Atrial Fibrillation After Cardiac Surgery: Incidence, Risk Factors, and Economic Burden

Carlo Rostagno; Mark La Meir; Sandro Gelsomino; Lorenzo Ghilli; Alessandra Rossi; Enrico Carone; Lucio Braconi; Gabriele Rosso; Francesco Puggelli; Alessio Mattesini; Pier Luigi Stefano; Luigi Padeletti; Jos Maessen; Gian Franco Gensini

doi:10.1053/j.jvca.2010.03.009

Atrial Fibrillation After Cardiac Surgery: Incidence, Risk Factors, and Economic Burden

Carlo Rostagno^*, Mark La Meir, Sandro Gelsomino, Lorenzo Ghilli, Alessandra Rossi, Enrico Carone, Lucio Braconi, Gabriele Rosso, Francesco Puggelli, Alessio Mattesini, Pier Luigi Stefano, Luigi Padeletti, Jos Maessen, Gian Franco Gensini

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective: To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization. Design: A prospective observational study. Methods: Patients who underwent cardiac surgery from January 1, 2007 to December 31, 2007. Interventions: Electrocardiography was continuously monitored after surgery. Patients with symptomatic new-onset atrial fibrillation or lasting >15 minutes were treated with amiodarone and with DC shock in prolonged cases. Results: POAF occurred in 29.7%, with the higher incidence between the 1st and 4th postoperative day. Age (p <0.001), atrial size >40 mm (p <0.001), previous episodes of AF (p <0.001), female sex (p = 0.010), and combined valve and bypass surgery (p = 0.012) were multivariate predictors of POAF at logistic regression. Sinus rhythm was restored by early treatment in 205 of 215 patients. This was associated with a low incidence of cerebrovascular events (

Original language	English
Pages (from-to)	952-958
Journal	Journal of Cardiothoracic and Vascular Anesthesia
Volume	24
Issue number	6
DOIs	https://doi.org/10.1053/j.jvca.2010.03.009
Publication status	Published - Dec 2010

Keywords

atrial fibrillation
perioperative complications
cardiac surgery
amiodarone

Access to Document

10.1053/j.jvca.2010.03.009

Cite this

Rostagno, C., La Meir, M., Gelsomino, S., Ghilli, L., Rossi, A., Carone, E., Braconi, L., Rosso, G., Puggelli, F., Mattesini, A., Stefano, P. L., Padeletti, L., Maessen, J., & Gensini, G. F. (2010). Atrial Fibrillation After Cardiac Surgery: Incidence, Risk Factors, and Economic Burden. Journal of Cardiothoracic and Vascular Anesthesia, 24(6), 952-958. https://doi.org/10.1053/j.jvca.2010.03.009

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abstract = "Objective: To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization. Design: A prospective observational study. Methods: Patients who underwent cardiac surgery from January 1, 2007 to December 31, 2007. Interventions: Electrocardiography was continuously monitored after surgery. Patients with symptomatic new-onset atrial fibrillation or lasting >15 minutes were treated with amiodarone and with DC shock in prolonged cases. Results: POAF occurred in 29.7%, with the higher incidence between the 1st and 4th postoperative day. Age (p <0.001), atrial size >40 mm (p <0.001), previous episodes of AF (p <0.001), female sex (p = 0.010), and combined valve and bypass surgery (p = 0.012) were multivariate predictors of POAF at logistic regression. Sinus rhythm was restored by early treatment in 205 of 215 patients. This was associated with a low incidence of cerebrovascular events (",

keywords = "atrial fibrillation, perioperative complications, cardiac surgery, amiodarone",

author = "Carlo Rostagno and {La Meir}, Mark and Sandro Gelsomino and Lorenzo Ghilli and Alessandra Rossi and Enrico Carone and Lucio Braconi and Gabriele Rosso and Francesco Puggelli and Alessio Mattesini and Stefano, {Pier Luigi} and Luigi Padeletti and Jos Maessen and Gensini, {Gian Franco}",

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Rostagno, C, La Meir, M, Gelsomino, S, Ghilli, L, Rossi, A, Carone, E, Braconi, L, Rosso, G, Puggelli, F, Mattesini, A, Stefano, PL, Padeletti, L, Maessen, J & Gensini, GF 2010, 'Atrial Fibrillation After Cardiac Surgery: Incidence, Risk Factors, and Economic Burden', Journal of Cardiothoracic and Vascular Anesthesia, vol. 24, no. 6, pp. 952-958. https://doi.org/10.1053/j.jvca.2010.03.009

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T1 - Atrial Fibrillation After Cardiac Surgery: Incidence, Risk Factors, and Economic Burden

AU - Rostagno, Carlo

AU - La Meir, Mark

AU - Gelsomino, Sandro

AU - Ghilli, Lorenzo

AU - Rossi, Alessandra

AU - Carone, Enrico

AU - Braconi, Lucio

AU - Rosso, Gabriele

AU - Puggelli, Francesco

AU - Mattesini, Alessio

AU - Stefano, Pier Luigi

AU - Padeletti, Luigi

AU - Maessen, Jos

AU - Gensini, Gian Franco

PY - 2010/12

Y1 - 2010/12

N2 - Objective: To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization. Design: A prospective observational study. Methods: Patients who underwent cardiac surgery from January 1, 2007 to December 31, 2007. Interventions: Electrocardiography was continuously monitored after surgery. Patients with symptomatic new-onset atrial fibrillation or lasting >15 minutes were treated with amiodarone and with DC shock in prolonged cases. Results: POAF occurred in 29.7%, with the higher incidence between the 1st and 4th postoperative day. Age (p <0.001), atrial size >40 mm (p <0.001), previous episodes of AF (p <0.001), female sex (p = 0.010), and combined valve and bypass surgery (p = 0.012) were multivariate predictors of POAF at logistic regression. Sinus rhythm was restored by early treatment in 205 of 215 patients. This was associated with a low incidence of cerebrovascular events (

AB - Objective: To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization. Design: A prospective observational study. Methods: Patients who underwent cardiac surgery from January 1, 2007 to December 31, 2007. Interventions: Electrocardiography was continuously monitored after surgery. Patients with symptomatic new-onset atrial fibrillation or lasting >15 minutes were treated with amiodarone and with DC shock in prolonged cases. Results: POAF occurred in 29.7%, with the higher incidence between the 1st and 4th postoperative day. Age (p <0.001), atrial size >40 mm (p <0.001), previous episodes of AF (p <0.001), female sex (p = 0.010), and combined valve and bypass surgery (p = 0.012) were multivariate predictors of POAF at logistic regression. Sinus rhythm was restored by early treatment in 205 of 215 patients. This was associated with a low incidence of cerebrovascular events (

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KW - perioperative complications

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