Download Atrial Fibrillation after Cardiac Surgery - J. Steinberg (Kluwer, 2000) WW PDF

TitleAtrial Fibrillation after Cardiac Surgery - J. Steinberg (Kluwer, 2000) WW
File Size10.0 MB
Total Pages174
Table of Contents
Table of Contents
1 Experimental Animal Models of Atrial Arrhythmias and Their Relevance to Post-Operative Atrial Arrhythmias that Occur in Humans Unergoing Cardiac Surgery
2 Understanding the Pathophysiology of Atrial Fibrillation from Clinical Observations
3 Incidence, Timing and Outcome of Atrial Tachyarrhythmias After Cardiac Surgery
4 Risk Factors for the Development of Postoperative Atrial Fibrillation
5 The Impact of Atrial Fibrillation on Hospital Length of Stay After Cardiac Surgery
6 Prophylactic Value of Beta Blockers
7 Antiarrhythmic Therapy to Prevent Atrial Fibrillation after Cardiac Surgery
8 Nonpharmacologic Treatment of Postoperative Atrial Fibrillation
9 Therapeutic Options for Establised or Recurrent Atrial Fibrillation - Focus on Antithrombotic Therapy
10 Atrial Fibrillation after Noncardic Surgery
Document Text Contents
Page 87


