What question did this study set out to answer?

To define the prevalence, type, clinical course, and risk factors for postoperative supraventricular arrhythmias, particularly atrial fibrillation or flutter, after lung resection surgery.

October 1, 2001European Journal of Cardio-Thoracic SurgeryOpen Access

Supraventricular arrhythmias after resection surgery of the lung

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Why the study?

What are the prevalence and risk factors for postoperative supraventricular arrhythmias in patients undergoing lung resection surgery?

Population

197 patients undergoing resection surgery of the lung

Design

Cohort

Follow-up

In-hospital (until discharge)

Authors

OROttavio RenaUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro”

Discussion

Member takes

Implication

Highlights need for close AF monitoring after lung resection in older patients; Level 3 data leaves open prospective validation of risk stratification.

Key Points

To define the prevalence, type, clinical course, and risk factors for postoperative supraventricular arrhythmias, particularly atrial fibrillation or flutter, after lung resection surgery.
Retrospective review of 200 lung surgery patients from 1999
Analysis of preoperative physiologic values, lung functional status, and electrocardiograms
Exclusion of 3 patients with preoperative supraventricular arrhythmias
Identified 45 episodes of supraventricular arrhythmias (22% prevalence) with 41 cases of atrial fibrillation
Rhythm disturbances commonly occurred on the second postoperative day
98% of atrial fibrillation episodes resolved by discharge, with only one patient leaving with persistent atrial fibrillation

Structured PICO

What are the prevalence and risk factors for postoperative supraventricular arrhythmias in patients undergoing lung resection surgery?

Population

197 patients undergoing resection surgery of the lung (excluding 3 patients with preoperative supraventricular arrhythmias)

Intervention

Resection surgery of the lung (including pneumonectomy and lobectomy)

Outcome

Prevalence, type, clinical course, and risk factors for postoperative supraventricular arrhythmias (SVA), particularly atrial fibrillation or flutter (AF)hard clinical

Postoperative supraventricular arrhythmias, primarily atrial fibrillation, occur in 22% of patients after lung resection surgery and are associated with older age and specific resection types (pneumonectomy, superior lobectomy).

Cite This Study

Ottavio Rena (2001) studied this question.

synapsesocial.com/papers/6a702d19e71d69abee086d7b https://doi.org/10.1016/s1010-7940(01)00890-9

Topics

Atrial fibrillation Persistent AF management Anticoagulation in AF AF ablation outcomes

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Implication

Highlights need for close AF monitoring after lung resection in older patients; Level 3 data leaves open prospective validation of risk stratification.

Supraventricular arrhythmias after resection surgery of the lung

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Supraventricular arrhythmias after resection surgery of the lung

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Topics

Also Consider