Academic Journal
Atrial fibrillation and alteration of heart rate variability after video-assisted pulmonary lobectomy versus thoracotomy pulmonary lobectomy
| العنوان: | Atrial fibrillation and alteration of heart rate variability after video-assisted pulmonary lobectomy versus thoracotomy pulmonary lobectomy |
|---|---|
| المؤلفون: | Gengxu He, Tong Yao, Lei Zhao, Hong Geng, Qiang Ji, Kun Zuo, Yuanzhi Luo |
| المصدر: | Journal of Cardiothoracic Surgery, Vol 15, Iss 1, Pp 1-5 (2020) |
| بيانات النشر: | BMC, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Surgery LCC:Anesthesiology |
| مصطلحات موضوعية: | Atrial fibrillation, Video-assisted thoracic surgery, Thoracotomy, Heart rate variability, Surgery, RD1-811, Anesthesiology, RD78.3-87.3 |
| الوصف: | Abstract Objective To compare the incidence of atrial fibrillation (AF) and alteration of heart rate variability (HRV) after pulmonary lobectomy through video assisted thoracic surgery or thoracotomy, and to explore the role of autonomic nerves in the pathogenesis of atrial fibrillation after pulmonary lobectomy. Methods In a single institution, 224 patients (age > 60) with normal sinus rhythm were enrolled in the study. Experienced surgeons and anesthetists carried out operation and anesthesia according to the same procedure. The hearts were monitored using Holter for more than 96 h. Any new-onset AF was recorded and HRV was analyzed at different time intervals. Results One hundred twelve patients undergoing video-assisted thoracic surgery (VATS) and 112 patients undergoing thoracotomy (THOR) were matched for age and gender. Atrial fibrillation occurred in 39 patients, with a similar incidence between the two groups (VATS: 19/112, 16.9% and THOR: 20/112, 17.9%, P = 0.82). The post-operational heart variability at different time intervals was comparable between the two groups. Conclusion Pulmonary lobectomy through video assisted thoracic surgery does not reduce the postoperative atrial fibrillation. Autonomic nerve mechanism may be involved in the pathogenesis of postoperative atrial fibrillation. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1749-8090 |
| Relation: | http://link.springer.com/article/10.1186/s13019-020-01260-6; https://doaj.org/toc/1749-8090 |
| DOI: | 10.1186/s13019-020-01260-6 |
| URL الوصول: | https://doaj.org/article/353f9af667bb4e1d85e48124c81fb820 |
| رقم الانضمام: | edsdoj.353f9af667bb4e1d85e48124c81fb820 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 17498090 |
|---|---|
| DOI: | 10.1186/s13019-020-01260-6 |