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Clinical significance of postoperative atrial arrhythmias in patients who underwent lung transplantation

Authors
 Byung Gyu Kim  ;  Jae-Sun Uhm  ;  Pil-Sung Yang  ;  Hee Tae Yu  ;  Tae-Hoon Kim  ;  Boyoung Joung  ;  Hui-Nam Pak  ;  Song Yee Kim  ;  Moo Suk Park  ;  Jin Gu Lee  ;  Hyo Chae Paik  ;  Moon-Hyoung Lee 
Citation
 KOREAN JOURNAL OF INTERNAL MEDICINE, Vol.35(4) : 897-905, 2020-07 
Journal Title
 KOREAN JOURNAL OF INTERNAL MEDICINE 
ISSN
 1226-3303 
Issue Date
2020-07
Keywords
Atrial f lutter ; Atrial fibrillation ; Lung transplantation ; Survival ; Tachycardia, ectopic atrial
Abstract
Background/aims: Atrial arrhythmia (AA) occasionally occurs after lung transplantation (LT); however, risk factors for AA and their impact on clinical outcomes are inconsistent. We aimed to investigate the incidence, predisposing factors, and clinical outcomes of AA after LT. Methods: We retrospectively evaluated 153 consecutive patients who underwent LT between January 2010 and August 2016. An AA episode was defined as a documented atrial fibrillation (AF), atrial flutter, or atrial tachycardia on 12-lead electrocardiography or episodes lasting ≥ 30 seconds on telemetry monitoring. Results: The mean follow-up time was 22.0 ± 19.1 months. Postoperative AA occurred in 46 patients (30.1%) after LT. Patients with postoperative AA were older, had larger body surface area, and had an increased incidence of paroxysmal AF prior to transplantation, idiopathic pulmonary fibrosis, and postoperative tracheostomy than patients without AA. Preoperative right atrial pressure (RAP) (odds ratio [OR], 1.19; p = 0.005) and longer periods of mechanical ventilation (OR, 1.03; p = 0.008) were found to be independent risk factors for AA after surgery. Development of AA was a significant predictor of long-term overall mortality (hazard ratio, 2.75; p = 0.017). Conclusion: Patients with elevated preoperative RAP and long-term ventilator care had a higher risk of AA after LT. Further, AA after LT was associated with poor long-term survival.
Files in This Item:
T202004284.pdf Download
DOI
10.3904/kjim.2018.326
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Song Yee(김송이) ORCID logo https://orcid.org/0000-0001-8627-486X
Kim, Tae-Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-4200-3456
Park, Moo Suk(박무석) ORCID logo https://orcid.org/0000-0003-0820-7615
Pak, Hui Nam(박희남) ORCID logo https://orcid.org/0000-0002-3256-3620
Paik, Hyo Chae(백효채) ORCID logo https://orcid.org/0000-0001-9309-8235
Uhm, Jae Sun(엄재선) ORCID logo https://orcid.org/0000-0002-1611-8172
Yu, Hee Tae(유희태) ORCID logo https://orcid.org/0000-0002-6835-4759
Lee, Moon-Hyoung(이문형) ORCID logo https://orcid.org/0000-0002-7268-0741
Lee, Jin Gu(이진구)
Joung, Bo Young(정보영) ORCID logo https://orcid.org/0000-0001-9036-7225
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180187
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