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Atrial fibrillation in transcatheter aortic valve implantation patients: Incidence, outcome and predictors of new onset

التفاصيل البيبلوغرافية
العنوان: Atrial fibrillation in transcatheter aortic valve implantation patients: Incidence, outcome and predictors of new onset
المؤلفون: Albrecht Schmidt, Stephanie Tiede, Robert Maier, Josepha S. Binder, Paul Weidinger, Heinrich Mächler, Helmut Brussee, Mario Fröschl, David Zweiker, Olev Luha, Robert Zweiker, Johannes Schmid, Martin Manninger, Wolfgang Marte, Daniel Scherr
المصدر: Journal of electrocardiology. 50(4)
سنة النشر: 2017
مصطلحات موضوعية: Male, medicine.medical_specialty, Transcatheter aortic, Valve surgery, 030204 cardiovascular system & hematology, Patient Readmission, New onset, Transcatheter Aortic Valve Replacement, 03 medical and health sciences, Electrocardiography, 0302 clinical medicine, Postoperative Complications, Risk Factors, Internal medicine, Atrial Fibrillation, medicine, Humans, Sinus rhythm, 030212 general & internal medicine, Aged, Aged, 80 and over, business.industry, Incidence (epidemiology), Incidence, Atrial fibrillation, Retrospective cohort study, medicine.disease, Surgery, Treatment Outcome, Austria, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, Clinical record
الوصف: There is controversial evidence if atrial fibrillation (AF) alters outcome after transcatheter aortic valve implantation (TAVI). TAVI itself may promote new-onset AF (NOAF).We performed a single-center study including 398 consecutive patients undergoing TAVI. Before TAVI, patients were divided into a sinus rhythm (SR) group (n=226, 57%) and baseline AF group (n=172, 43%) according to clinical records and electrocardiograms. Furthermore, incidence and predictors of NOAF were recorded.Baseline AF patients had a significantly higher 1-year mortality than the baseline SR group (19.8% vs. 11.5%, p=0.02). NOAF occurred in 7.1% of patients with prior SR. Previous valve surgery was the only significant predictor of NOAF (HR 5.86 [1.04-32.94], p0.05). NOAF was associated with higher rehospitalization rate (62.5 vs. 34.8%, p=0.04), whereas mortality was unaffected.This study shows that NOAF is associated with higher rates of rehospitalization but not mortality after TAVI. Overall, patients with pre-existing AF have higher mortality.
تدمد: 1532-8430
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::85061f3a42865e23f00e709bfd7c6dcc
https://pubmed.ncbi.nlm.nih.gov/28274541
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....85061f3a42865e23f00e709bfd7c6dcc
قاعدة البيانات: OpenAIRE
الوصف
تدمد:15328430