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Atrial fibrillation after lung surgery: incidence, underlying factors, and predictors
INTRODUCTION: Cardiac complications are the second most common cause of morbidity and mortality in patients subjected to thoracic surgery after respiratory complications. Postoperative arrhythmia is one of the most common cardiac complications in these patients. It leads to morbidity, increased hosp...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690155/ https://www.ncbi.nlm.nih.gov/pubmed/31410090 http://dx.doi.org/10.5114/kitp.2019.86355 |
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author | Bagheri, Reza Yousefi, Yousef Rezai, Reza Azemonfar, Vahab Keshtan, Farideh Golhasani |
author_facet | Bagheri, Reza Yousefi, Yousef Rezai, Reza Azemonfar, Vahab Keshtan, Farideh Golhasani |
author_sort | Bagheri, Reza |
collection | PubMed |
description | INTRODUCTION: Cardiac complications are the second most common cause of morbidity and mortality in patients subjected to thoracic surgery after respiratory complications. Postoperative arrhythmia is one of the most common cardiac complications in these patients. It leads to morbidity, increased hospitalization, and high costs for patients. AIM: To determine the incidence of atrial fibrillation after lung resection and determine the underlying factors and predictors of this problem. MATERIAL AND METHODS: The participants in this study were composed of all patients who were subjected to lung resection surgery in the past 4 years. The demographic data of the patients and possible postoperative complications, including the incidence of atrial fibrillation, were extracted from patient records. The statistical analysis of data was performed after data collection. RESULTS: The incidence of postoperative atrial fibrillation (POAF) in the present study was 7.6% (n = 20), mostly in patients who had a lung parenchyma resection. It occurred due to malignancy (n = 16), squamous cell carcinoma (n = 9), adenoid cystic carcinoma (n = 5), and metastasis (n = 2). The POAF occurred in 34.2% of pneumonectomy cases and 4.5% of lobectomy cases, out of whom 60% were male. There was a significant difference between the two groups of arrhythmia and non-arrhythmia groups regarding the age range. The mean ages of patients with and without arrhythmias were 56.45 ±18.2 and 44.76 ±17.2, respectively. CONCLUSIONS: Pulmonary malignant pathologies are more likely to develop POAF due to the need for lung resection and possibly mediastinal lymphadenectomy that stimulates the heart and pericardium and the vagus nerve. |
format | Online Article Text |
id | pubmed-6690155 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-66901552019-08-13 Atrial fibrillation after lung surgery: incidence, underlying factors, and predictors Bagheri, Reza Yousefi, Yousef Rezai, Reza Azemonfar, Vahab Keshtan, Farideh Golhasani Kardiochir Torakochirurgia Pol Original Paper INTRODUCTION: Cardiac complications are the second most common cause of morbidity and mortality in patients subjected to thoracic surgery after respiratory complications. Postoperative arrhythmia is one of the most common cardiac complications in these patients. It leads to morbidity, increased hospitalization, and high costs for patients. AIM: To determine the incidence of atrial fibrillation after lung resection and determine the underlying factors and predictors of this problem. MATERIAL AND METHODS: The participants in this study were composed of all patients who were subjected to lung resection surgery in the past 4 years. The demographic data of the patients and possible postoperative complications, including the incidence of atrial fibrillation, were extracted from patient records. The statistical analysis of data was performed after data collection. RESULTS: The incidence of postoperative atrial fibrillation (POAF) in the present study was 7.6% (n = 20), mostly in patients who had a lung parenchyma resection. It occurred due to malignancy (n = 16), squamous cell carcinoma (n = 9), adenoid cystic carcinoma (n = 5), and metastasis (n = 2). The POAF occurred in 34.2% of pneumonectomy cases and 4.5% of lobectomy cases, out of whom 60% were male. There was a significant difference between the two groups of arrhythmia and non-arrhythmia groups regarding the age range. The mean ages of patients with and without arrhythmias were 56.45 ±18.2 and 44.76 ±17.2, respectively. CONCLUSIONS: Pulmonary malignant pathologies are more likely to develop POAF due to the need for lung resection and possibly mediastinal lymphadenectomy that stimulates the heart and pericardium and the vagus nerve. Termedia Publishing House 2019-06-28 2019-07 /pmc/articles/PMC6690155/ /pubmed/31410090 http://dx.doi.org/10.5114/kitp.2019.86355 Text en Copyright: © 2019 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska) http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Bagheri, Reza Yousefi, Yousef Rezai, Reza Azemonfar, Vahab Keshtan, Farideh Golhasani Atrial fibrillation after lung surgery: incidence, underlying factors, and predictors |
title | Atrial fibrillation after lung surgery: incidence, underlying factors, and predictors |
title_full | Atrial fibrillation after lung surgery: incidence, underlying factors, and predictors |
title_fullStr | Atrial fibrillation after lung surgery: incidence, underlying factors, and predictors |
title_full_unstemmed | Atrial fibrillation after lung surgery: incidence, underlying factors, and predictors |
title_short | Atrial fibrillation after lung surgery: incidence, underlying factors, and predictors |
title_sort | atrial fibrillation after lung surgery: incidence, underlying factors, and predictors |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690155/ https://www.ncbi.nlm.nih.gov/pubmed/31410090 http://dx.doi.org/10.5114/kitp.2019.86355 |
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