Predictive value of total atrial conduction time measured with tissue doppler imaging for postoperative atrial fibrillation after coronary artery bypass surgery

dc.contributor.authorÖzlü, Mehmet Fatih
dc.contributor.authorErdem, Kemalettin
dc.contributor.authorKırış, Gülhanim
dc.contributor.authorParlar, Ali Ihsan
dc.contributor.authorDemirhan, Abdullah
dc.contributor.authorAyhan, Selim Suzi
dc.contributor.authorErdem, Alim
dc.contributor.authorÖztürk, Serkan
dc.contributor.authorYazıcı, Mehmet
dc.contributor.authorTekelioğlu, Ümiit Yaşar
dc.date.accessioned2021-06-23T19:34:33Z
dc.date.available2021-06-23T19:34:33Z
dc.date.issued2013
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractPostoperative atrial fibrillation (POAF) complicating coronary artery bypass grafting surgery (CABG) increases morbidity and stroke risk. Total atrial conduction time (PA-TDI duration) has been identified as an independent predictor of new-onset atrial fibrillation (AF). We aimed to assess whether PA-TDI duration is a predictor of AF after CABG. In 128 patients who had undergone CABG, preoperative clinical and echocardiographic data were compared between patients with and without POAF. The PA-TDI duration was assessed by measuring the time interval between the beginning of the P wave on the surface ECG and point of the peak A wave on TDI from left atrium (LA) lateral wall just over the mitral annulus. Patients with POAF (38/128, 29.6 %) were older (68.1 +/- 11.1 vs. 59.3 +/- 10.2 years; p < 0.001), had higher LA maximum volume, had prolonged PA-TDI duration, and had lower ejection fraction compared with patients without POAF. PA-TDI duration was found to be significantly increased in POAF group (134.3 +/- 19.7 vs. 112.5 +/- 17.7 ms; p = 0.01). On multivariate analysis, age (95 % CI = 1.03-1.09; p = 0.003), LA maximum volume (95 % CI = 1.01-1.06; p = 0.03), and prolonged PA-TDI duration (95 % CI, 1.02-1.05; p = 0.001) were found to be the independent risk factors of POAF. In this study, LA maximum volume and PA-TDI duration were found to be the independent predictors of the development of POAF after CABG. Echocardiographic predictors of left atrial electromechanical dysfunction may be useful in risk stratifying of patients in terms of POAF development after CABG.en_US
dc.identifier.doi10.1007/s10840-012-9756-4
dc.identifier.endpage33en_US
dc.identifier.issn1383-875X
dc.identifier.issue1en_US
dc.identifier.pmid23239219en_US
dc.identifier.scopus2-s2.0-84877579889en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage27en_US
dc.identifier.urihttps://doi.org/10.1007/s10840-012-9756-4
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7551
dc.identifier.volume37en_US
dc.identifier.wosWOS:000318505200004en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÖzlü, Mehmet Fatih
dc.institutionauthorErdem, Kemalettin
dc.institutionauthorAyhan, Selim Suzi
dc.institutionauthorErdem, Alim
dc.institutionauthorDemirhan, Abdullah
dc.institutionauthorÖztürk, Serkan
dc.institutionauthorYazıcı, Mehmet
dc.institutionauthorTekelioğlu, Ümiit Yaşar
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofJournal Of Interventional Cardiac Electrophysiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCoronary Artery Bypass Grafting Surgeryen_US
dc.subjectTotal Atrial Conduction Timeen_US
dc.subjectLeft Atrial Volumeen_US
dc.subjectPostoperative Atrial Fibrillationen_US
dc.titlePredictive value of total atrial conduction time measured with tissue doppler imaging for postoperative atrial fibrillation after coronary artery bypass surgeryen_US
dc.typeArticleen_US

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