PREDICTORS OF ATRIAL FIBRILLATION IN PATIENTS WITH SINUS RHYTHM AFTER MITRAL VALVE SURGERY
https://doi.org/10.17802/2306-1278-2024-13-2-135-142
Abstract
Highlights
AF recurrence is a common complication of AF surgical treatment. This complication is influenced by a large number of factors. In this article, we propose a model that allows specialists to predict this complication in patients at high risk.
Abstract
Aim. To identify predictors associated with a high risk of atrial fibrillation in patients with sinus rhythm following mitral valve surgery.
Methods. The surgical treatment outcomes of 36 patients with mitral valve disease and sinus rhythm who underwent mitral valve surgery from 2013 to 2018 were analyzed.
Results. We have developed a prognostic model describing the risk of atrial fibrillation depending on the impact of risk factors. The presence atrial flutter before surgery increases the risk of developing AF by 9.06 times, an increase in left ventricle end-systolic size by 1 centimeter increases the risk by 20.12 times, an increase in the right atrium size by 1 centimeter increases the risk by 14.99 times, and the need for temporary cardiac pacing in the early postoperative period increases the risk by 14.47 times.
Conclusion. The proposed prognostic model can be used to select patients at high risk of developing AF after mitral valve surgery with sinus rhythm for prophylactic ablation.
About the Authors
Roman N. Komarov
Federal State Autonomous Educational Institution of Higher Education “I.M. Sechenov First Moscow State Medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
PhD, Professor, Director of the Clinic of Aortic and Cardiovascular Surgery, Head of the Department of Intermediate Course of Surgery No. 1 named after N.N. Burdenko, Cardiovascular Surgeon, Federal State Autonomous Educational Institution of Higher Education “I.M. Sechenov First Moscow State Medical University” of the Ministry Healthcare of the Russian Federation (Sechenov University), Moscow, Russian Federation
Denis A. Matsuganov
Federal State Budgetary Educational Institution of Higher Education “South Ural State Medical University” of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Cardiovascular Surgeon at the Department of Cardiac Surgery, State Budgetary Healthcare Institution “Chelyabinsk Regional Clinical Hospital”, Russian Federation; Assistant at the Department of Anatomy and Surgery, Federal State Budgetary Educational Institution of Higher Education “South Ural State Medical University” of the Ministry of Health of the Russian Federation, Chelyabinsk, Russian Federation
Dmitry O. Bystrov
State Budgetary Healthcare Institution of the Arkhangelsk Region “First City Clinical Hospital named E.E. Volosevich”
Russian Federation
Russian Federation
PhD, Cardiovascular Surgeon at the Department of Cardiac Surgery, State Budgetary Healthcare Institution of the Arkhangelsk Region “E.E. Volosevich First City Clinical Hospital”, Arkhangelsk, Russian Federation
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Supplementary files
Review
For citations:
Komarov R.N., Matsuganov D.A., Bystrov D.O. PREDICTORS OF ATRIAL FIBRILLATION IN PATIENTS WITH SINUS RHYTHM AFTER MITRAL VALVE SURGERY. Complex Issues of Cardiovascular Diseases. 2024;13(2):135-142. (In Russ.) https://doi.org/10.17802/2306-1278-2024-13-2-135-142
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