Relationship between postoperative atrial fibrillation and its recurrence after lung resection
Relationship between postoperative atrial fibrillation and its recurrence after lung resection
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肺切除术后房颤与复发的关系
DOI：
10.1007/s00595-023-02670-4
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发表时间：
2023
期刊：
影响因子：
2.5
通讯作者：
Nishimura Yoshiharu
中科院分区：
文献类型：
--
作者：
Kashiwagi Manabu;Hirai Yoshimitsu;Kuroi Akio;Ohashi Takuya;Yata Yumi;Fusamoto Aya;Iguchi Hideto;Higashimoto Natsuki;Tanimoto Takashi;Tanaka Atsushi;Nishimura Yoshiharu
目的心房颤动（AF）是肺切除术后常见的并发症，常被称为术后心房颤动（POAF）。本研究探讨POAF是否与AF慢性期复发有关。方法对1311例无AF病史的肺肿瘤切除术患者进行回顾性分析。Logistic回归分析显示，年龄（p < 0.05）、甲状腺功能亢进病史（p <0.05）和肺切除术（p < 0.05）是POAF的独立预测因素。慢性期AF事件分别在15例（32.6%）和45例（3.6%）POAF患者中观察到。考克斯回归分析显示，POAF是慢性期AF发展的唯一独立预测因素（p < 0.01）。Kaplan-Meier曲线和log-rank检验显示POAF患者慢性期AF的累积发生率显著高于无POAF患者（p < 0.01）。需要进一步的研究，包括肺切除术后POAF患者的导管消融和最佳药物治疗病例。
PurposeAtrial fibrillation (AF) frequently occurs after pulmonary resection and is commonly referred to as postoperative atrial fibrillation (POAF). This study explored whether or not POAF is related to the recurrence of AF in the chronic phase.MethodsA total of 1311 consecutive patients without a history of AF who underwent lung resection based on a diagnosis of lung tumor were retrospectively analyzed.ResultsPOAF occurred in 46 patients (3.5%), and a logistic regression analysis revealed that the age (p < 0.05), history of hyperthyroidism (p < 0.05), and major lung resection (p < 0.05) were independent predictors of POAF. AF events in the chronic phase were observed in 15 (32.6%) and 45 (3.6%) patients with and without POAF, respectively. A Cox regression analysis revealed that POAF was the only independent predictor of AF development in the chronic phase (p < 0.01). The Kaplan–Meier curve and log-rank test revealed that the cumulative incidence of AF in the chronic phase was significantly higher in patients with POAF than in those without POAF (p < 0.01).ConclusionPOAF was an independent predictor for AF in the chronic phase after lung resection. Further investigations including cases of catheter ablation and optimal medical therapy for patients with POAF after lung resection are needed.
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非小细胞肺癌肺切除术后室上性心律失常及其胺碘酮治疗。
DOI：
10.1016/s1010-7940(00)00428-0
发表时间：
2000
期刊：
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
影响因子：
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作者：
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影响因子：
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作者：
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影响因子：
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作者：
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DOI：
10.1016/s1062-1458(01)00458-5
发表时间：
2001-11
期刊：
JAMA
影响因子：
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作者：
B. Gage;A. Waterman;W. Shannon;M. Boechler;M. Rich;M. Radford
通讯作者：
B. Gage;A. Waterman;W. Shannon;M. Boechler;M. Rich;M. Radford