Academic Journal
Early and late post-operative arrhythmias after surgical myectomy: 45 years of follow-up
| العنوان: | Early and late post-operative arrhythmias after surgical myectomy: 45 years of follow-up |
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| المؤلفون: | Kharbanda, R.K. (Rohit), Lodder, L. (Lucas), Ragab, A.A.Y. (Ahmed A.Y.), Jong, P.L. (Peter) de, Kik, C. (Charles), Brundel, B.J.J.M. (Bianca), Taverne, Y.J.H.J. (Yannick), Groot, N.M.S. (Natasja) de, Bogers, A.J.J.C. (Ad) |
| المصدر: | International Journal of Cardiology |
| سنة النشر: | 2020 |
| المجموعة: | RePub - Publications from Erasmus University, Rotterdam |
| مصطلحات موضوعية: | Hypertrophic obstructive cardiomyopathy, Myectomy, Post-operative arrhythmias |
| الوصف: | Aims: The aims of this study are to investigate the incidence and determinants of post-operative atrial arrhythmias, conduction disorders and mortality in hypertrophic obstructive cardiomyopathy (HOCM) patients undergoing transaortic myectomy. Methods and results: This retrospective single-center study was conducted in 249 patients (median age 54 years [40–64], 42% female) undergoing transaortic myectomy. Post-operative atrial fibrillation (AF) was reported in 84 patients (33.7%), including 56 patients (22.5%) with de novo AF. Older age (HR = 1.027 (1.003–1.052), p = 0.029) and hypercholesterolemia (HR = 2.296 (1.091–4.832) p = 0.029) were independent predictors for de novo post-operative AF. Late post-operative AF and atrial flutter (AFL) occurred in 18.9% and 6.8% of the patients, respectively. De novo early post-operative AF increased the risk of late post-operative AF (HR = 3.138 (1.450–6.789), p = 0.004). Patients with a right bundle branch block had a higher risk of early-postoperative pacemaker implantation (p = 0.003, HR = 9.771 (2.195–43.505)). Higher age at time of surgery (HR = 1.053 (1.026–1.081), p < 0.001) was a predictor for late mortality (n = 47, 18.9%). Conclusion: Early and late post-operative AF, AFL and other SVTs are common sequelae after myectomy and are associated with older age at surgery, history of AF and early post-operative AF. Early post-operative arrhythmias are not transient and periodic rhythm monitoring is therefore essential to initiate therapy as soon as possible. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | https://repub.eur.nl/pub/132700; urn:hdl:1765/132700 |
| DOI: | 10.1016/j.ijcard.2020.11.055 |
| الاتاحة: | https://repub.eur.nl/pub/132700 https://doi.org/10.1016/j.ijcard.2020.11.055 |
| رقم الانضمام: | edsbas.B08D0FDB |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.ijcard.2020.11.055 |
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