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Journal articles on the topic 'Post-operative atriale fibrillation'

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Author: Grafiati

Published: 11 March 2023

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1

Hussain, Ghulam, Naseem Ahmad, Sara Zaheer, and Mirza Ahmad Raza Baig. "POST-OPERATIVE ATRIAL FIBRILLATION." Professional Medical Journal 22, no. 11 (November 10, 2015): 1438–42. http://dx.doi.org/10.29309/tpmj/2015.22.11.921.

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Atrial fibrillation is the most common arrhythmia observed following CoronaryArtery Bypass Graft surgery. Objectives: To determine the incidence of post-operative atrialfibrillation in patients undergoing coronary artery bypass grafting. Materials and Methods:Study Design: Non-randomized prospective. Setting: Cardiac Surgery Department ofMultan Institute of Cardiology, Multan. Period: 20-1-2014 to 01-05-2015. A total number offour hundred and ninety (490) patients having age more than 40 years undergoing isolatedcoronary artery bypass graft surgery were included in the study. Data was analyzed in SPSSV20 software. Frequency and percentages were used for Atrial Fibrillation. To see the impact ofAF on morbidity, patients developing AF was compared with those who do not develop AtrialFibrillation post-operatively using independent sample t-test for quantitative variables. Chisquaretest and Fischer’s Exact test (whenever appropriate) was used to compare qualitativevariables. Results: A total number of four hundred and ninety (490) patients were included inthis study. There were more 431 males (88.0%) in this study. of the patients 71.6% were in LVGrade I before surgery. Incidence of post-operative atrial fibrillation was 13.5%. In 4.5% patientsIABP was inserted due to hemodynamic instability. Ventilation time and hospital stay time wassignificantly higher in patients with AF postoperatively (p value 0.03 and 0.02 respectively).But duration of inotropic support, post-op CKMB levels and IABP use were not significantlydifferent in both groups. Conclusion: The incidence of post-operative Atrial Fibrillation is 13.5%according to this study. And these patients were associated with increased risk of morbidity.

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2

Riaz, Rehan, Nabeel Ahmad, and Shahid Abbas. "ATRIAL FIBRILLATION;." Professional Medical Journal 24, no. 12 (November 29, 2017): 1852–59. http://dx.doi.org/10.29309/tpmj/2017.24.12.617.

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Introduction: Atrial Fibrillation (AF) is one of the most common arrhythmiaafter coronary artery bypass grafting (CABG). Many risk factors have been identified for thedevelopment of postoperative AF with varied level of evidence. AF is associated with increasedrisk of morbidity and mortality causing prolong hospital stay and utilizing more resources.Our study was aimed to identify high risk population for developing post-operative AF andto draw recommendations for its prevention. Objectives: Our objective was to determine thefrequency of Atrial Fibrillation (AF) and its predisposing factors in patients after Coronary ArteryBypass Grafting (CABG). Setting: The study was conducted at Cardiac Surgery Department /Faisalabad Institute of Cardiology, Faisalabad. Duration of Study: 15-12-2014 to 14-07-2015.Study Design: Cross sectional study. Results: The result showed that out of 130 patientsundergoing CABG surgery, 104 (80.3%) male and 26 (19.7%) females, 9(7%) patients sufferedAF in post-operative phase. A significant association was found between postoperative AF andadvanced age (p = 0.011), obesity (p = 0.028), low EF (p = 0.000), and post-operative useof β-blocker (p = 0.007). Significant difference was found between postoperative AF and daysstayed in hospital (p = 0.000) and magnesium level at first day (p = 0.038). On the other handthere was no significant relationship found between AF and prolongs cross clamp and bypasstime. Conclusion: Advance age, obesity, congestive heart failure, low ejection fraction andwithdrawal from beta blockers in post-operative period have been identified as a significant riskfactors for the development of post-operative atrial fibrillation.

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3

Chooriyil, Nidheesh, Thanath Krishnan Nair Jayakumar, and Dhanya Sasidharan Palappallil. "Post-operative atrial fibrillation in off pump coronary artery bypass graft: association with medication." International Journal of Research in Medical Sciences 9, no. 11 (October 28, 2021): 3319. http://dx.doi.org/10.18203/2320-6012.ijrms20214076.

