Research Article

Does aortic valve disease etiology predict postoperative atrial fibrillation in patients undergoing aortic valve surgery?

Rajesh Dandale

*Author for correspondence:

E-mail Address: rajeshdandale@yahoo.com

Department of Cardiology, Evangelisches Krankenhaus, Wertgasse 30, 45468, Mülheim an der Ruhr, Germany

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Andrea Rossi

Department of Cardiovascular Sciences, University Hospital, Verona, Italy

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Francesco Onorati

Department of Cardiovascular Sciences, University Hospital, Verona, Italy

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Alexander Krapivsky

Department of Cardiology, Evangelisches Krankenhaus, Wertgasse 30, 45468, Mülheim an der Ruhr, Germany

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Paschalis Kekes

Department of Cardiology, Evangelisches Krankenhaus, Wertgasse 30, 45468, Mülheim an der Ruhr, Germany

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Aldo Milano

Department of Cardiovascular Sciences, University Hospital, Verona, Italy

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Francesco Santini

Department of Cardiovascular Sciences, University Hospital, Verona, Italy

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Giuseppe Faggian

Department of Cardiovascular Sciences, University Hospital, Verona, Italy

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Published Online:12 Dec 2014https://doi.org/10.2217/fca.14.57

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Abstract

ABSTRACT

Background: Postoperative atrial fibrillation (POAF) is one of the most common complications of cardiac surgery and is associated with increased mortality and morbidity. Methods: We analyzed 830 patients without prior atrial fibrillation who underwent aortic valve replacement for aortic stenosis and/or aortic regurgitation. Results: The incidence of POAF was 38%. The patients with POAF were older, predominately male and hypertensive. The incidence of POAF was significantly different according to the valve etiology. At multivariate analysis, rheumatic and degenerative aortic valve etiologies were independent predictors of POAF. Conclusion: Aortic valve disease etiology affects the development of POAF. Rheumatic and degenerative etiologies have a higher risk of developing POAF independently of other clinical, functional and hemodynamic variables.

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Papers of special note have been highlighted as: • of interest; •• of considerable interest

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History

Published online 12 December 2014

Published in print November 2014

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Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

Ethical conduct of research

The authors state that they have obtained appropriate institutional review board approval or have followed the principles outlined in the Declaration of Helsinki for all human or animal experimental investigations. In addition, for investigations involving human subjects, informed consent has been obtained from the participants involved.

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