested with its surrounding tissue without manual distention, was introduced. This no-touch technique provides an excellent long-term patency; however, graft twisting and kinking should be given attention. To fully bring out the ben...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy143

    authors: Hamasaki A,Uchida T,Mizumoto M,Hayashi J,Hirooka S,Ishizawa A,Akabane K,Sadahiro M

    更新日期:2018-11-01 00:00:00

  • What size of vegetation is an indication for surgery in endocarditis?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether the of vegetations in endocarditis is an indication for surgery. Altogether, 102 papers were found using the reported search; 16 papers were identified that provided the best evidence to answer t...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs365

    authors: Okonta KE,Adamu YB

    更新日期:2012-12-01 00:00:00

  • Is carotid artery stenting equivalent or superior to carotid endarterectomy for treatment of carotid artery stenosis?

    abstract::A best evidence topic in vascular surgery was written according to a structured protocol. The question addressed was whether carotid artery stenting (CAS) is equivalent or even superior to carotid endarterectomy (CEA) for the treatment of significant carotid artery stenosis. Four hundred and ninety-four papers were id...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.117358

    authors: Shrivastava V,Sookhoo S,Macdonald S,Dunning J

    更新日期:2005-12-01 00:00:00

  • Cardiac allograft systolic function. Is the aetiology (ischaemic or idiopathic) a determinant of ventricular function in the heart transplant patient?

    abstract::The natural history of the LV systolic function (LV-SF) and functional capacity of survivors of heart transplantation (Htx) has not been defined. Some investigators suggest that SF may be different in recipients with different pre-transplant aetiologies: ischaemic or dilated, idiopathic disease. Routine transthoracic ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.167924

    authors: Antunes MJ,Biernat M,Sola E,Oliveira L,Prieto D,Franco F,Providência LA

    更新日期:2008-08-01 00:00:00

  • Long-term outcomes after transcatheter aortic valve implantation: the impact of intraoperative tissue Doppler echocardiography.

    abstract:OBJECTIVES:Transcatheter aortic valve implantation improves survival in patients with severe aortic stenosis who are ineligible for surgical valve replacement; however, not all patients benefit from the procedure. We endeavoured to identify these patients using intraoperative echocardiography and hypothesized that intr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw159

    authors: Eidet J,Dahle G,Bugge JF,Bendz B,Rein KA,Aaberge L,Offstad JT,Fosse E,Aakhus S,Halvorsen PS

    更新日期:2016-09-01 00:00:00

  • Morphological features of the thoracic aorta and supra-aortic branches in patients with acute Type A aortic dissection in China.

    abstract:OBJECTIVES:This study aimed to investigate the morphological characteristics of the dissected thoracic aorta and brachiocephalic arteries within the Chinese population. METHODS:A retrospective analysis of computed tomography scans of 387 patients with acute Type A aortic dissection was carried out. The dimensions of t...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy110

    authors: Wu JL,Zhang L,Qiu JT,Yu CT

    更新日期:2018-10-01 00:00:00

  • Video-assisted thoracoscopic surgical excision of paravertebral neurogenic tumour manifesting with unilateral facial and upper limb anhydrosis.

    abstract::A 21-year-old man presented with a recent onset history of tingling and numbness of his left upper limb. He also had a 3 year history of anhydrosis affecting the left half of his face and left upper limb. Clinical and Doppler assessment did not reveal any vascular cause for his symptoms. However, a chest roentgenogram...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/j.icvts.2003.11.003

    authors: Karthik S,Smith J,Thorpe JA

    更新日期:2004-06-01 00:00:00

  • Spontaneous combined lung and bowel hernia following an episode of acute bronchitis.

    abstract::Spontaneous lung hernias are unusual conditions which usually follow attacks of excessive straining. Spontaneous bowel hernias are even rarer. Here, we present the first reported case of a combined spontaneous herniation of both the lung and bowel following an attack of acute bronchitis and coughing together with a de...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.231845

    authors: Habib A,Elsayed H,Dhanji AR,Wood A

    更新日期:2010-06-01 00:00:00

  • Acute and chronic response of the right ventricle to surgically induced pressure and volume overload--an analysis of pressure-volume relations.

    abstract::We aimed to determine the response of the right ventricle (RV) to surgically induced pressure and volume overload in both acute and chronic settings. Four-month-old sheep were operated via left anterior thoracotomy. Pressure overload of the RV was established by banding of the pulmonary trunk. Volume overload was indu...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.221234

    authors: Yerebakan C,Klopsch C,Niefeldt S,Zeisig V,Vollmar B,Liebold A,Sandica E,Steinhoff G