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Background: Post-operative atrial fibrillation is a common post-operative complication and has significant morbidity and mortality. This study was done with an objective to determine the association of various medication use in patients undergoing coronary artery bypass graft (CABG) with post-operative atrial fibrillation (POAF).Methods: This was a prospective observational study done in the department of cardiovascular and thoracic surgery of GMC Kottayam from December 2019 to December 2020 after obtaining institutional review board clearance. A sample size of 334 was fixed and patients undergoing off pump (OP) CABG were consecutively recruited in the study. The association of intraoperative and postoperative medication use with occurrence of POAF were analysed using the univariate analysis with a p<0.05 using the SPSS 16 software.Results: Peri-operative inotrope use was found to be significantly associated with post operative atrial fibrillation odds ratio 1.08 (95% CI 1.02-1.13). We could not find any association with preoperative use of beta blockers/agonist, antidiabetics, levothyroxine, ACE inhibitors or antiplatelet drugs. All the patients 60 (18%) who developed POAF were given amiodarone as per protocol.Conclusions: Perioperative inotrope use was found to have significant association with the development of post operative atrial fibrillation following OPCABG. More multi-institutional studies with determination of association with individual drugs and doses with POAF need to be conducted in future.

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Mukherjee, Somalia, Gautam Pati, Palash Kumar, Dibyendu Khan, and Saikat Sengupta. "A study of the effects of intravenous magnesium sulphate on post-operative atrial fibrillation in patients undergoing off pump coronary artery bypass grafting (CABG)." Indian Journal of Clinical Anaesthesia 10, no. 1 (March 15, 2023): 26–31. http://dx.doi.org/10.18231/j.ijca.2023.005.

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Atrial fibrillation (AF) occurs in almost 30% of patients undergoing coronary artery bypass grafting (CABG). Around 80% of these patients have decreased levels of total and ionized serum magnesium postoperatively. The association between magnesium deficiency and post CABG AF is still undetermined. Therefore, a large variety of prophylactic strategies have been assessed including perioperative magnesium administration. However, the efficacy is still questionable. The aim of this study was to find out any correlation of serum magnesium levels with the incidence of post-operative atrial fibrillation in patients undergoing off pump CABG and whether magnesium supplementation modifies the incidence. One hundred fifty patients undergoing CABG were selected and divided into treatment and control groups. Perioperative serum magnesium assays were done, and patients were monitored in the postoperative period for occurrence of Atrial Fibrillation. The risk of post CABG atrial fibrillation was more among females, obese patients, patients with EF < 50% and RWMA. Post-operative AF occurred in 5 patients in the treatment group (n = 75) and 11 patients in the control group (n = 75). : The proportion of patients with post-operative atrial fibrillation among cases (6.7%) was lower than that of controls (14.7%) which may indicate an important role of magnesium in prevention of AF following cardiac surgeries. The results however didn’t reach a statistical significance which could be due to sample size, the duration and design of the study and the period of post-operative AF monitoring.

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5

Balik, Martin, Michael Sander, Helmut Trimmel, and Gottfried Heinz. "Landiolol for managing post-operative atrial fibrillation." European Heart Journal Supplements 20, suppl_A (January 1, 2018): A10—A14. http://dx.doi.org/10.1093/eurheartj/sux036.

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6

Oral, Hakan. "Post-Operative Atrial Fibrillation and Oxidative Stress." Journal of the American College of Cardiology 51, no. 1 (January 2008): 75–76. http://dx.doi.org/10.1016/j.jacc.2007.09.025.

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7

Jagadish, Pooja S., Irene Kirolos, Sarthak Khare, Aranyak Rawal, Victor Lin, and Rami N. Khouzam. "Post-operative atrial fibrillation: should we anticoagulate?" Annals of Translational Medicine 7, no. 17 (September 2019): 407. http://dx.doi.org/10.21037/atm.2019.07.10.

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8

Mozaffarian, Dariush, Jason H. Y. Wu, Marcia C. de Oliveira Otto, Chirag M. Sandesara, Robert G. Metcalf, Roberto Latini, Peter Libby, et al. "Fish Oil and Post-Operative Atrial Fibrillation." Journal of the American College of Cardiology 61, no. 21 (May 2013): 2194–96. http://dx.doi.org/10.1016/j.jacc.2013.02.045.

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9

Vrachatis, Dimitrios A., Charalampos Kossyvakis, Christos Angelidis, Vasiliki Panagopoulou, Eleni K. Sarri, Sotiria Giotaki, Gerasimos Siasos, Manolis Vavuranakis, and Spyridon G. Deftereos. "Colchicine in Post-operative Atrial Fibrillation: A Review." Current Pharmaceutical Design 24, no. 6 (May 10, 2018): 695–701. http://dx.doi.org/10.2174/1381612824666180115102516.

