The value of atrial electromechanical delay in predicting atrial fibrillation development after coronary artery bypass surgery.
atrial electromechanical delay
atrial fibrillation
coronary artery bypass grafting
Journal
Echocardiography (Mount Kisco, N.Y.)
ISSN: 1540-8175
Titre abrégé: Echocardiography
Pays: United States
ID NLM: 8511187
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
revised:
01
09
2021
received:
12
05
2021
accepted:
13
10
2021
pubmed:
8
12
2021
medline:
15
3
2022
entrez:
7
12
2021
Statut:
ppublish
Résumé
Predicting postoperative atrial fibrillation (PoAF) in the preoperative period will provide a serious advantage in preventing the morbidity and mortality associated with this arrhythmia and in planning the treatment. In this study, we investigated the value of atrial electromechanical delay (AEMD) in predicting the development of PoAF. A total of 93 patients who underwent isolated coronary artery bypass grafting (CABG) operation were included in this prospective study. Patients' demographic characteristics, laboratory parameters, echocardiographic data, and AEMD durations that could be measured by the co-use of electrocardiography and echocardiography were recorded. The patients at sinus rhythm during the postoperative period were identified as "Group 1", and those who developed PoAF were identified as "Group 2". PoAF incidence was 26.88% (n = 25). Left ventricle (LV) lateral AEMD, LV medial AEMD, right ventricle lateral AEMD, and left atrium (LA) lateral AEMD durations of Group 2 were significantly higher than Group 1 (p < 0.001, p = 0.004, p = 0.004, p < 0.001; respectively). In Univariate Logistic Regression Analysis, the age, hypertension, LA maximum volume, LA lateral AEMD and pulmonary artery pressure were significantly associated with PoAF development (p = 0.01, p = 0.004, p = 0.004, p = 0.001, p = 0.01; respectively). However, only LA lateral AEMD was found as an independent predictive factor for the development of PoAF in the Multivariate Logistic Regression Analysis (OR:1.03, 95% CI:1.001-1.06, p = 0.04). AUC was .741 for LA lateral AEMD in ROC Curve Analysis (95% CI: .633-.849, p < 0.001). The development of PoAF can be predicted by AEMD durations measured in the preoperative period in patients undergoing isolated CABG.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
28-36Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Kaireviciute D, Aidietis A, Lip GY. Atrial fibrillation following cardiac surgery: clinical features and preventative strategies. Eur Heart J. 2009;30(4):410-425.
Haghjoo M, Basiri H, Salek M, et al. Predictors of postoperative atrial fibrillation after coronary artery bypass graft surgery. Indian Pacing Electrophysiol J. 2008;8(2):94-101.
Verdejo H, Roldan J, Garcia L, et al. Systemic vascular cell adhesion molecule-1 predicts the occurrence of post-operative atrial fibrillation. Int J Cardiol. 2011;150(3):270-276.
Korantzopoulos P, Kolettis T, Siogas K, et al. Atrial fibrillation and electrical remodeling: the potential role of inflammation and oxidative stress. Med Sci Monit. 2003;9(9):RA225-RA229.
Auer J, Weber T, Berent R, et al. Risk factors of postoperative atrial fibrillation after cardiac surgery. J Card Surg. 2005;20(5):425-431.
Ari H, Ari S, Akkaya M, et al. A novel echocardiographic predictor of atrial fibrillation recurrence: l-wave. Echocardiography. 2013;30(10):1180-1186.
Nashef SA, Roques F, Sharples LD, et al. EuroSCORE II. Eur J Cardio-thoracic Surg. 2012;41(4):734-744.
Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2015;16(3):233-270.
European Heart Rhythm Association; European Association for Cardio-Thoracic Surgery, Camm AJ, et al, European Heart Rhythm Association. Guidelines fort he management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J. 2010;31:2369-2429.
Mathew JP, Fontes ML, Tudor IC, et al. A multicenter risk index for atrial fibrillation after cardiac surgery. JAMA. 2004;291(14):1720-1729.
Açil T, Cölkesen Y, Türköz R, et al. Value of preoperative echocardiography in the prediction of postoperative atrial fibrillation following isolated coronary artery bypass grafting. Am J Cardiol. 2007;100(9):1383-1386.
Osranek M, Fatema K, Qaddoura F, et al. Left atrial volume predicts the risk of atrial fibrillation after cardiac surgery: a prospective study. J Am Coll Cardiol. 2006;48(4):779-786.
