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Incidence and Outcomes of Postoperative Atrial Fibrillation After Left Ventricular Assist Device
| Content Provider | Scilit |
|---|---|
| Author | Deshmukh, Amrish Bhatia, Ankit Anyanwu, Emeka Ota, Takeyoshi Jeevanandam, Valluvan Uriel, Nir Tung, Roderick Ozcan, Cevher |
| Copyright Year | 2018 |
| Description | Journal: Asaio journal This study sought to determine the incidence, predictors, and outcomes of postoperative atrial fibrillation (POAF) in patients undergoing implantation of left ventricular assist devices (LVADs). A retrospective analysis of all patients who underwent LVAD implantation from 2013 to 2014 was conducted. Postoperative AF, survival, and thrombotic complications were evaluated after surgery. A total of 47 patients (mean age, 56.4 ± 12.5 years; 33 male) were included and followed for a median of 331 days. Within 30 days of surgery, 13 (28%) patients developed POAF at mean 7.9 ± 8.5 days. Obstructive lung disease was a predictor of POAF (p = 0.01). Postoperative AF was not associated with increased mortality, length of stay, or thrombotic complication within 30 days. Postoperative AF was predictive of recurrent new AF (24 vs. 5.5%) after 30 days of LVAD implantation. Also, POAF was associated with increased risk of ischemic stroke and device thrombosis during follow-up (p = 0.01). These results show that unlike in other cardiac surgery, POAF does not have a negative impact on early postoperative morbidity or mortality. However, POAF is a predictor for future AF, ischemic stroke, and device thrombosis. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055419/pdf |
| Ending Page | 585 |
| Page Count | 5 |
| Starting Page | 581 |
| ISSN | 10582916 |
| e-ISSN | 1538943X |
| DOI | 10.1097/mat.0000000000000763 |
| Journal | Asaio journal |
| Issue Number | 5 |
| Volume Number | 64 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2018-09-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Asaio journal Cardiology and Cardiovascular Diseases Postoperative Atrial Fibrillation, Left Ventricular Assist Device, Device Thrombosis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Biomaterials Biophysics Bioengineering Biomedical Engineering |
