E-viri
Recenzirano
Odprti dostop
-
Farag, Mohamed; Kiberu, Yusuf; Ashwin Reddy, S.; Shoaib, Ahmad; Egred, Mohaned; Krishnan, Unni; Fares, Mina; Peverelli, Marta; Gorog, Diana A; Elmahdy, Walid; Berman, Marius; Osman, Mohamed
Journal of cardiac surgery, October 2021, 2021-Oct, 2021-10-00, 20211001, Letnik: 36, Številka: 10Journal Article
Introduction Atrial fibrillation (AF) is frequent after any cardiac surgery, but evidence suggests it may have no significant impact on survival if sinus rhythm (SR) is effectively restored early after the onset of the arrhythmia. In contrast, management of preoperative AF is often overlooked during or after cardiac surgery despite several proposed protocols. This study sought to evaluate the impact of preoperative AF on mortality in patients undergoing isolated surgical aortic valve replacement (AVR). Methods We performed a retrospective, single‐center study involving 2628 consecutive patients undergoing elective, primary isolated surgical AVR from 2008 to 2018. A total of 268/2628 patients (10.1%) exhibited AF before surgery. The effect of preoperative AF on mortality was evaluated with univariate and multivariate analyses. Results Short‐term mortality was 0.8% and was not different between preoperative AF and SR cohorts. Preoperative AF was highly predictive of long‐term mortality (median follow‐up of 4 years Q1–Q3 2–7; hazard ratio HR: 2.24, 95% confidence interval CI: 1.79–2.79, p < .001), and remained strongly and independently predictive after adjustment for other risk factors (HR: 1.54, 95% CI: 1.21–1.96, p < .001) compared with preoperative SR. In propensity score‐matched analysis, the adjusted mortality risk was higher in the AF cohort (OR: 1.47, 95% CI: 1.04–1.99, p = .03) compared with the SR cohort. Conclusions Preoperative AF was independently predictive of long‐term mortality in patients undergoing isolated surgical AVR. It remains to be seen whether concomitant surgery or other preoperative measures to correct AF may impact long‐term survival.
Vnos na polico
Trajna povezava
- URL:
Faktor vpliva
Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
---|
Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
---|
Vir: Osebne bibliografije
in: SICRIS
To gradivo vam je dostopno v celotnem besedilu. Če kljub temu želite naročiti gradivo, kliknite gumb Nadaljuj.