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Pre- and postoperat...
Pre- and postoperative atrial fibrillation in CABG patients have similar prognostic impact
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- Fengsrud, Espen, 1970- (author)
- Örebro universitet,Institutionen för hälsovetenskaper,Departments of Cardiology and Cardiothoracic Surgery, Örebro University Hospital, Örebro, Sweden
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- Englund, Anders (author)
- Karolinska Institutet
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- Ahlsson, Anders, 1962- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Departments of Cardiology and Cardiothoracic Surgery, Örebro University Hospital, Örebro, Sweden
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(creator_code:org_t)
- 2016-09-22
- 2017
- English.
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In: Scandinavian Cardiovascular Journal. - : Taylor & Francis. - 1401-7431 .- 1651-2006. ; 51:1, s. 21-27
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Abstract
Subject headings
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- Objectives: To study pre- and postoperative atrial fibrillation and its long-term effects in a cohort of aortocoronary bypass surgery patients.Design: Altogether 615 patients undergoing aortocoronary bypass graft surgery in 1999-2000 were studied. Forty-four (7%) had preoperative atrial fibrillation. Postoperative atrial fibrillation occurred in 165/615 patients (27%) while 406/615 patients (66%) had no atrial fibrillation. After a median follow-up of 15 years, symptoms and medication in survivors were recorded, and cause of death in the deceased was obtained.Results: Death due to cerebral ischaemia was most common in the pre- and postoperative atrial fibrillation groups (7% and 5%, respectively, v. 2% among those without atrial fibrillation, p = 0.038), as were death due to heart failure (18% and 14%, v. 7%, p = 0.007) and sudden death (9% and 5%, v. 2%, p = 0.029). The presence of pre- or postoperative atrial fibrillation was an independent risk factor for late mortality (hazard ratios 1.47 (1.02-2.12) and 1.28 (1.01-1.63), respectively).Conclusions: Patients with pre- or postoperative atrial fibrillation undergoing aortocoronary bypass surgery have increased long-term mortality and risk of cerebral ischemic and cardiovascular death compared with patients in sinus rhythm.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- Atrial fibrillation
- bypass surgery
- cerebral ischaemia
- anticoagulation
- survival
Publication and Content Type
- ref (subject category)
- art (subject category)
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