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Patients with postoperative atrial fibrillation have a doubled cardiovascular mortality
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- Ahlsson, Anders, 1962- (author)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Cardiothoracic Surgery and Anesthesiology, Örebro University Hospital, Örebro, Sweden
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- Bodin, Lennart, 1941- (author)
- Örebro universitet,Handelshögskolan vid Örebro Universitet,Department of Statistics and Epidemiology, Örebro University Hospital, Örebro, Sweden
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- Fengsrud, Espen, 1970- (author)
- Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Cardiology, Örebro University Hospital, Örebro, Sweden
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- (creator_code:org_t)
- 2009-10-28
- 2009
- English.
- In: Scandinavian cardiovascular journal : SCJ. - : Informa UK Limited. - 1651-2006 .- 1401-7431. ; 43:5, s. 330-336
- Journal article (peer-reviewed)
Abstract
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- OBJECTIVES: To investigate the impact of postoperative AF on late mortality and cause of death in CABG patients.DESIGN: All CABG patients without preoperative AF surgically treated between January 1, 1997 and June 30, 2000 were included (N = 1419). Altogether, 419 patients (29.5%) developed postoperative AF. After a median follow-up of 8.0 years, survival data were obtained, causes of death were compared and Cox proportional hazard analysis was used to determine predictors of late mortality.RESULTS: The total mortality was 140 deaths/419 patients (33.4%) in postoperative AF patients and 191 deaths/1 000 patients (19.1%) in patients without AF. Death due to cerebral ischemia (2.6% vs. 0.5%), myocardial infarction (7.4% vs. 3.0%), sudden death (2.6% vs. 0.9%), and heart failure (6.7% vs. 2.7%) was more common among postoperative AF patients. Postoperative AF was an age-independent risk indicator for late mortality with a hazard ratio (HR) of 1.56 (95% confidence interval 1.23-1.98).CONCLUSIONS: Postoperative AF is an age-independent risk factor for late mortality in CABG patients, explained by an increased risk of cardiovascular death.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Cardiology
- Kardiologi
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- ref (subject category)
- art (subject category)
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