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Post-operative atrial fibrillation (POAF) is a frequent entity increasing hospitalization duration, stroke and mortality. In the recent years, a few studies have sought to investigate the potential effect of colchicine in POAF prevention after cardiac surgery or catheter pulmonary vein isolation for AF. In the present review article, we intend to provide a synopsis of clinical practice guidelines, summarize and critically approach current evidence for or against colchicine as a means of POAF prevention.

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10

Maesen, B., J. Nijs, J. Maessen, M. Allessie, and U. Schotten. "Post-operative atrial fibrillation: a maze of mechanisms." Europace 14, no. 2 (August 6, 2011): 159–74. http://dx.doi.org/10.1093/europace/eur208.

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11

Kapoor, John R. "Combination Prophylactic Therapy for Post-Operative Atrial Fibrillation." Journal of the American College of Cardiology 52, no. 5 (July 2008): 397. http://dx.doi.org/10.1016/j.jacc.2008.03.058.

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12

Simon, J., R. Anderson, and S. Craig. "Early Post-Operative Atrial Fibrillation after Lung Transplantation." Journal of Heart and Lung Transplantation 39, no. 4 (April 2020): S310. http://dx.doi.org/10.1016/j.healun.2020.01.697.

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13

Lee, Justin Z., Nirmal Singh, Carol L. Howe, See-Wei Low, Jennifer J. Huang, Gilbert Ortega, Kwan S. Lee, and Anil Pandit. "Colchicine for Prevention of Post-Operative Atrial Fibrillation." JACC: Clinical Electrophysiology 2, no. 1 (February 2016): 78–85. http://dx.doi.org/10.1016/j.jacep.2015.09.016.

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14

Verma, Atul, Deepak L. Bhatt, and Subodh Verma. "Long-Term Outcomes of Post-Operative Atrial Fibrillation." Journal of the American College of Cardiology 71, no. 7 (February 2018): 749–51. http://dx.doi.org/10.1016/j.jacc.2017.12.034.

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15

DUNNING, J. "Prophylactic Amiodarone effectively prevents post-operative atrial fibrillation." Interactive Cardiovascular and Thoracic Surgery 3, no. 3 (September 2004): 510–15. http://dx.doi.org/10.1016/j.icvts.2004.05.003.

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16

Noessler, Nathalie, Sabrina Schweintzger, and Stefan Kurath-Koller. "Holiday heart syndrome: an upcoming tachyarrhythmia in today’s youth?" Cardiology in the Young 31, no. 6 (February 9, 2021): 1054–56. http://dx.doi.org/10.1017/s1047951121000329.

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AbstractAtrial fibrillation is one of the most common arrhythmias in the adult population, in children, however, only a few case reports of isolated atrial fibrillation exist.1 Aside from post-operative AF due to atrial scar formation or suture lines and atrial enlargement in CHD (e.g., mitral stenosis), alcohol consumption represents a rare cause of AF in adolescents. We report on the latter.

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17

Pong, Terrence, Kevin Cyr, Cody Carlton, John Niesen, Joy Aparicio-Valenzuela, Michael Fischbein, Y. Woo, Jack Boyd, and Anson Lee. "INTRAOPERATIVE INDUCIBILITY OF ATRIAL FIBRILLATION IMPROVES RISK STRATIFICATION AND REDUCES POST-OPERATIVE ATRIAL FIBRILLATION." Journal of the American College of Cardiology 77, no. 18 (May 2021): 1592. http://dx.doi.org/10.1016/s0735-1097(21)02949-1.

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18

Canbaz, S., H. Erbas, S. Huseyin, and E. Duran. "The Role of Inflammation in Atrial Fibrillation following Open Heart Surgery." Journal of International Medical Research 36, no. 5 (October 2008): 1070–76. http://dx.doi.org/10.1177/147323000803600526.

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This study investigated the role of systemic inflammation in the development of atrial fibrillation (AF) after coronary artery bypass grafting (CABG). CABG was performed using cardiopulmonary bypass in 77 patients. Pre-operative AF was present in six patients (7.8%) and post-operative AF developed in 13 (18.3%) of the 71 patients with pre-operative sinus rhythm. Post-operative mediastinal drainage was significantly increased in patients with post-operative AF compared with those with sinus rhythm. Plasma E-selectin, P-selectin and vascular cell adhesion molecule levels were not significantly different between patients with pre- and post-operative sinus rhythm, those with pre-operative sinus rhythm and post-operative AF, and those with pre- and post-operative AF. There were significant differences between pre-and post-operative C-reactive protein, interleukin (IL)-6 and IL-10 levels within all three groups, but no differences in these parameters between the groups. Thus, in all groups there were significant alterations in mediators indicative of systemic inflammation following CABG, but comparisons between the groups revealed no differences predictive of AF.

