Atrial Fibrillation After Pulmonary Transplantation

• DOI: 10.1161/circep.111.964569
• Publication Date: 2011-12-09T01:40:03Z
• Authors: Christine Henri; Geneviève Giraldeau; Marc Dorais; Alexis-Simon Clou...; François Girard; Nicolas Noiseux; Pasquale Ferraro; Stéphane Rinfret
• Keywords: Adult; Lung Diseases; Male; Incidence; Quebec; Middle Aged; 3. Good health; Cardiac Resynchronization Therapy; Survival Rate; 03 medical and health sciences; Postoperative Complications; Treatment Outcome; 0302 clinical medicine; Risk Factors; Atrial Fibrillation; Humans; Female; Follow-Up Studies; Lung Transplantation; Retrospective Studies

Atrial fibrillation (AF) is common after thoracic surgery. Limited data exist concerning the incidence of AF, its impact on mortality, effectiveness therapy, and risk factors AF pulmonary transplantation.We reviewed medical files 224 consecutive lung transplant recipients who underwent surgery over a 10-year period at large Canadian center. We collected patient characteristics, in-hospital treatments, outcomes. Time-to-event analysis was used to account for follow-up models generated assess mortality independent transplantation. Postoperative occurred in 65 patients (29%). more likely occur with complications such as pneumonia, mediastinitis, bronchial dehiscence not an factor (hazard ratio=1.56; 95% confidence interval, 0.52-4.63). Pharmacological or electric therapy rhythm rate control administered 97% patients. Intravenous amiodarone 46%, cardioversion 28%, heparin 26%. Only 1 remained discharge. Age ratio=1.08 by year; 1.05-1.12), bilateral transplantation ratio=1.87; 1.03-3.42), history before ratio=4.48; 1.05-19.11) were found be independently associated increased postoperative AF.AF fairly transplantation, transient, relatively benign. It mortality. Most return sinus Age, prior increase AF.