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Left Atrial Appendage Velocity as a Predictor of Atrial Fibrillation After Cardiac Surgery.

Abstract：

OBJECTIVE:To determine if there is an association between left atrial appendage velocity and the development of postoperative atrial fibrillation (POAF). DESIGN:Single institution retrospective study performed between January 2013 and December 2013. SETTING:Single-institution, university hospital. PARTICIPANTS:Five hundred sixty-two adult patients undergoing cardiac surgery utilizing cardiopulmonary bypass. INTERVENTIONS:No interventions for the purpose of this study. MEASUREMENTS AND MAIN RESULTS:Left atrial appendage velocity, measured by transesophageal echocardiogram, ranged from 8 cm/sec to 126 cm/sec. The development of POAF within the first 3 days after cardiac surgery was 38.3%. The authors found that patients with a lower left atrial appendage velocity had a higher risk of developing POAF. In the adjusted logistic regression model, there was an 11% decrease in the odds of POAF for each 10-unit (cm/sec) increase in the left atrial appendage velocity (p = 0.044). CONCLUSIONS:Decreasing left atrial appendage velocity is an independent predictor of risk for the development of POAF following cardiac surgery with cardiopulmonary bypass.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Ngai J,Leonard J,Echevarria G,Neuburger P,Applebaum R

doi

10.1053/j.jvca.2015.08.023

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

413-7

issue

2

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(15)00800-9

journal_volume

30

pub_type

杂志文章

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