Prediction of Atrial Fibrillation After Off-Pump Coronary Artery Bypass Grafting Using Preoperative Total Atrial Conduction Time Determined on Tissue Doppler Imaging
スポンサーリンク
概要
- 論文の詳細を見る
Background: Postoperative atrial fibrillation (POAF) is a common complication of cardiac surgery and results in increased health-care utilization. This study identified new transthoracic echocardiographic predictors of POAF using an index of the total atrial conduction time derived on tissue Doppler imaging (PA-TDI duration) in patients undergoing off-pump coronary artery bypass grafting (OPCAB). Methods and Results: A total of 88 patients undergoing isolated OPCAB were enrolled. They were examined preoperatively on transthoracic echocardiography with tissue Doppler evaluations and monitored postoperatively with continuous electrocardiographic telemetry for 7 days. POAF occurred in 35 patients (39.8%). Patients with POAF had a significantly longer duration of hospital stay than those without (44.9±6.2 vs. 37.3±3.3 days, P=0.04). Multivariate analysis showed that PA-TDI duration (odds ratio [OR], 1.11; 95% confidence interval [CI]: 1.06–1.16; P=0.0001) and left atrial volume index (LAVI; OR, 1.11; 95% CI: 1.02–1.20; P=0.01) were independent predictors of POAF. Moreover, PA-TDI duration was more reliable, given an area under the receiver operating characteristic curve of 0.85 (sensitivity, 74.3%; specificity, 86.8%). Conclusions: PA-TDI duration was an independent predictor of POAF following OPCAB. Awareness of risk of POAF may lead to the prevention of POAF, a rapid response to POAF, shortened hospital stay, and improved prognosis.
- 一般社団法人 日本循環器学会の論文
著者
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Kajihara Kenta
Department of Cardiology, Hiroshima University
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Hidaka Takayuki
Department Of Cardiovascular Medicine Hiroshima University Graduate School Of Biomedical Sciences
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Oda Noboru
Department Of Cardiology Hiroshima University School Of Medicine
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Fujiwara Mai
Department Of Cardiology Matsue Red Cross Hospital
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Ikenaga Hiroki
Department Of Cardiology Hiroshima City Hospital
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Kihara Yasuki
Department Of Cardiology Graduate School Of Medicine Kyoto University
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Watanabe Yoshikazu
Department Of Cardiology Hiroshima City Asa Hospital
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Nakano Yukiko
Department Of Biostructural Science Graduate School Of Tokyo Medical And Dental University
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Imai Katsuhiko
Department Of Cardiovascular Surgery Hiroshima University Graduate School Of Medicine
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Sairaku Akinori
Department Of Cardiology Chugoku Workers Compensation Hospital
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SUEDA Taijirou
Department of Cardiovascular Surgery, Hiroshima University Hospital
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Motoda Chikaaki
Department of Cardiology, Hiroshima University
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Oda Noboru
Department of Cardiovascular Medicine, Hiroshima City Asa Hospital
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Tokuyama Takehito
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
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Tokuyama Takehito
Department of Cardiology, Hiroshima University
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Uchimura Yuko
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
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Nakano Yukiko
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
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Kajihara Kenta
Department of Cardiovascular Medicine, Higashihiroshima Medical Center
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Kajihara Kenta
Department of Cardiology, Hiroshima Prefectural Hospital
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Motoda Chikaaki
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
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Sueda Taijirou
Department of Cardiovascular Surgery, Hiroshima University Graduate School of Biomedical and Health Sciences
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Sairaku Akinori
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
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Imai Katsuhiko
Department of Cardiovascular Surgery, Hiroshima University Graduate School of Biomedical and Health Sciences
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Ikenaga Hiroki
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences
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