New onset postoperative atrial fibrillation predicts long-term cardiovascular events after gastrectomy. Am J Surg 2016 Mar;211(3):559-64
Date
02/27/2016Pubmed ID
26916958Pubmed Central ID
PMC5110228DOI
10.1016/j.amjsurg.2015.10.024Scopus ID
2-s2.0-84959440924 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
BACKGROUND: Recent evidence suggests transient postoperative atrial fibrillation leads to future cardiovascular events, even in noncardiac surgery. The long-term effects of postoperative atrial fibrillation in gastrectomy patients are unknown.
METHODS: The Healthcare Cost and Utilization Project State Inpatient Databases identified patients undergoing gastrectomy for malignancy between 2007 and 2010. Patients were matched by propensity scores based on various factors. Adjusted Kaplan-Meier and Cox proportional hazards models assessed the effect of postoperative atrial fibrillation on cardiovascular events.
RESULTS: A higher incidence of cardiovascular events occurred over the 1st year in patients who developed postoperative atrial fibrillation. Cox proportional hazards regression confirmed an increased risk of cardiovascular events in postoperative atrial fibrillation patients.
CONCLUSIONS: Our results demonstrate that patients undergoing gastrectomy for malignancy who develop postoperative atrial fibrillation are at increased risk of cardiovascular events within 1 year. Physicians should be vigilant in assessing postoperative atrial fibrillation, given the increased risk of cardiovascular morbidity.
Author List
Nassoiy SP, Blackwell RH, Kothari AN, Besser S, Gupta GN, Kuo PC, Abood GJAuthor
Anai N. Kothari MD Assistant Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedAtrial Fibrillation
California
Comorbidity
Female
Florida
Gastrectomy
Humans
Incidence
Kaplan-Meier Estimate
Male
Postoperative Complications
Proportional Hazards Models
Risk Factors
Stomach Neoplasms