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19

Guenancia, Charles, Audrey Sagnard, Olivier Bouchot, and Luc Lorgis. "Should we predict post-operative atrial fibrillation with atrial cardiomyopathy biomarkers?" International Journal of Cardiology 307 (May 2020): 71–72. http://dx.doi.org/10.1016/j.ijcard.2020.02.049.

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20

Skaria, Rinku, Saman Parvaneh, Sophia Zhou, James Kim, Santana Wanjiru, Genoveffa Devers, John Konhilas, and Zain Khalpey. "Path to precision: prevention of post-operative atrial fibrillation." Journal of Thoracic Disease 12, no. 5 (May 2020): 2735–46. http://dx.doi.org/10.21037/jtd-19-3875.

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21

Saleem, Maryam, Mohammed Osman, and Sudarshan Balla. "VITAMIN C SUPPLEMENTATION FOR POST-OPERATIVE ATRIAL FIBRILLATION PROPHYLAXIS." Journal of the American College of Cardiology 75, no. 11 (March 2020): 522. http://dx.doi.org/10.1016/s0735-1097(20)31149-9.

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22

Schalij, Martin J., and Natasja M. De Groot. "Local heterogeinity in conduction perpetuates post-operative atrial fibrillation." Heart Rhythm 2, no. 5 (May 2005): S20. http://dx.doi.org/10.1016/j.hrthm.2005.02.073.

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23

Saljic, Arnela, Malthe Emil Høtbjerg Hansen, and Dobromir Dobrev. "Botulinum toxin for prevention of post-operative atrial fibrillation." Naunyn-Schmiedeberg's Archives of Pharmacology 396, no. 3 (January 30, 2023): 385–88. http://dx.doi.org/10.1007/s00210-023-02402-y.

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24

Castedo, E., R. Burgos, A. Cañtas, R. A. Cabo, S. Serrano-Fiz, J. Segovia, and J. Ugarte. "Left Atrial Thrombosis after Heart Transplantation." Cardiovascular Surgery 11, no. 3 (June 2003): 247–49. http://dx.doi.org/10.1177/096721090301100315.

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Left atrial thrombosis in the absence of rheumatic heart disease and atrial fibrillation is a rare occurrence. We report two cases of left atrial pedunculated thrombus formation after orthotopic heart transplantation. Despite an uneventful post-operative course, sinus rhythm and normal contractility of the heart, large thrombi could be found several months following transplantation. Surgical thrombectomy was performed under cardiopulmonary bypass. Operative technique is proposed as one of the main factors that can contribute to left atrial thrombosis after heart transplantation.

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25

Delsignore, Erica, Roberto Cantone, Maria Luisa Moia, Luigi Olivetto, Maria Cristina Pollo, Anna Maria Varese, Aldo Tua, and Maria Cristina Bertoncelli. "A complicated case of atrial fibrillation." Clinical Management Issues 4, no. 3S (October 13, 2015): 17–23. http://dx.doi.org/10.7175/cmi.v4i3s.1149.

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Atrial fibrillation, usually considered a benign arrhythmia, recognizes several aetiologies: not only sctructural cardiopathies, but also other diseases, drugs intake or post-operative courses. Sometimes it can occur in absence of apparente cause. More and more frequently it is usual to consider this arrhythmia like a marker of pathological unknown situation; therefore, also patients with “lone atrial fibrillation” should be submitted to surveys in order to find probable associated causes.

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Antonopoulos, Alexios S., Athina Goliopoulou, Evangelos Oikonomou, Sotiris Tsalamandris, Georgios-Angelos Papamikroulis, George Lazaros, Eleftherios Tsiamis, et al. "Redox State in Atrial Fibrillation Pathogenesis and Relevant Therapeutic Approaches." Current Medicinal Chemistry 26, no. 5 (April 22, 2019): 765–79. http://dx.doi.org/10.2174/0929867324666170718130408.

