ArticleInteractive cardiovascular and thoracic surgery2013
Lower preoperative fluctuation of heart rate variability is an independent risk factor for postoperative atrial fibrillation in patients undergoing major pulmonary resection.
Article in Interactive cardiovascular and thoracic surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Development and validation of a novel prediction model for new-onset atrial fibrillation after lung resection.Annals of medicine · 2025Pooled it
- Preoperative heart rate variability as a predictor of perioperative outcomes: a systematic review without meta-analysis.Journal of clinical monitoring and computing · 2022Pooled it
- 2014 AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures.The Journal of thoracic and cardiovascular surgery · 2014Guideline
- Risk factors for atrial fibrillation after lung cancer surgery: a meta-analysis.Frontiers in cardiovascular medicine · 2026Review
- Serum lipopolysaccharide associated with new-onset atrial fibrillation in patients with non-small-cell lung cancer a retrospective observational study.Frontiers in surgery · 2024Article
- Continuous perioperative heart rate variability monitoring in video-assisted thoracoscopic surgery lobectomy-a pilot study.Journal of clinical monitoring and computing · 2023Article
- Refined risk stratification for thoracoscopic lobectomy or segmentectomy.Journal of thoracic disease · 2019Article
- Landiolol for managing post-operative atrial fibrillation.European heart journal supplements : journal of the European Society of Cardiology · 2018Article
- Risk factors predictive of atrial fibrillation after lung cancer surgery.Surgery today · 2016Review
- Incidence and implications of postoperative supraventricular tachycardia after pulmonary lobectomy.The Journal of thoracic and cardiovascular surgery · 2016Article
- eComment. Atrial fibrillation in patients undergoing thoracic surgery.Interactive cardiovascular and thoracic surgery · 2013Article
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5 authors.
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Abstract
objectivesThe following study presents a special independent atrial fibrillation (AF) risk factor-preoperative fluctuation of heart rate variability (HRV), as well as other perioperative AF risk factors in patients qualified for pneumonectomy and undergoing pneumonectomy or lobectomy for lung cancer.
methodsThe prospective study was performed in patients who had undergone anatomical resection for non-small-cell lung cancer. A total of 117 patients (92 men and 25 women) qualified for statistical research. In order to determine the risk factors, all patients were divided into two groups: Group A-98 patients without AF and Group B-19 patients with AF during the perioperative time. A number of different risk factors of AF have been analysed and further divided into preoperative, operative and postoperative.
resultsPostoperative AF occurred in 19 patients (16%), all of them were male. The patients with higher short-term HRV parameters (SD1, RMSSD), slower mean heart rate and those with a lower fluctuation of HRV-related parameters (HRV Afternoon, Night, Day (A/N/D)) before the operation, were more prone to AF. Postoperative risk of AF was higher in patients with a higher number of ventricular ectopic beats before the operation, a higher number of supraventricular and ventricular ectopic beats and a higher maximal heart rate after the operation. Statistical analysis revealed that male gender and the extent of pulmonary resection, particularly left pneumonectomy, constituted significant risk factors. AF was more often observed in patients who had ASA physical status score of III, in comparison with ASAI and ASAII patients.
conclusionsAlong with other concomitant AF risk factors presented in this work, the evaluation of the fluctuation tendencies of HRV parameters should be taken into consideration before any major lung resection. The balance disturbance between the sympathetic and parasympathetic nervous systems is responsible for AF.
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