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Atrial fibrillation...
Atrial fibrillation incidence after coronary artery bypass graft surgery and percutaneous coronary intervention : the prospective AFAF cohort study
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- Wickbom, Anders, 1987- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital, Örebro, Sweden,Orebro Univ Hosp, Sweden; Orebro Univ, Sweden
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- Fengsrud, Espen (author)
- Department of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Cardiology, Örebro University Hospital, Örebro, Sweden,Orebro Univ, Sweden; Orebro Univ Hosp, Sweden
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- Alfredsson, Joakim (author)
- Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Region Östergötland, Kardiologiska kliniken US
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- Engdahl, Johan (author)
- Karolinska Institutet,Karolinska Inst, Sweden; Danderyd Hosp, Sweden
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- Kalm, Torbjörn (author)
- Department of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Cardiology, Örebro University Hospital, Örebro, Sweden,Orebro Univ, Sweden; Orebro Univ Hosp, Sweden
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- Ahlsson, Anders (author)
- Department of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Orebro Univ, Sweden
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(creator_code:org_t)
- Taylor & Francis, 2024
- 2024
- English.
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In: Scandinavian Cardiovascular Journal. - : Taylor & Francis. - 1401-7431 .- 1651-2006. ; 58:1
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Abstract
Subject headings
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- Objectives: Atrial fibrillation is a common arrhythmia in patients with ischemic heart disease. This study aimed to determine the cumulative incidence of new-onset atrial fibrillation after percutaneous coronary intervention or coronary artery bypass grafting surgery during 30 days of follow-up.Design: This was a prospective multi-center cohort study on atrial fibrillation incidence following percutaneous coronary intervention or coronary artery bypass grafting for stable angina or non-ST-elevation acute coronary syndrome. Heart rhythm was monitored for 30 days postoperatively by in-hospital telemetry and handheld thumb ECG recordings after discharge were performed. The primary endpoint was the cumulative incidence of atrial fibrillation 30 days after the index procedure.Results: In-hospital atrial fibrillation occurred in 60/123 (49%) coronary artery bypass graft and 0/123 percutaneous coronary intervention patients (p < .001). The cumulative incidence of atrial fibrillation after 30 days was 56% (69/123) of patients undergoing coronary artery bypass grafting and 2% (3/123) of patients undergoing percutaneous coronary intervention (p < .001). CABG was a strong predictor for atrial fibrillation compared to PCI (OR 80.2, 95% CI 18.1-354.9, p < .001). Thromboembolic stroke occurred in-hospital in one coronary artery bypass graft patient unrelated to atrial fibrillation, and at 30 days in two additional patients, one in each group. There was no mortality.Conclusion: New-onset atrial fibrillation during 30 days of follow-up was rare after percutaneous coronary intervention but common after coronary artery bypass grafting. A prolonged uninterrupted heart rhythm monitoring strategy identified additional patients in both groups with new-onset atrial fibrillation after discharge.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- New-onset atrial fibrillation
- coronary artery bypass graft surgery
- percutaneous coronary intervention
- postoperative atrial fibrillation incidence
- silent atrial fibrillation
Publication and Content Type
- ref (subject category)
- art (subject category)
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