Postoperative Atrial Fibrillation After Cardiac Surgery is Not an Independent Risk Factor for Long-term Cardiovascular Morbidity and Mortality in Anticoagulated Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Death
- Sponsor
- Kuopio University Hospital
- Enrollment
- 519
- Primary Endpoint
- myocardial infarction
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The aim of the investigators trial was to evaluate association between new onset postoperative atrial fibrillation (POAF) and late cardiovascular morbidity and mortality.
Detailed Description
The material of this retrospective study consist patients without preoperative history of atrial fibrillation, participated in three different randomized controlled trials previously . A total of 519 consecutive patients underwent coronary artery bypass surgery, aortic valve replacement or combined aortic valve with coronary bypass surgery in Kuopio University Hospital from 2004 to 2008. Patients with previous episodes of atrial fibrillation (AF) or flutter and also patients with mitral valve surgery were excluded. All patients had continuous postoperative ECG monitoring for at least 48 hours. AF episodes lasting longer than 5 minutes were registered. Thereafter 12 lead ECG was recorded daily and in case of symptoms of rhythm disturbances. Medical records were reviewed during 2012 using standardized data collection protocol. Statistics Finland database was used for mortality data.
Investigators
Eligibility Criteria
Inclusion Criteria
- •previously cardiac operation, CABG or AVR
Exclusion Criteria
- •Previous Atrial fibrillation
Outcomes
Primary Outcomes
myocardial infarction
Time Frame: 1-105 month
stroke
Time Frame: 1-105 month
cardiovascular and all-cause death
Time Frame: 1-105 month
late atrial fibrillation
Time Frame: 1-105 month