Document Detail


Increased Left Ventricular Myocardial Mass Is Associated With Arrhythmias After Cardiac Surgery.
MedLine Citation:
PMID:  22763275     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: The purpose of this study was to investigate whether patients with an elevated left ventricular mass index undergoing cardiac surgery were more likely to experience postoperative atrial and ventricular arrhythmias. DESIGN: A retrospective analysis. SETTING: A single tertiary care university hospital. PARTICIPANTS: One thousand consecutive patients undergoing all types of adult cardiac surgery. INTERVENTIONS: With institutional review board approval, intraoperative transesophageal echocardiographic images were reviewed by a single reviewer. The left ventricular mass index was calculated using the American Society of Echocardiography-recommended formula. Medical charts were reviewed for the occurrence and type of clinically significant postoperative arrhythmias. MEASUREMENTS AND RESULTS: Of the patients who had an elevated left ventricular mass index, 47.6% (225/473) developed clinically significant postoperative arrhythmias compared with 38.3% (142/371) of patients with a normal left ventricular mass index (odds ratio [OR] = 1.46; 95% confidence interval [CI], 1.11-1.93; p = 0.007). In the multivariate analysis, this finding remained statistically significant, controlling for the effects of age, weight, sex, surgery type, left ventricular function, functional status, left atrial dimensions, and a history of atrial fibrillation (OR = 1.40; 95% CI, 1.03-1.90 per 100-g/m(2) increase in the left ventricular mass index). An increased left ventricular mass index was also an independent predictor of the separate or combined occurrence of atrial or ventricular arrhythmias. CONCLUSIONS: An elevated left ventricular mass index was a strong independent predictor of clinically significant postoperative atrial and ventricular arrhythmias after adult cardiac surgery. Although prospective validation is required, targeting patients for arrhythmia prophylaxis therapy may be justified in patients with a left ventricular mass index >188 g/m(2).
Authors:
Menachem M Weiner; David L Reich; Hung-Mo Lin; Marina Krol; Gregory W Fischer
Related Documents :
22816545 - Risk stratification for serious arrhythmic events using nonsustained ventricular tachyc...
10191975 - Current therapies for secondary prevention after myocardial infarction.
22146755 - Novel acute collateral flow index in patients with total coronary artery occlusion duri...
22867815 - Isolated sternal fractures treated on an outpatient basis.
21770825 - Ecg feature extraction and disease diagnosis.
17544455 - The venous graft as an effector of early angiogenesis in a fibrin matrix.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-2
Journal Detail:
Title:  Journal of cardiothoracic and vascular anesthesia     Volume:  -     ISSN:  1532-8422     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9110208     Medline TA:  J Cardiothorac Vasc Anesth     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Department of Anesthesiology, Mount Sinai School of Medicine, New York, NY.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Evaluation of the Neuroprotective Effect of Minocycline in a Rabbit Spinal Cord Ischemia Model.
Next Document:  Sex Differences in Lung Gas Volumes After Lipopolysaccharide-Induced Chorioamnionitis in Fetal Sheep...