Arrhythmias & electrophysiology
Predictors of Late Atrial Fibrillation Recurrence After Cardiac Surgery
Main finding · Late AF recurrenceResult — go to the resultHazard ratio 5.9Authors' conclusion
Post-operative AF episodes of duration ≥48 hours predict recurrent AF episodes over long-term follow-up after cardiac surgery.
Study context
- Population
- Cardiac surgery patients 2010–2018 without preoperative atrial fibrillation (AF) or atrial flutter
- Participants
- 1,031 patients
- Exposure
- Early postoperative atrial fibrillation (POAF) vs no early POAF
- Early POAFn = 445
- Outcome
- Late AF recurrence (≥12 months after surgery) and its predictors
- Follow-up
- 4.7 ± 2.4 years
Main finding
Late AF recurrence · 4.7 ± 2.4 years
Hazard ratio
5.9
By group
As reported in the abstract
- Late AF overall
- 139 patients (14%)
- Median time to AF recurrence (Q1-Q3: 2.6-6.2 years)
- 4.4 years
- Late AF incidence with POAF duration >48 hours
- 38%
Observational data: associations, not effects.
Further findings
Early POAF course
- Early POAF incidence
- 445 patients (43%)
- Total AF duration <48 hours
- 72%
- Sinus rhythm at discharge
- 91%
Original publication
Predictors of Late Atrial Fibrillation Recurrence After Cardiac Surgery. JACC Clin Electrophysiol. Published July 2024. doi:10. 1016/ j. jacep. 2024. 05. 030
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