Abstract
Aims This systematic review and meta-analysis aims to evaluate the role of pre-operative transthoracic echocardiography in predicting post-operative atrial fibrillation (POAF) after cardiac surgery.Methods and results Electronic databases were searched for studies reporting on pre-operative echocardiographic predictors of POAF in PubMed, Cochrane library, and Embase. A meta-analysis of echocardiographic predictors of POAF that were identified by at least five different publications was performed. Forty-three publications were included in this systematic review. Echocardiographic predictors for POAF included surrogate parameters for total atrial conduction time (TACT), structural cardiac changes, and functional disturbances. Meta-analysis showed that prolonged pre-operative PA-TDI interval [5 studies, Cohen's d=1.4, 95% confidence interval (CI) 0.9-1.9], increased left atrial volume indexed for body surface area (LAVI) (23 studies, Cohen's d=0.8, 95% CI 0.6-1.0), and reduced peak atrial longitudinal strain (PALS) (5 studies, Cohen's d=1.4, 95% CI 1.0-1.8), were associated with POAF incidence. Left atrial volume indexed for body surface was the most important predicting factor in patients without a history of AF. These parameters remained important predictors of POAF in heterogeneous populations with variable age and comorbidities such as coronary artery disease and valvular disease.Conclusion This meta-analysis shows that increased TACT, increased LAVI, and reduced PALS are valuable parameters for predicting POAF in the early post-operative phase in a large variety of patients.
Original language | English |
---|---|
Pages (from-to) | 1731-1743 |
Number of pages | 13 |
Journal | EP Europace |
Volume | 23 |
Issue number | 11 |
DOIs | |
Publication status | Published - 1 Nov 2021 |
Keywords
- Post-operative atrial fibrillation
- Echocardiography
- Cardiac surgery
- Meta-analysis
- AORTIC-VALVE-REPLACEMENT
- NEW-ONSET
- CONDUCTION TIME
- MITRAL REGURGITATION
- MECHANICAL FUNCTION
- STRAIN-RATE
- DYSFUNCTION
- RISK
- STENOSIS
- INTERVAL