Coronary surgery in patients with preexisting chronic atrial fibrillation: early and midterm clinical outcome

The Annals of Thoracic Surgery
Chris A RogersRaimondo Ascione

Abstract

The purpose of this study was to investigate the effect of preexisting atrial fibrillation on early and midterm clinical outcome in patients undergoing coronary surgery. All elective patients undergoing coronary artery bypass grafting surgery between April 1996 and September 2002 were investigated. Patients were grouped according to their preoperative cardiac rhythm: sinus rhythm (SR) or preexisting atrial fibrillation (AF). In-hospital clinical outcomes and 5-year patient survival and cardiac-related event-free survival were compared using regression methods to adjust for differences between the groups. In all, 5,092 patients were identified, 175 (3.4%) with a history of preexisting AF. These patients were older (median, 64 versus 68 years) and had higher Parsonnet scores (median, 4 versus 8) than the SR group. Previous myocardial infarction, cerebrovascular accident, hypertension, diabetes mellitus, renal impairment, peripheral vascular disease, ejection fraction less than 50%, previous surgery, congestive heart failure, and use of angiotensin-converting enzyme inhibitors were also more common in the AF group. There were 60 in-hospital deaths (1.2%), with no difference between the two groups (odds ratio 1.02, 95% CI: 0.35 to ...Continue Reading

References

Apr 1, 1996·American Heart Journal·P A WolfR B D'Agostino
Sep 16, 1999·The New England Journal of Medicine·W G Stevenson, L W Stevenson
Dec 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·James L Cox
Mar 19, 2004·Journal of the American College of Cardiology·Michael S ChenAndrea Natale
Apr 28, 2004·The Annals of Thoracic Surgery·Mohammed A QuaderEugene H Blackstone
Jun 25, 2005·The Annals of Thoracic Surgery·Michael E HalkosRobert A Guyton

❮ Previous
Next ❯

Citations

Jan 25, 2008·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Patrick M McCarthy, Jane Kruse
May 25, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bin WangZhi-gang Song
Oct 28, 2009·The Journal of Cardiovascular Nursing·Roberta CwynarCarol Hall
Jan 15, 2014·Current Treatment Options in Cardiovascular Medicine·Daniel C Brooks, Joseph L Schindler
Aug 31, 2013·Heart & Lung : the Journal of Critical Care·Wesley T O'NealAlan P Kypson
Oct 1, 2011·The Annals of Thoracic Surgery·Saina AttaranBrian M Fabri
Sep 1, 2015·The Journal of Thoracic and Cardiovascular Surgery·Niv AdLinda Halpin
Aug 18, 2012·Cardiology Research and Practice·Nael Al-SarrafEillish McGovern
Mar 27, 2010·The Annals of Thoracic Surgery·Fausto BiancariK E Juhani Airaksinen
May 7, 2014·Interactive Cardiovascular and Thoracic Surgery·Tom Kai Ming WangPeter Ruygrok
Aug 12, 2014·BioMed Research International·Diana AnghelGrigore Tinica
Oct 3, 2014·Interactive Cardiovascular and Thoracic Surgery·Andreas BöningUNKNOWN GOPCABE investigators
Jun 24, 2008·Revista española de cardiología·F Javier López-RodríguezMaría Bueno
Apr 3, 2018·Cardiology in Review·E Anne RussellGraeme P Maguire
Dec 6, 2018·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Ali J KhiabaniRalph J Damiano
Jan 25, 2018·Asian Cardiovascular & Thoracic Annals·Charan YerasiAnantharam Kalya

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Antihypertensive Agents: Mechanisms of Action

Antihypertensive drugs are used to treat hypertension (high blood pressure) which aims to prevent the complications of high blood pressure, such as stroke and myocardial infarction. Discover the latest research on antihypertensive drugs and their mechanism of action here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Related Papers

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Dimitri KalavrouziotisImtiaz S Ali
© 2022 Meta ULC. All rights reserved