11. Ong JJ, Hsu PC, I., Yu A, Kass RM, Peter C'V, Swerdlow CD. Arrhythmias after cardioverter-
dellbrillator implantation: comparison ot'epicardial and transvenous systems. Am J Cardiol
12. Aranki SF, Shaw DP, Adams DH, Rizzo RJ, Couper GS, VanderVliet M, Collins JJ Jr, Cohn LH,
Burstin HR. Predictors of atrial fibrillation after coronary artery surgery. Current trends and impact on
hospital resources. Circulation 1996;94:390-7.
13. Hashimoto K, llstrup DM, Schaff HV. Influence of clinical and hemodynamic variables on risk of
supraventricular tachycardia after coronary artery bypass. J Thorac Cardiovasc Surg 1991;101:56-65.
14. Stafford PJ, Kolvekar S, Cooper J, Fothergill J, Schlindwein F, deBono DP, Spyt TJ, Garratt CJ,
Signal averaged P wave compared with standard electrocardiography or echocardiography for prediction
of atrial fibrillation after coronary bypass grafting. Heart 1997;77:417-22.
15. Frost L, Lund B, Pilegaard H, Christiansen EH. Re-evaluation of the role of P-wave duration and
morphology as predictors of atrial fibrillation and flutter after coronary artery bypass surgery. Eur Heart
J 1996;17:1065-71.
16. Zaman AG, Alamgir F, Richens T, Williams R, Rothman MT, Mills PG. The role of signal averaged
P wave duration and serum magnesium as a combined predictor of atrial fibrillation after elective
coronary artery bypass surgery. Heart 1997;77:527-31.
17. Mooe T, Gullsby S, Rabben T, Eriksson P. Sleep-disordered breathing: a novel predictor of atrial
fibrillation after coronary artery bypass surgery. Coron Art Dis 1996;7:475-8.
18. Kalman JM. Munawar m, Howes LG, Louis WJ, Buxton BF, Gutteridge G, Tonkin AM. Atrial
fibrillation after coronary artery bypass grafting is associated with sympathetic activation. Ann Thorac
Surg 1995;60:1709-1715.
19. Fuller JA, Adams GG, Buxton B. Atrial fibrillation after coronary artery bypass grafting: is it a
disorder of the elderly? J Thorac Cardiovasc Surg 1989;97:821-825.
20. Benjamin EJ, Levy D, Vaziri SM, D'Agostino RB, Belanger AJ, Wolf PA. Independent risk factors
for atrial t'lbrillation in a population-based cohort. The Framingham Heart Study. JAMA 1994;271:840-
21. Dimmer C, Jordaens L, Gorgov N, Peene I, Francois K, Van Nooten G, Clement DL. Analysis of the
P wave with signal averaging to assess the risk of atrial fibrillation after coronary artery bypass surgery.
Cardiol 1998;89:19-24.
22. Caretta Q, Mercanti CA, DeNardo D, Chiarotti F, Scibilia G, Reale A, Manno B. Ventricular
conduction defects and atrial fibrillation after coronary artery bypass grafting, multivariate analysis of
preoperative, intraoperative and postoperative variables. Eur J Cardiol 199I;12:1107-1111.
23. Sternberg JS, Zelenkofske S, Wong SC, Gelerat M, Sciacca R, Menchavez E. Value of the P-wave
signal-averaged ECO for predicting atrial fibrillation after cardiac surgery. Circulation 1993;88:2618-22.
24. Creswell LL, Schuessler RB, Rosenbloom M, Cox JL. Hazards of postoperative atrial arrhythmias.
Ann Thorac Surg 1993;56:539-49.
25. Frost L, Jacobsen CJ, Christiansen EH, Molgaard H, Pilegaard H, Hjortholm K, Thomsen PE.
Hemodynamic predictors of atrial fibrillation or flutter after coronary artery bypass grafting. Acta
AnaesthScand 1995;39:690-7.
26. Mendes LA, Connelly GP, McKenney PA, Podrid PJ, Cupples LA, Shemin RJ, Ryan TJ, DavidotT R.
Right coronary artery stenosis: an independent predictor of atrial fibrillation after coronary artery bypass
surgery. J Amer Coll Cardiol 1995;25:198-202.
27. Pehkonen EJ, Makynen PJ, Katajo MJ, Tarkka MR. Atrial fibrillation after blood and crystalloid
cardioplegia in CABG patients. Thorac Cardiovasc Surgeon 1995; 43:200-203.
28. Chew JT, Ong KK. Atrial arrhythmias post coronary bypass grafting. Singapore Med J I993;34:430-
29. Akins CW. Noncardioplegic myocardial preservation for coronary revascularization, J Thorac
Cardiovasc Surg 1984;88:174-181.
30. Klein M, Evans SJ, Blumberg S, Cataldo L, Bodenheimer MM. Use of p-wave triggered, p-wave
signal-averaged electrocardiogram to predict atrial fibrillation after coronary artery bypass surgery. Am
Heart J 1995;129:895-901.
31. Stephenson LW, MacVaugh H, Tomasello DN, Josephson ME. Propranolol for the prevention of
postoperative cardiac arrhythmias: A randomized study. Ann Thorac Surg 1980;29:113-116.
32. Han J, Moe GK, Nonuniform recovery of excitability in ventricular muscle. Circ Res 1964; 14:44-

