Document Detail


Incidence of postdischarge symptomatic paroxysmal atrial fibrillation in patients who underwent coronary artery bypass graft: long-term follow-up.
MedLine Citation:
PMID:  15009865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this retrospective study was to determine the incidence of symptomatic AF of patients who had undergone coronary artery bypass grafting (CABG) during long-term follow-up. The study population included 305 post-CABG patients who were regularly followed in the outpatient clinic. Paroxysmal AF (PAF) was defined as an episode of symptomatic AF when symptoms were prolonged enough for the patient to request medical care. Perioperative AF occurred in 88 (28.9%) patients. Postdischarge symptomatic PAF occurred in 25 (8.2%) patients with an annual incidence of 2% during a mean follow-up of 48 +/- 30 months. Eighteen (20.4%) patients also experienced perioperative AF with an annual incidence of 5.1%, while only 7 (3.2%) of 217 patients, without perioperative AF, had postdischarge AF (P < 0.0003). During long-term follow-up, postdischarge AF has a low incidence and prophylactic antiarrhythmic therapy is not recommended. The method of follow-up and retrospective analysis may understate PAF and even miss some symptomatic episodes. Perioperative AF is a predictor of symptomatic late PAF recurrences, particularly in patients with reduced left ventricular function.
Authors:
Dante Antonelli; Dimitri Peres; Nahum Adam Freedberg; Alexander Feldman; Tiberio Rosenfeld
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  27     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-10     Completed Date:  2004-07-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  365-7     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Ha Emek Medical Center, Afula, Israel. antonelli_dante@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Atrial Fibrillation / etiology*
Cardiac Output, Low / complications
Coronary Artery Bypass* / adverse effects
Female
Follow-Up Studies
Forecasting
Humans
Longitudinal Studies
Male
Middle Aged
Multivariate Analysis
Postoperative Complications
Recurrence
Retrospective Studies
Stroke Volume / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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