    更新日期:2010-04-01 00:00:00

  • Impact of ductal stenting on pulmonary artery reconstruction in patients with duct-dependent congenital heart diseases-an institutional experience.

    abstract:OBJECTIVES:This study aims to review our institutional experience of ductal stenting (DS) on the growth of pulmonary arteries (PAs) and surgical outcomes of PA reconstruction in this subset of patients. METHODS:This is a retrospective study done in neonates and infants up to 3 months of age with duct-dependent pulmona...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa069

    authors: Haranal M,Mood MC,Leong MC,Febrianti Z,Abdul Latiff H,Samion H,Alwi M,Sivalingam S

    更新日期:2020-08-01 00:00:00

  • Results of clinical application of the modified maze procedure as concomitant surgery.

    abstract:OBJECTIVES:Atrial fibrillation is the most common cardiac arrhythmia and is associated with significant morbidity and mortality. The classic cut-and-sew maze procedure is successful in 85-95% of patients. However, the technical complexity has prompted modifications of the maze procedure. The objective of this study was...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs440

    authors: Bakker RC,Akin S,Rizopoulos D,Kik C,Takkenberg JJ,Bogers AJ

    更新日期:2013-02-01 00:00:00

  • An unusual cause of acute abdominal pain after cardiac surgery: acute epiploic appendagitis.

    abstract::Abdominal complications following cardiac surgery remain unusual, but are associated with high mortality. The most common abdominal surgical complications are mesenteric ischaemia, diverticulitis, pancreatitis, gastrointestinal bleeding and cholecystitis. We describe a case of a 73-year old woman with acute abdominal ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs080

    authors: Maillet JM,Thierry S,Sverzut JM,Brodaty D

    更新日期:2012-08-01 00:00:00

  • A pilot randomized study of the neutrophil elastase inhibitor, Sivelestat, in patients undergoing cardiac surgery.

    abstract::The primary objective of this study was to determine the feasibility and safety of treatment with Sivelestat in humans to attenuate post-cardiopulmonary bypass lung injury. Twenty patients scheduled to undergo on-pump coronary artery bypass surgery were randomized to receive either 0.3 mg/kg/h intravenous Sivelestat s...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1510/icvts.2009.206193

    authors: Abe T,Usui A,Oshima H,Akita T,Ueda Y

    更新日期:2009-08-01 00:00:00

  • The use of ultrasound in the management of a life-threatening malignant laryngotracheal obstruction.

    abstract::Ultrasound is becoming a valuable diagnostic tool in the armamentarium of thoracic surgeons. We report its use to follow stent placement in the laryngotracheal position for management of life-threatening neoplastic obstruction. For this purpose, a 15-MHz linear probe was placed in the midline at the level of the crico...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx298

    authors: Fiorelli A,Messina G,Raucci A,Santini M

    更新日期:2018-02-01 00:00:00

  • Does the use of thiopental provide added cerebral protection during deep hypothermic circulatory arrest?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: Does the use of thiopental provide added cerebral protection during deep hypothermic circulatory arrest (DHCA)? Altogether, more than 62 papers were found using the reported search, of which 7 represent...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt184

    authors: Al-Hashimi S,Zaman M,Waterworth P,Bilal H

    更新日期:2013-08-01 00:00:00

  • Inotropic support and peritoneal dialysis adequacy in neonates after cardiac surgery.

    abstract::We describe the impact of cardiovascular pharmacologic support on peritoneal dialysis adequacy in 20 neonates who required postoperative renal replacement therapy following cardiopulmonary bypass exposure. Peritoneal dialysis was administered for 2.5 (2) days. Peritoneal dialysis creatinine clearance was 3.4 (2.1) ml/...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.165118

    authors: Ricci Z,Morelli S,Ronco C,Polito A,Stazi GV,Giorni C,Di Chiara L,Picardo S

    更新日期:2008-02-01 00:00:00

  • New and simplified method for multiple left ventricle catheterizations in small animals.

    abstract::Ventricular catheterization in the rat is a widely deployed procedure. Current options allow a one-time catheterization procedure, introducing an error due to the inter-individual variability. Six Fischer rats underwent left ventricular catheterization through the right carotid artery, repeated seven days later via th...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.184119

    authors: Migneco F,Huang YC,Coyan GN,Birla RK

    更新日期:2008-10-01 00:00:00

  • Splenic injury following diaphragmatic plication: an avoidable life-threatening complication.