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Background: Myocardial redox state is a critical determinant of atrial biology, regulating cardiomyocyte apoptosis, ion channel function, and cardiac hypertrophy/fibrosis and function. Nevertheless, it remains unclear whether the targeting of atrial redox state is a rational therapeutic strategy for atrial fibrillation prevention. Objective: To review the role of atrial redox state and anti-oxidant therapies in atrial fibrillation. Method: Published literature in Medline was searched for experimental and clinical evidence linking myocardial redox state with atrial fibrillation pathogenesis as well as studies looking into the role of redoxtargeting therapies in the prevention of atrial fibrillation. Results: Data from animal models have shown that altered myocardial nitroso-redox balance and NADPH oxidases activity are causally involved in the pathogenesis of atrial fibrillation. Similarly experimental animal data supports that increased reactive oxygen / nitrogen species formation in the atrial tissue is associated with altered electrophysiological properties of atrial myocytes and electrical remodeling, favoring atrial fibrillation development. In humans, randomized clinical studies using redox-related therapeutic approaches (e.g. statins or antioxidant agents) have not documented any benefits in the prevention of atrial fibrillation development (mainly post-operative atrial fibrillation risk). Conclusion: Despite strong experimental and translational data supporting the role of atrial redox state in atrial fibrillation pathogenesis, such mechanistic evidence has not been translated to clinical benefits in atrial fibrillation risk in randomized clinical studies using redox-related therapies.

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27

Flynn, David E., Derek Mao, Stephanie T. Yerkovich, Robert Franz, Harish Iswariah, Andrew Hughes, Ian M. Shaw, Diana P. L. Tam, and Manju D. Chandrasegaram. "The impact of comorbidities on post-operative complications following colorectal cancer surgery." PLOS ONE 15, no. 12 (December 23, 2020): e0243995. http://dx.doi.org/10.1371/journal.pone.0243995.

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Background Colorectal cancer surgery is complex and can result in severe post-operative complications. Optimisation of surgical outcomes requires a thorough understanding of the background complexity and comorbid status of patients. Aim The aim of this study is to determine whether certain pre-existing comorbidities are associated with high grade post-operative complications following colorectal cancer surgery. The study also aims to define the prevalence of demographic, comorbid and surgical features in a population undergoing colorectal cancer resection. Method A colorectal cancer database at The Prince Charles Hospital was established to capture detailed information on patient background, comorbidities and clinicopathological features. A single-centre retrospective study was undertaken to assess the effect of comorbidities on post-operative outcomes following colorectal cancer resection. Five hundred and thirty-three patients were reviewed between 2010–2018 to assess if specific comorbidities were associated with higher grade post-operative complications. A Clavien-Dindo grade of three or higher was defined as a high grade complication. Results Fifty-eight percent of all patients had an ASA grade of ASA III or above. The average BMI of patients undergoing resection was 28 ± 6.0. Sixteen percent of all patients experienced a high grade complications. Patients with high grade complications had a higher mean average age compared to patients with low grade or no post-operative complications (74 years vs 70 years, p = 0.01). Univariate analysis revealed patients with atrial fibrillation, COPD, ischaemic heart disease and heart failure had an increased risk of high grade complications. Multivariate analysis revealed pre-existing atrial fibrillation (OR 2.70, 95% CI 1.53–4.89, p <0.01) and COPD (OR 2.02 1.07–3.80, p = 0.029) were independently associated with an increased risk of high grade complications. Conclusion Pre-existing atrial fibrillation and COPD are independent risk factors for high grade complications. Targeted perioperative management is necessary to optimise outcomes.

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Haddad, M., R. Nair, P. Hendry, D. Coyle, and T. Mesana. "Peri-Operative Amiodarone for Post-Operative Atrial Fibrillation Prophylaxis in Valve Surgery Patients." Journal of Surgical Research 158, no. 2 (February 2010): 226. http://dx.doi.org/10.1016/j.jss.2009.11.154.

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29

Paschalis, Andreas, Dimitris Tousoulis, Michael Demosthenous, Alexios Antonopoulos, Spiridon Papaioannou, Antigoni Miliou, Nikolaos Koumallos, Charalambos Antoniades, and Christodoulos Stefanadis. "Pre-operative inflammation and post-operative atrial fibrillation in coronary artery bypass surgery." International Journal of Cardiology 173, no. 2 (May 2014): 327–28. http://dx.doi.org/10.1016/j.ijcard.2014.03.052.

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30

Sharma, Virendra, and Ragni Kumari. "Strategies to improve amiodarone bioavailability in post operative atrial fibrillation." Journal of medical pharmaceutical and allied sciences 11, no. 1 (January 30, 2022): 4483–88. http://dx.doi.org/10.55522/jmpas.v11i1.2540.