Page 88


33. Michelucci A, Padeletti L, Fradella GA. Atrial refractoriness and spontaneous or induced atrial
fibrillation. Acta Cardiol 1982;5:333-344.
34. Ali IM, Sanalla AA, Clark V. Beta-blocker effects on postoperative atrial fibrillation. Eur J Cardio-
ThorSurg 1997;11:1154-7.
35. Frost L, Molgaard H, Christiansen EH, Hjortholm K., Paulsen PK, Thomsen PE. Atrial fibrillation
and flutter after coronary artery bypass surgery: epidemiology, risk factors and preventive trials. Inter J
Cardiol 1992;36;253-61.
36. Frost L, Molgaard H, Christiansen EH, Jacobsen CJ, Pilegaard H, Thomsen PE. Atrial ectopic
activity and atrial fibrillation/flutter after coronary artery bypass surgery. A case-base study controlling
for confounding from age, beta-blocker treatment, and time distance from operation. Int J Cardiol
37. Abel RM, Van Gelder HM, Pores IH, Liguori J, Geilchinsky I, Parsonnet V. Continued propranolol
administration following coronary bypass surgery. Arch Surg 1983;118:727-731.
38. Silverman NA, Wright R, Levitsky S. Efficacy of low-dose propranolol in preventing postoperative
supraventricular tachyarrhythmias. Ann Surg 1982196:194-197.
39. Salazar C, Frishman W Friedman S et al. Betablocker therapy for supraventricular tachyarrhythmias
after coronary surgery: a propranolol withdrawal syndrome? Angiology 1979;30:816-819.
40. White HD, Antman GM, Glynn MA, et al. Efficacy and safety of timolol for the prevention of
supraventricular tachyarrhythmias after coronary artery bypass surgery. Circulartion 1984;70:479-484.
41. Sun LS, Adams DC, Delphin E, Graham J, Meltzer E, Rose EA, Heyer EJ. Sympathetic response
during cardiopulmonary bypass: mild versus moderate hypothermia. Crit Care Med 1997;25:1990-3.
42. Leier CV, Meacham JA, Schaal SF. Prolonged atrial conduction: A major predisposing factor for the
development of atrial ftutter. Circulation 1978;57:213-216.
43. Watson RM, Josephson ME. Atrial ftutter: I. Electrophysiologic substrates and modes of initiation
and termination. Am J Cardiol 1980;45:732-741.
44. Buxton AE, Josephson ME. The role of p-wave duration as a predictor of postoperative atrial
arrhythmias. Chest 1981;80:68-73.
45.Guidera SA, Steinberg JS. The signal-averaged p-wave duration: a rapid and non-invasive marker of
risk of atrial fibrillation. J Am Coll Cardiol 1993;21:1645-1651.
46. Ehlert FA, Gaur A, Steinberg JS. Correlation of the p-wave signal averaged electrocardiogram to
intra-cardiac atrial conduction. Circulation 1996;94:1-70.
47. Hogue CWJr, Domitrovich PP, Stein PK, Despontis GD, Re L, Schuessler RB, Kleiger RE, Rottman
JN. RR interval dynamics before atrial fibrillation in patients after coronary artery bypass graft surgery.
Circulation 1998;98:429-434,
48. Hutchinson LA, Steinberg JS. A prospective study of atrial fibrillation after cardiac surgery:
multivariate analysis using p wave signal-averaged ECG and clinical variables. Ann Noninv Elec
49. Gardin J, Singer D. Atrial infarction: importance, diagnosis and localization. Arch Intem Med
50. Lazar E, Goldberger J, Peled H, Sherman M, Frishman W. Atrial infarction: diagnosis and
management. Am J Cardiol 1988;116:1058-1061.
51. Rechavia E, Strasberg B, Mager A et al. The incidence of atrial arrhythmias during inferior wall
infarction with and without right ventricular involvement. Am Heart J 1992;124:387-391.
52. Salem HI, Chaudhry A, Haikal M, Gowda S, Campbell A, Coordes C, L«idenfrost R. Sustained
supraventricular tachyarrhythmias following coronary artery bypass surgery comparing mammary versus
saphenous vein grafts. Angiology 1991;42:441-6.
53. Subramanian VA, McCabe JC, Geller CM. Minimally invasive direct coronary artery bypass
grafting: two-year clinical experience. Ann Thorac Surg 1997;64:1648-55.
54. Arom KV, Emery RW, Nicoloff DM, Flavin TF, Emery AM. Minimally invasive direct coronary
artery bypass grafting: experimental and clinical experiences. Ann Thorac Surg 1997;63:S48-S52.
55. Tamis JE, Vloka ME, Malhotra S, Mindich BP, Steinberg JS. Atrial fibrillation is common after
minimally invasive direct coronary artery bypass surgery. J Am Coll Cardiol 1998;'31:118A.
56. Michelson EL, Morganroth J, MacVaugh H. Postoperative arrhythmias after coronary artery and
cardiac valvular surgery detected by long term electrocardiographic monitoring. Am Heart J 1979;