    abstract::We report an unusual complication of left-sided diaphragmatic plication, namely bleeding from the spleen due to tearing of adhesions between the spleen and the abdominal aspect of the diaphragm. We believe that making a small incision in the diaphragm prior to the plication to identify and divide the adhesions could h...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.214288

    authors: Pathak S,Page RD

    更新日期:2009-12-01 00:00:00

  • Pulmonary artery pseudoaneurysm after lung resection successfully treated by coil embolization.

    abstract::A 60-year-old man complaining of pyrexia and hemoptysis was diagnosed with a squamous cell carcinoma in his right lung. He underwent a right lower lobectomy with lymph node dissection. Following chest tube removal, he suffered from pyrexia and hemoptysis necessitating CT-scans which detected a pulmonary artery pseudoa...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.236661

    authors: Matsumura Y,Shiono S,Saito K,Sato T

    更新日期:2010-09-01 00:00:00

  • Patency of distal false lumen in acute dissection: extent of resection and prognosis.

    abstract::We assessed the hypotheses that extension of aortic replacement would reduce the patency of the false lumen of the descending aorta and that postoperative patency of the false lumen would result in poor prognosis. One hundred and twenty-four consecutive patients underwent surgical repair for acute type A acute dissect...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2006.132233

    authors: Sakaguchi G,Komiya T,Tamura N,Kimura C,Kobayashi T,Nakamura H,Furukawa T,Matsushita A

    更新日期:2007-04-01 00:00:00

  • Mid-term survival after cardiac surgery in elderly patients: analysis of predictors for increased mortality.

    abstract::This study examines and quantifies the potential risk factors for increased mid-term mortality in elderly patients (> or = 75 years old) undergoing cardiac surgery. We undertook a retrospective analysis of 840 consecutive elderly patients who underwent cardiac surgery (CABG and/or Valve) between April 1997 and March 2...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/j.icvts.2004.01.002

    authors: Srinivasan AK,Oo AY,Grayson AD,Lowe R,Perry RA,Fabri BM,Rashid A

    更新日期:2004-06-01 00:00:00

  • Malignant primary cardiac tumours.

    abstract:OBJECTIVES:Management of malignant tumours of the heart remains a poorly investigated clinical area due to the scarcity of presentations. The purpose of this series and review is to present an outline of the management emphasized by our personal experience in a regional cardiothoracic centre. METHODS:We reviewed all c...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs350

    authors: Burnside N,MacGowan SW

    更新日期:2012-12-01 00:00:00

  • Effect of bioprostheses anti-calcification treatment: comparative follow-up between Mitroflow LX and Magna pericardial xenografts using a propensity score-weighted analysis.

    abstract:Objectives:The efficacy of anti-calcification treatment of bioprosthetic heart valves remains unclear. The aim of this study was to compare the clinical outcomes between Mitroflow LX valve, without anti-calcification treatment, and the Carpentier-Edwards Perimount Magna (P-Magna), with anti-calcification treatment. Me...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw378

    authors: Blasco-Lucas A,Permanyer E,Pérez ML,Gracia-Baena JM,Ríos R,Casós K,Galiñanes M

    更新日期:2017-03-01 00:00:00

  • Surgical management of Ebstein anomaly: impact of the adult congenital heart disease anatomical and physiological classifications.

    abstract:OBJECTIVES:Our goal was to evaluate the impact of the adult congenital heart disease anatomical and physiological (ACHD AP) classification system on the surgical management of Ebstein anomaly (EA) in adult patients. METHODS:From February 2000 through August 2017, data of patients aged at least 16 years, who underwent ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa294

    authors: Homzova L,Photiadis J,Sinzobahamvya N,Ovroutski S,Cho MY,Schulz A

    更新日期:2020-12-13 00:00:00

  • A structured blood conservation programme reduces transfusions and costs in cardiac surgery.

    abstract:OBJECTIVES:Transfusions of blood products can be lifesaving, but they are also associated with considerable risks and adverse effects, including immune response and infections. In cardiac surgery, transfusions have also been associated with increased mortality. We prospectively studied the effects of a structured progr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu266

    authors: Ternström L,Hyllner M,Backlund E,Schersten H,Jeppsson A

    更新日期:2014-11-01 00:00:00

  • Extracorporeal membrane oxygenation to support adult patients with cardiac failure: predictive factors of 30-day mortality.

    abstract::Adult patients supported on extracorporeal membrane oxygenation (ECMO) are very sick and many complications are often present in each single patient; therefore, it is not always easy to find some risk factors that can predict the early outcome. This retrospective study reports our experience in ECMO support treatment ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.220335

    authors: Formica F,Avalli L,Colagrande L,Ferro O,Greco G,Maggioni E,Paolini G

    更新日期:2010-05-01 00:00:00