Jennie Ngai1, James Leonard2, Ghislaine Echevarria2, Peter Neuburger2, Robert Applebaum3. 1. Departments of Anesthesiology, Perioperative Care, and Pain Medicine. Electronic address: jennie.ngai@nyumc.org. 2. Departments of Anesthesiology, Perioperative Care, and Pain Medicine. 3. Cardiology, New York University Langone Medical Center, New York.
Abstract
OBJECTIVE: To determine if there is an association between left atrial appendage velocity and the development of postoperative atrial fibrillation (POAF). DESIGN: Single institution retrospective study performed between January 2013 and December 2013. SETTING: Single-institution, university hospital. PARTICIPANTS: Five hundred sixty-two adult patients undergoing cardiac surgery utilizing cardiopulmonary bypass. INTERVENTIONS: No interventions for the purpose of this study. MEASUREMENTS AND MAIN RESULTS: Left atrial appendage velocity, measured by transesophageal echocardiogram, ranged from 8 cm/sec to 126 cm/sec. The development of POAF within the first 3 days after cardiac surgery was 38.3%. The authors found that patients with a lower left atrial appendage velocity had a higher risk of developing POAF. In the adjusted logistic regression model, there was an 11% decrease in the odds of POAF for each 10-unit (cm/sec) increase in the left atrial appendage velocity (p = 0.044). CONCLUSIONS: Decreasing left atrial appendage velocity is an independent predictor of risk for the development of POAF following cardiac surgery with cardiopulmonary bypass.
OBJECTIVE: To determine if there is an association between left atrial appendage velocity and the development of postoperative atrial fibrillation (POAF). DESIGN: Single institution retrospective study performed between January 2013 and December 2013. SETTING: Single-institution, university hospital. PARTICIPANTS: Five hundred sixty-two adult patients undergoing cardiac surgery utilizing cardiopulmonary bypass. INTERVENTIONS: No interventions for the purpose of this study. MEASUREMENTS AND MAIN RESULTS: Left atrial appendage velocity, measured by transesophageal echocardiogram, ranged from 8 cm/sec to 126 cm/sec. The development of POAF within the first 3 days after cardiac surgery was 38.3%. The authors found that patients with a lower left atrial appendage velocity had a higher risk of developing POAF. In the adjusted logistic regression model, there was an 11% decrease in the odds of POAF for each 10-unit (cm/sec) increase in the left atrial appendage velocity (p = 0.044). CONCLUSIONS: Decreasing left atrial appendage velocity is an independent predictor of risk for the development of POAF following cardiac surgery with cardiopulmonary bypass.
Authors: Paulo Roberto Barbosa Evora; Antonio Carlos Menardi; Andrea Carla Celotto; Agnes Afrodite S Albuquerque; Hannah Miranda Araujo Chagas; Alfredo José Rodrigues Journal: Braz J Cardiovasc Surg Date: 2017 Nov-Dec
Authors: Sebastian Schnaubelt; Arnold Pilz; Lorenz Koller; Niema Kazem; Felix Hofer; Tatjana Fleck; Günther Laufer; Barbara Steinlechner; Alexander Niessner; Patrick Sulzgruber Journal: Eur J Clin Invest Date: 2020-12-03 Impact factor: 4.686