Atrial fibrillation after surgery of the lung: clinical analysis of risk factors
Atrial fibrillation after surgery of the lung: clinical analysis of risk factors
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DOI：
10.1016/s1010-7940(98)00084-0
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发表时间：
1998-06-01
影响因子：
3.4
通讯作者：
Skrzypczak, M
中科院分区：
文献类型：
--
作者：
Dyszkiewicz, W;Skrzypczak, M
目的：本研究的目的是确定哪些临床参数在预测肺手术后房颤方面最有价值。材料与方法：回顾性分析298例以肺癌为主的肺切除术患者的临床资料。研究了以下参数：年龄和性别、心律紊乱、缺血性心脏病、糖尿病和动脉粥样硬化病史、NYHA分级和外科手术类型。此外，术中记录手术持续时间、血氧饱和度变化、全身血压和心率变化。使用Fisher精确检验进行统计分析。结果和结论：25例（8.4%）发生房颤，肺切除术后更常见（24%）。肺手术后导致房颤的其他因素包括：缺血性心脏病史、充血性心力衰竭、术中心脏骤停和需要再次开胸。(C)1998年由Elsevier Science B.V.出版，版权所有。
Objective: The aim of this study was to determine which of the clinical parameters are the most valuable in predicting postoperative atrial fibrillation after lung surgery. Materials and methods: Retrospective analysis was carried out on 298 patients after pulmonary resection necessitated mainly by lung cancer. The following parameters were investigated: age and sex, disturbances of cardiac rhythm, history of ischemic heart disease, diabetes and atherosclerosis, NYHA classification and type of surgical procedure. In addition, the duration of surgery, variations in oxygen saturation, changes in systemic blood pressure and heart-rate were noted intraoperatively. Statistical analysis was performed using Fisher's exact test. Results and conclusions: Atrial fibrillation occurred in 25 cases (8.4%) and more frequently after pneumonectomy (24%). Other factors contributing to atrial fibrillation after lung surgery were: history of ischemic heart disease, congestive heart failure, intraoperative cardiac arrest and the need for rethoracotomy. (C) 1998 Published by Elsevier Science B.V. All rights reserved.