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Bioactive compound found in medicinal plants are used to treat a variety of human ailments and serve a vital part in healing. M. calabura L. is a species of Muntingia. (M. calabura, Elaeocarpaceae) has long been utilized to treat a variety of pain-related issues. The goal of this study is to investigate at the phytochemicals, antioxidants, and antibacterial capabilities of M. calabura bark. By using the soxhlation extraction, the dried bark of M. calabura was successively extracted with n-hexane, ethyl acetate, and methanol solvents and the solvents from the extracts were evaporated under vacuum. The well-known test procedure was used to determine the qualitative analysis of various phytochemical elements as well as the quantitative analysis of total phenolic, flavonoids, and alkaloid content. The antioxidant activity of ethyl acetate and methanolic extracts bark was measured in vitro using the DPPH (2,2-diphenyl-1-picrylhydrazyl) model. The presence of numerous phytoconstituents in each extract was discovered through preliminary phytochemical analysis. To determine antimicrobial activity, a well diffusion method was used to test an ethyl acetate extract of M. calabura (bark) against three different strains, and it showed considerable inhibitory action against all of them. The present study concluded that the all the bark of M. calabura is a rich source of secondary phytoconstituents which impart significant antioxidant potential. The findings of the present study will be helpful to Phyto chemists, pharmacologists and pharmaceutical industries. Keywords: Arrhythmia, Atrial fibrillation, Amiodarone, transdermal, Liposome, Inclusion complex, Solid dispersion.

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31

Yamashita, Kennosuke, Ravi Ranjan, Craig Selzman, Hu Nan, and Derek J. Dosdall. "META ANALYSIS OF RISK FACTORS FOR POST-OPERATIVE ATRIAL FIBRILLATION." Journal of the American College of Cardiology 71, no. 11 (March 2018): A371. http://dx.doi.org/10.1016/s0735-1097(18)30912-4.

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32

Almoghrabi, Omar, Joseph Brungardt, Stephen Helmer, Jared Reyes, and Brett Grizzell. "Efficacy of Intravenous Acetaminophen as Adjunct Post-Operative Analgesic in Cardiac Surgery: A Retrospective Study." Kansas Journal of Medicine 13 (June 25, 2020): 143–46. http://dx.doi.org/10.17161/kjm.v13i.13818.

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Introduction. The dose-dependent adverse events associated with post-operative opioid use may be reduced when opioids are used in conjunction with intravenous acetaminophen. The purpose of this study was to compare outcomes in median sternotomy patients receiving intravenous acetaminophen in addition to intravenous opioids versus intravenous opioids only. Methods. A retrospective study was conducted on 122 adult patients undergoing median sternotomy at a regional tertiary-referral center. Data collected included patient demographics, length of stay, opioid and intravenous acetaminophen use, adverse effects, and transition time to oral pain medication. Results. There was no difference between groups in demographics, preoperative risk scores, operative procedures, intravenous opioid consumption, transition time to oral pain medications, or length of stay. Acetaminophen use was associated with lower rates of atrial fibrillation (7.0% vs. 24.6%, p = 0.009) and nausea/vomiting (8.9% vs. 32.3%, p = 0.002), but higher rates of urinary retention (15.8% vs. 3.1%, p = 0.014), constipation (50.0% vs. 20.0%, p = 0.001) and respiratory depression (7.1% vs. 0.0%, p = 0.043). Conclusion. Intravenous acetaminophen was not associated with a reduction in length of stay or opioid consumption, but was associated with lower rates of atrial fibrillation, nausea, and vomiting. Additional studies are needed to determine if intravenous acetaminophen administration reduces atrial fibrillation in this population.

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33

Ullah, U., A. Ahmad, M. A. R. Mirza, W. Rehman, and M. Mehmood. "Incidence and Clinical Implications of Postoperative Atrial Fibrillation in patients Undergoing On-Pump and Off-Pump Coronary Artery Bypass Grafting." Pakistan Journal of Medical and Health Sciences 15, no. 6 (June 30, 2021): 1216–17. http://dx.doi.org/10.53350/pjmhs211561216.

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Aim: Post-operative incidence and clinical implications of atrial fibrillation in patients having on-pump and off-pump CABG. Place of Study: Department of Cardiovascular & Thoracic Surgery, Shaikh Zayed Hospital, Lahore. Study Duration: 1 year Design of Study: Quasi-experimental study Methodology: 140 cases were selected. Non-probability purposive sampling technique was used. Grouping: Group A (Off-pump) and Group B (On-pump). Results: In group A, cases showed atrial fibrillation and in group B 23(32.9%) cases were noted. The incidence of postoperative atrial fibrillation was low in off-pump CABG as compare to on pump CABG.Clinical implications of postoperative AF such as, length of ICU & hospital stay, cerebrovascular events, wound infections and mortality of the cases are significantly reduced by using off-pump CABG. Conclusion: Incidence of P/O atrial fibrillation is low in off-pump CABG as compare to on pump CABG Keywords: Coronary Artery Bypass Graft (CABG), Atrial Fibrillation, on pump CABG.

