Idade avançada e incidência de fibrilação atrial em pós-operatório de troca valvar aórtica
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| Natura: | Artículo científico |
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Sociedade Brasileira de Cirurgia Cardiovascular
2014
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| author | Fernando Pivatto Júnior |
| author_facet | Fernando Pivatto Júnior |
| contents | Idade avançada e incidência de fibrilação atrial em pós-operatório de troca valvar aórtica Fernando Pivatto Júnior Guaracy Fernandes Teixeira Filho João Ricardo Michelin Sant’anna Pablo Mondim Py Paulo Roberto Prates Ivo Abrahão Nesralla Renato Abdala Karam Kalil Medicina Aged Atrial Fibrillation Postoperative Period Aortic Valve Stenosis Objective: This study aims to describe the correlation between age and occurrence of atrial fibrillation after aortic stenosis surgery in the elderly as well as evaluate the influence of atrial fibrillation on the incidence of strokes, hospital length of stay, and hospital mortality. Methods: Cross-sectional retrospective study of ≥ 70 year- old patients who underwent isolated aortic valve replacement. Results: 348 patients were included in the study (mean age 76.8 ± 4.6 years). Overall, post-operative atrial fibrillation was 32.8% (n=114), but it was higher in patients aged 80 years and older (42.9% versus 28.8% in patients aged 70-79 years, P =0.017). There was borderline significance for linear correla - tion between age and atrial fibrillation ( P =0.055). Intensive Care Unit and hospital lengths of stay were significantly in - creased in atrial fibrillation ( P <0.001), but there was no in - crease in mortality or stroke associated with atrial fibrillation. Conclusion: Post-operative atrial fibrillation incidence in aortic valve replacement is high and correlates with age in patients aged 70 years and older and significantly more pro - nounced in patients aged 80 years. There was increased length of stay at Intensive Care Unit and hospital, but there was no increase in mortality or stroke. These data are important for planning prophylaxis and early treatment for this subgroup. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941892010 pt http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.29 |
| format | Artículo científico |
| id | redalyc_398941892010 |
| institution | Redalyc |
| language | pt |
| publishDate | 2014 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Idade avançada e incidência de fibrilação atrial em pós-operatório de troca valvar aórtica Fernando Pivatto Júnior Medicina Aged Atrial Fibrillation Postoperative Period Aortic Valve Stenosis Idade avançada e incidência de fibrilação atrial em pós-operatório de troca valvar aórtica Fernando Pivatto Júnior Guaracy Fernandes Teixeira Filho João Ricardo Michelin Sant’anna Pablo Mondim Py Paulo Roberto Prates Ivo Abrahão Nesralla Renato Abdala Karam Kalil Medicina Aged Atrial Fibrillation Postoperative Period Aortic Valve Stenosis Objective: This study aims to describe the correlation between age and occurrence of atrial fibrillation after aortic stenosis surgery in the elderly as well as evaluate the influence of atrial fibrillation on the incidence of strokes, hospital length of stay, and hospital mortality. Methods: Cross-sectional retrospective study of ≥ 70 year- old patients who underwent isolated aortic valve replacement. Results: 348 patients were included in the study (mean age 76.8 ± 4.6 years). Overall, post-operative atrial fibrillation was 32.8% (n=114), but it was higher in patients aged 80 years and older (42.9% versus 28.8% in patients aged 70-79 years, P =0.017). There was borderline significance for linear correla - tion between age and atrial fibrillation ( P =0.055). Intensive Care Unit and hospital lengths of stay were significantly in - creased in atrial fibrillation ( P <0.001), but there was no in - crease in mortality or stroke associated with atrial fibrillation. Conclusion: Post-operative atrial fibrillation incidence in aortic valve replacement is high and correlates with age in patients aged 70 years and older and significantly more pro - nounced in patients aged 80 years. There was increased length of stay at Intensive Care Unit and hospital, but there was no increase in mortality or stroke. These data are important for planning prophylaxis and early treatment for this subgroup. 2014 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398941892010 pt http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.29 |
| title | Idade avançada e incidência de fibrilação atrial em pós-operatório de troca valvar aórtica |
| topic | Medicina Aged Atrial Fibrillation Postoperative Period Aortic Valve Stenosis |
| url | https://www.redalyc.org/articulo.oa?id=398941892010 |