Sezai A, Hata M, Niino T, et al. Study of the factors related to atrial fibrillation after coronary artery bypass grafting: a search for a marker to predict the occurrence of atrial fibrillation before surgical intervention. J Thorac Cardiovasc Surg. 2009;137(4):895-900.
Echahidi N, Pibarot P, O'Hara G, et al. Mechanisms, prevention, and treatment of atrial fibrillation after cardiac surgery. J Am Coll Cardiol. 2008;51(8):793-801.
Turk T, Ata Y, Vural H, et al. Intravenous and oral amiodarone for the prevention of postoperative atrial fibrillation in patients undergoing off-pump coronary artery bypass surgery. Heart Surg Forum. 2007;10(4):E299-E303.
Banach M, Rysz J, Drozdz JA, et al. Risk factors of atrial fibrillation following coronary artery bypass grafting: a preliminary report. Circ J. 2006;70(4):438-441.
Feneck RO, Sherry KM, Withington PS, et al. Comparison of the hemodynamic effects of milrinone with dobutamine in patients after cardiac surgery. J Cardiothorac Vasc Anesth. 2001;15(3):306-315.
Steinberg JS, Zelenkofske S, Wong SC, et al. Value of the P-wave signal-averaged ECG for predicting atrial fibrillation after cardiac surgery. Circulation. 1993;88(6):2618-2622.
Wang WH, Hsiao SH, Lin KL, et al. Left atrial expansion index for predicting atrial fibrillation and in-hospital mortality after coronary artery bypass graft surgery. Ann Thorac Surg. 2012;93(3):796-803.
Gibson PH, Croal BL, Cuthbertson BH, et al. Use of preoperative natriuretic peptides and echocardiographic parameters in predicting new-onset atrial fibrillation after coronary artery bypass grafting: a prospective comparative study. Am Heart J. 2009;158(2):244-251.
Benedetto U, Melina G, Roscitano A, et al. Clinical utility of tissue Doppler imaging in prediction of atrial fibrillation after coronary artery bypass grafting. Ann Thorac Surg. 2007;83(1):83-88.
Karabag T, Aydin M, Dogan SM, et al. Investigation of the atrial electromechanical delay duration in Behcet patients by tissue Doppler echocardiography. Eur Heart J Cardiovasc Imag. 2012;13(3):251-256.
Dilaveris PE, Gialafos EJ, Sideris SK, et al. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic atrial fibrillation. Am Heart J. 1998;135:733-738.
Özlü MF, Erdem K, Kırış G, et al. Predictive value of total atrial conduction time measured with tissue Doppler imaging for postoperative atrial fibrillation after coronary artery bypass surgery. J Interv Card Electrophysiol. 2013;37(1):27-33.
Fujiwara M, Nakano Y, Hidaka T, et al. Prediction of atrial fibrillation after off-pump coronary artery bypass grafting using preoperative total atrial conduction time determined on tissue Doppler imaging. Circ J. 2014;78(2):345-352.
Ari H, Ari S, Akkaya M, et al. Predictive value of atrial electromechanical delay for atrial fibrillation recurrence. Cardiol J. 2013;20(6):639-647.
Acar G, Akcay A, Sokmen A, et al. Assessment of atrial electromechanical delay, diastolic functions, and left atrial mechanical functions in patients with type 1 diabetes mellitus. J Am Soc Echocardiogr. 2009;22(6):732-738.
Soliman EZ, Rautaharju PM. Heart rate adjustment of PR interval in middle-aged and older adults. J Electrocardiol. 2012;45(1):66-69.
Heinze G, Dunkler D. Five myths about variable selection. Transpl Int. 2017;30(1):6-10.
Badano LP, Gaddi O, Peraldo C, et al. Left ventricular electromechanical delay in patients with heart failure and normal QRS duration and in patients with right and left bundle branch block. Europace. 2007;9(1):41-47.
Kawakami H, Ramkumar S, Nolan M, et al. Left atrial mechanical dispersion assessed by strain echocardiography as an independent predictor of new-onset atrial fibrillation: a case-control study. J Am Soc Echocardiogr. 2019;32(10):1268-1276.
Takahashi S, Fujiwara M, Watadani K, et al. Preoperative tissue Doppler imaging-derived atrial conduction time can predict postoperative atrial fibrillation in patients undergoing aortic valve replacement for aortic valve stenosis. Circ J. 2014;78(9):2173-2181.
Takahashi S, Katayama K, Watanabe M, et al. Preoperative tissue doppler imaging-derived atrial conduction time predicts postoperative atrial fibrillation in patients undergoing mitral valve surgery for mitral valve regurgitation. Circ J. 2016;80(1):101-109.