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34

Ahmad, Shahbaz, Faisal Ali, Muhammad Sajid, Mohsin Nazeer, Rehan Riaz, and Raja Pervaiz Akhtar. "VALVULAR PATIENTS." Professional Medical Journal 22, no. 04 (April 10, 2015): 447–50. http://dx.doi.org/10.29309/tpmj/2015.22.04.1324.

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Cost effectiveness in any surgical procedure is a major contributory factor in thecontinuation of medical services in developing countries. Limited data is available in assessingthe factors related with the duration of ICU stay and treatment after valvular replacementsurgeries. Objectives: Our aim was to see the correlation of pre operative Left Atrial size of thepatient and duration of post operative stay in ICU. Study Design: Observational Study. Period:March 2010 to April 2014. Setting: Faisalabad Institute of Cardialogoy, Faisalabad. Method:A total of 550 consecutive patients with valvular lesions were included in the study. Their LeftAtrial size was measured echocardiographically pre-operatively and their stay /course in theICU was monitored. Result: Three categories were identified in regard with the Left Atrial sizeand the ICU stay. If LA size is below 60 cm2, the post operative course & stay in ICU is normaland lasts for about 1-2 days. If LA size is between 60-65 mm2, the post operative course maybe complicated & prolonged by the atrial fibrillation / flutter for which pharmacological cardioversion may be needed and the stay in ICU is prolonged and may last for about 2-3 days. Andif pre-operative LA size is more the 65 mm2 the patient may behave in entirely different way. Hisatrial fibrillation persists in spite of electro cardiovertion or pharmacological cardiovertion andhis stay in ICU may last up to 4-5 days and thus the cost of treatment is raised. Conclusions:LA size can predict the post operative behavior of the patient in ICU and duration of stay andexpected cost of the treatment. Smaller is the size of LA, shorter is the stay in ICU and thuslesser is the post operative cost & vice versa.

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Wong, Christopher X., Thomas Sullivan, Michelle T. Sun, Rajiv Mahajan, Rajeev K. Pathak, Melissa Middeldorp, Darragh Twomey, et al. "Obesity and the Risk of Incident, Post-Operative, and Post-Ablation Atrial Fibrillation." JACC: Clinical Electrophysiology 1, no. 3 (June 2015): 139–52. http://dx.doi.org/10.1016/j.jacep.2015.04.004.

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Kuruvilla, Annet S., Sohaib Agha, Ashutosh Yaligar, Henry J. Tannous, Allison J. McLarty, A. Laurie Shroyer, and Thomas V. Bilfinge. "A literature review: pre-/post-operative atrial fibrillation for thoracic aortic aneurysm procedures." Vessel Plus 6 (2022): 45. http://dx.doi.org/10.20517/2574-1209.2021.122.

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Atrial fibrillation (AF) is among the most frequent cardiac surgical arrhythmias documented. The global AF prevalence is estimated at over 33 million cases, with estimates ranging up to 6.1 million cases in the United States. Among cardiac surgical patients, the risk factors for new-onset post-operative AF (POAF) include Caucasian race with increased prevalence documented in older men. Due to trends of earlier thoracic aortic aneurysm (TAA) detection and treatment, it is timely to review the AF association with adverse TAA clinical outcomes. Towards this goal, a comprehensive PubMed literature review was performed. For this initial Medline literature search, the MeSH search strategy included “thoracic aortic aneurysm” and “atrial fibrillation”. Based on the pertinent articles identified, the limited literature available for preoperative TAA AF and the predictors of POAF following TAA procedures were reviewed. Given only a handful of publications addressing these pre-/post-operative AF topics were identified using this very broad initial search approach, a knowledge chasm exists–as very little is known about TAA patients with pre-operative or new-onset post-operative AF. Given the paucity of evidence-based information available, clinically relevant TAA-specific research questions have been raised to guide future TAA AF-related investigations.

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Wang, Huishan, Yuji Zhang, Fangran Xin, Hui Jiang, Dengshun Tao, Yan Jin, Yuanchen He, Qiang Wang, and Sunny S. Po. "Calcium-Induced Autonomic Denervation in Patients With Post-Operative Atrial Fibrillation." Journal of the American College of Cardiology 77, no. 1 (January 2021): 57–67. http://dx.doi.org/10.1016/j.jacc.2020.10.049.

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Hussain, Dr Ghulam, Dr Naseem Ahmad, Dr Sara Zaheer, and Dr Mirza Ahmad Raza Baig. "POST-OPERATIVE ATRIAL FIBRILLATION; INCIDENCE AFTER CORONARY ARTERY BYPASS GRAFT SURGERY." Professional Medical Journal 22, no. 11 (November 1, 2015): 1438–42. http://dx.doi.org/10.17957/tpmj/15.3046.

