Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/12295
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dc.contributor.authorSaxena, Akshaten
dc.contributor.authorKapoor, Jadaen
dc.contributor.authorDinh, Diem Ten
dc.contributor.authorSmith, Julian Aen
dc.contributor.authorShardey, Gilbert Cen
dc.contributor.authorNewcomb, Andrew Een
dc.date.accessioned2015-05-16T01:57:29Z-
dc.date.available2015-05-16T01:57:29Z-
dc.date.issued2014-07-03en
dc.identifier.citationJournal of Cardiology 2014; 65(3): 224-9en
dc.identifier.govdoc24998984en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/12295en
dc.description.abstractTo evaluate the impact of preoperative atrial fibrillation (pre-op AF) on early and late mortality after isolated coronary artery bypass graft (CABG) surgery.Data obtained prospectively between June 2001 and December 2009 by the Australasian Society of Cardiac and Thoracic Surgeons National Cardiac Surgery Database Program were retrospectively analyzed. Patients who underwent concomitant atrial arrhythmia surgery/ablation were excluded. Demographic and operative data were compared between patients with and without pre-op AF. The independent association of pre-op AF on early mortality, perioperative complications, and late mortality was determined.Isolated CABG surgery was performed in 21,534 patients; 1312 (6.1%) presented with pre-op AF. Pre-op AF patients were older (mean age, 71 years vs. 65 years, p<0.001) and had more comorbidities reflected in a higher additive EuroSCORE (8.4±3.5 vs. 6.5±3.2, p=0.001). Even after accounting for confounding factors, however, pre-op AF was associated with a 63% increase in 30-day mortality [4.2% vs. 1.4%; hazard ratio (HR), 1.63; 95% confidence interval (CI), 1.17-2.29; p=0.004] and 39% increase in late mortality (5-year survival, 78% vs. 90%; HR, 1.39; 95% CI, 1.20-1.61; p<0.001).Pre-op AF is an independent predictor of poor early and late outcomes. Pre-op AF should be considered, therefore, in the development or update of risk stratification models for CABG surgery.en
dc.language.isoenen
dc.subject.otherAtrial fibrillationen
dc.subject.otherCardiac surgeryen
dc.subject.otherCoronary artery bypass graften
dc.subject.otherMorbidityen
dc.subject.otherSurvivalen
dc.titlePreoperative atrial fibrillation is an independent predictor of worse early and late outcomes after isolated coronary artery bypass graft surgery.en
dc.typeJournal Articleen
dc.identifier.journaltitleJournal of cardiologyen
dc.identifier.affiliationDepartment of Surgery (MMC), Monash University, Clayton, Victoria, Australiaen
dc.identifier.affiliationDepartment of Cardiothoracic Surgery, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australiaen
dc.identifier.affiliationDepartment of Cardiothoracic Surgery, Monash Medical Centre, Clayton, Victoria, Australiaen
dc.identifier.affiliationUniversity of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Fitzroy, Victoria, Australiaen
dc.identifier.affiliationDepartment of Surgery, Austin Hospital, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Epidemiology and Preventative Medicine, Monash University, Prahran, Victoria, Australiaen
dc.identifier.affiliationCabrini Medical Centre, Malvern, Victoria, Australiaen
dc.identifier.doi10.1016/j.jjcc.2014.06.003en
dc.description.pages224-9en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/24998984en
dc.type.austinJournal Articleen
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
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