Linked Life Data

9535479

Source:http://linkedlifedata.com/resource/pubmed/id/9535479

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1998-5-28
pubmed:abstractText
Atrial fibrillation (AF) is the most common sustained arrhythmia occurring after cardiac surgery. Beside important implications regarding patient recovery, AF has been shown to substantially lengthen hospital stay--our recent study found a 3-day prolongation after adjusting for all other significant factors. Identification of those at highest risk of AF by clinical or noninvasive characteristics may be a useful strategy for targeted prophylactic therapy. Our data have shown that prolonged atrial conduction as assessed by analysis of the P wave duration from the signal-averaged electrocardiogram (SAECG) imparts a four fold increase in risk for postoperative AF, independently of other measured variables. In addition, abnormal conduction was present on the preoperative P wave ECG (P-SAECG), implying a preexisting substrate that is triggered by surgery. The use of combination abnormal noninvasive variables (eg, abnormal P-SAECG and low left ventricular ejection fraction) can identify groups with a 50% risk of AF, which is nine times as high as when both tests are normal. Thus, the P-SAECG is a useful and accurate predictor of AF after cardiac surgery.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0022-0736
pubmed:author
pubmed:issnType
Print
pubmed:volume
30 Suppl
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
36-43
pubmed:dateRevised
2009-11-11
pubmed:meshHeading
pubmed:year
1998
pubmed:articleTitle
Value of the signal-averaged P wave analysis in predicting atrial fibrillation after cardiac surgery.
pubmed:affiliation
Division of Cardiology, St. Luke's-Roosevelt Hospital Center and Columbia University College of Physicians and Surgeons, New York, New York 10025, USA.
pubmed:publicationType
Journal Article, Review