Evidence map›Paper›PMID 39304864›Full record

ArticleBMC pulmonary medicine2024

Analysis of predictive factors for late recurrence of atrial fibrillation after surgical ablation in patients undergoing rheumatic valve surgery.

Qingsong Wu, Huangwei Li, Linfeng Xie, Xinfan Lin, Zhihuang Qiu, Liangwan Chen

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Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Qingsong Wu *Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29, 350001, Fuzhou, Fujian, P. R. China.
Huangwei Li *Fujian Medical University, Fuzhou, Fujian, P. R. China.
Linfeng XieFujian Medical University, Fuzhou, Fujian, P. R. China.
Xinfan LinFujian Medical University, Fuzhou, Fujian, P. R. China.
Zhihuang QiuDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29, 350001, Fuzhou, Fujian, P. R. China. qzhflm@126.com.
Liangwan ChenDepartment of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29, 350001, Fuzhou, Fujian, P. R. China. chenliangwan@tom.com.ORCID http://orcid.org/0000-0002-9359-4754

Funding

Fujian Provincial Special Reserve Talents Laboratory No. 2021-25Key Laboratory of Cardio-Thoracic Surgery (Fujian Medical University), Fujian Province University No.2019-67Startup Fund for Scientific Research at Fujian Medical University 2020QH1076
6 · The paper itself

Abstract

objectivesTo identify independent predictors of late recurrence of atrial fibrillation (AF) after surgical ablation in patients undergoing rheumatic valve surgery.

methodsA total of 258 patients who underwent surgical ablation for AF with rheumatic heart disease at our hospital between January 2019 and June 2022 were retrospectively included. The patients were followed up for 12 months. Late recurrence was defined as any AF recurrence longer than 30 s between 3 and 12 months. Patients with or without late recurrence were divided into non-recurrence and recurrence groups. Univariate and multivariate analyses were performed to identify the predictors of late recurrence.

resultsThe in-hospital mortality rate was 0.8% (2/258), and the late recurrence rate of AF was 38.4%, including 152 and 95 cases in the non-recurrent and recurrent groups respectively, with a follow-up completion rate of 96.5% (247/256). There were no deaths during follow-up, two patients (0.8%) experienced a stroke, and one patient (0.4%) experienced gastrointestinal hemorrhage. The results of the univariate and multivariate analyses of the preoperative risk factors for late recurrence showed a left atrial (LA) anteroposterior diameter ≥ 52.9 mm (odds ratio [OR] = 2.366, 95% confidence interval [CI] = 1.089-5.138, P = 0.030], ratio of the superoinferior to the anteroposterior diameters of LA (S-AR) < 1.19 (OR = 4.639, 95% CI = 2.181-9.865, P < 0.001), and AF duration ≥ 39 months (OR = 6.152, 95% CI = 2.897-13.061, P < 0.001), and cardiothoracic ratio ≥ 0.63 (OR = 2.716, 95% CI = 1.314-5.612, P = 0.007) were the most significant independent risk factors.

conclusionsLA anteroposterior diameter ≥ 52.9 mm, S-AR < 1.19, and AF duration ≥ 36 months and cardiothoracic ratio ≥ 0.63 are independent predictors for late recurrence of AF after surgical ablation in patients undergoing rheumatic valve surgery.

Indexed as

Atrial FibrillationCatheter AblationRecurrenceRheumatic Heart DiseaseAdultAgedFemaleHospital MortalityHumansMaleMiddle AgedRetrospective StudiesRisk FactorsAtrial fibrillationLate recurrenceRheumatic valve surgerySurgical ablation

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PMID39304864
PMCPMC11416006

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