Source:http://linkedlifedata.com/resource/pubmed/id/11928569
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2002-4-3
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pubmed:abstractText |
Paroxysmal atrial fibrillation (PAF) is a frequent complication (10-60% of pts) after cardiac surgery. In our study we analyze the influence of clinical, echocardiographic and 24 h ecg parameters on the risk of postoperative PAF in 266 pts with aortic stenosis (88 women and 178 men; mean age 58 +/- 10). PAF was observed in 74 (28%) patients. Statistically significant factors of risk of PAF were (univariate analysis): age-relative risk 1.08 (1.04-1.11), history of PAF--4.3 (1.4-12.5), more than 100 supraventricular ectopic beats during 24 h ecg--2.9 (1.6-5.1), presence of SVT during 24 h ecg--2.6 (1.5-4.5) and presence of SVT > 140/min--relative risk 3.5 (1.8-6.7). Left atrium diameter and coronary artery bypass grafting during valve replacement had no impact on the risk of PAF. In multivariate analysis three factors remained significant--age, history of PAF and presence of SVT > 140/min during 24 h ecg. In discriminant analysis this model of 3 factors enabled the correct risk assessment in 72% of patients. CONCLUSIONS: 1. The factors that increase the risk of postoperative PAF in pts with aortic stenosis are: age, history of PAF and presence of SVT > 140/min during preoperative 24 h ecg. 2. Postoperative PAF is not related to left atrium diameter in this group of patients. 3. Coronary artery bypass grafting during aortic valve replacement does not increase the risk of PAF.
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pubmed:language |
pol
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0032-3772
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
106
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
581-7
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pubmed:dateRevised |
2010-4-1
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pubmed:meshHeading |
pubmed-meshheading:11928569-Adult,
pubmed-meshheading:11928569-Age Factors,
pubmed-meshheading:11928569-Aged,
pubmed-meshheading:11928569-Aged, 80 and over,
pubmed-meshheading:11928569-Aortic Valve Stenosis,
pubmed-meshheading:11928569-Atrial Fibrillation,
pubmed-meshheading:11928569-Coronary Artery Bypass,
pubmed-meshheading:11928569-Electrocardiography,
pubmed-meshheading:11928569-Female,
pubmed-meshheading:11928569-Heart Valve Prosthesis Implantation,
pubmed-meshheading:11928569-Humans,
pubmed-meshheading:11928569-Male,
pubmed-meshheading:11928569-Middle Aged,
pubmed-meshheading:11928569-Multivariate Analysis,
pubmed-meshheading:11928569-Risk Factors,
pubmed-meshheading:11928569-Statistics, Nonparametric,
pubmed-meshheading:11928569-Time Factors
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pubmed:year |
2001
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pubmed:articleTitle |
[Analysis of risk factors of the paroxysmal atrial fibrillation after valve replacement in patients with aortic stenosis].
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pubmed:affiliation |
Klinika Wad Serca Instytut Kardiologii Warszawa ul. Alpejska 42 04-628 Warszawa.
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pubmed:publicationType |
Journal Article,
English Abstract
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