Page 173



abnormalities oL in atrial fibrillation, 29
postoperative, 73
prophylactic, 110t, 111-112

after noncardiac surgery, 155t, 158
Mammary artery, internal, grafts for, 65
MAZE procedure, 128f, 129
Metoprolol, prophylactic, 150

clinical trials of, 97t, 103
after noncardiac surgery, 155t, 157-158

Mitral valve surgery
anti-thrombotic therapy after, 135-136,

atrial fibrillation after, 22, 24f, 66

Mortality, operative, atrial tachyarrhythmia
and, 45, 45f, 154-155

Myocardial infarction
atrial fibrillation and, 31, 45, 45f, 74-75,



Nadolol, prophylactic, clinical trials of, 97t,

Noncardiac surgery
nonthoracic, atrial fibrillation after,

19-20, 23t, 24f, 159-161
thoracic, atrial fibrillation after, 19-20,

23t, 24f, 141-159
age and, 143-144
hospital stay and, 155
incidence of, 141-143, 142t
mechanisms of, 149-152
mortality and, 154-155
postoperative complications and,

prevention of, 105-106, 155-159, 155t
recurrence of, 155
risk factors for, 143-149, 145f
surgical factors in, 144-146, 145f
time course of, 152-153, 153f, 153t

Norepinephrine, atrial fibrillation and, 28,


implantation of, atrial tachyarrhythmia

after, 45
prophylactic, 120-124, 122t

Bachmann's bundle, 122t, 124

with beta-blocker therapy, 1 24
biatrial, 122t, 123-124
dual-site, 122-123, 122t

atrial fibrillation and, 30, 151-152
postoperative, 75

Pericardium, incision into, atrial fibrillation
and, 145-146

Potassium, postoperative, 73
Premature ventricular beats, atrial

fibrillation and, 147
Pressor agents, postoperative, 73-74
Procainamide, prophylactic, 110t, 112
Procaine, prophylactic, after noncardiac

surgery, 158
Propranolol, prophylactic, clinical trials of,

P wave, duration of, 25, 61)--61, 60f


Quinidine, prophylactic, after noncardiac
surgery, 155t, 158-159


Reentry circuit, 1-2
in atrial fibrillation, 3-4, 23-24
in atrial flutter, 2-3, 24
in atrial tachycardia, 3

Renal failure, postoperative, 75
Respiratory failure, postoperative, 75
Right ventricular afterload, atrial fibrillation

and, 152

Scar tachycardia, 3
canine crush-injury model of, 10

Sheep, atrial fibrillation in, 14
Sinoatrial nodal artery, stenosis of, 64
Sotalol, prophylactic, 110t, 112-113


Thoracic lymph nodes, resection of, atrial
fibrillation and, 145

Thoracoscopy, atrial fibrillation and, 146
Thyrotoxicosis, atrial fibrillation and, 149
Timolol, prophylactic, clinical trials of, 97t,


Page 174


Triiodothyronine supplement, after
coronary artery bypass grafting, 21


Vagal stimulation, in atrial fibrillation, 28
Valvular heart surgery. See also Aortic

valve replacement; Mitral valve

anti-thrombotic therapy after, 135-136,

atrial tachyarrhythmias after, 41-42, 42t,
43, 66

Vena cava, inferior, cannulation of, 67

age related changes in, 26

assessment of, 61--63
venting of, 68-69

Ventricular fibrillation, postoperative atrial
tachyarrhythmia and, 45, 45f

Ventricular tachycardia, postoperative atrial
tachyarrhythmia and, 45, 45f

Verapamil, prophylactic, 110t, 111
after noncardiac surgery, 155t, 157

Volume loading, atrial effects of, 25, 31
Volume overload, atrial fibrillation and, 148,



Warfarin. See Antithrombotic therapy

Similer Documents