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Seo, Chanhee, Connor Michie, Benjamin Hibbert, and Darryl R. Davis. "Systematic review of pre-clinical therapies for post-operative atrial fibrillation." PLOS ONE 15, no. 11 (November 4, 2020): e0241643. http://dx.doi.org/10.1371/journal.pone.0241643.

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Laidler, Sandra, and Nicola Rutherford. "The nurse prescriber's role in management of post-operative atrial fibrillation." British Journal of Cardiac Nursing 9, no. 6 (June 2, 2014): 273–79. http://dx.doi.org/10.12968/bjca.2014.9.6.273.

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Akar, Joseph G., Georges El-Hachem, Bassem Ayyash, Anis Kadado, Rim Al Nabbout, Nader Lamaa, Haikun Bao, and Bassam Abou Khalil. "BASELINE RED CELL DISTRIBUTION WIDTH INDEPENDENTLY PREDICTS POST-OPERATIVE ATRIAL FIBRILLATION." Journal of the American College of Cardiology 67, no. 13 (April 2016): 729. http://dx.doi.org/10.1016/s0735-1097(16)30730-6.

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42

Novaro, Gian M., and Marlow B. Hernandez. "African American Race/Ethnicity and Risk of Post-Operative Atrial Fibrillation." American Journal of Cardiology 108, no. 1 (July 2011): 172. http://dx.doi.org/10.1016/j.amjcard.2011.03.072.

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Cerit, Levent. "Syntax Score Iı as a Predictor for Post Operative Atrial Fibrillation." American Journal of Cardiology 121, no. 8 (April 2018): e39-e40. http://dx.doi.org/10.1016/j.amjcard.2018.03.113.

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44

Wang, Huishan, Yuji Zhang, Fangran Xin, Hui Jiang, Dengshun Tao, Yan Jin, Yuanchen He, Qiang Wang, and Sunny S. Po. "Calcium-Induced Autonomic Denervation in Patients With Post-Operative Atrial Fibrillation." Journal of the American College of Cardiology 77, no. 1 (January 2021): 57–67. http://dx.doi.org/10.1016/j.jacc.2020.10.049.

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Lohchab, Shamsher Singh, and Ashwani Kumar. "Post-operative atrial fibrillation after off-pump coronary artery bypass grafting." Indian Journal of Thoracic and Cardiovascular Surgery 36, no. 1 (August 2, 2019): 4–5. http://dx.doi.org/10.1007/s12055-019-00849-4.

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Koontz, Jason I., Joseph Mathew, Pascal Goldschmidt, and David Seo. "Functional genomic study of post-operative atrial fibrillation using oligonucleotide microarrays." Heart Rhythm 2, no. 5 (May 2005): S12—S13. http://dx.doi.org/10.1016/j.hrthm.2005.02.050.

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WORKMAN, ANTONY J., DAVIDE PAU, CALUM J. REDPATH, GILLIAN E. MARSHALL, JULIE A. RUSSELL, KATHLEEN A. KANE, JOHN NORRIE, and ANDREW C. RANKIN. "Post-Operative Atrial Fibrillation Is Influenced by Beta-Blocker Therapy But Not by Pre-Operative Atrial Cellular Electrophysiology." Journal of Cardiovascular Electrophysiology 17, no. 11 (November 2006): 1230–38. http://dx.doi.org/10.1111/j.1540-8167.2006.00592.x.

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Jiang, Boxiang, Philip Linden, Alejandro Oliu, Christopher Towe, Yaron Perry, and Stephanie Worrell. "Low Embolic Risk from Short Duration Atrial Fibrillation following Anatomic Lung Resection." International Journal of Drug Regulatory Affairs 9, no. 1 (March 16, 2021): 72–77. http://dx.doi.org/10.22270/ijdra.v9i1.457.

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Objectives There is no consensus regarding the merits of anticoagulation following short duration atrial arrhythmia and anatomic lung resection. We hypothesized that the risk of embolic event following episodes of atrial fibrillation (AF) lasting less than 48 hours is low and even with an elevated CHA2DS2-VASC score should not incur the risk of long-term full dose anticoagulation contrary to recommendations. Design & Intervention A retrospective review was performed of a prospectively maintained database of all patients undergoing anatomic lung resection at a single institution from 2014 to 2019. Patients who had new onset post-operative atrial fibrillation (POAF) were queried as to their co-morbidities, the length of arrhythmia, discharge with anticoagulation, and any post-operative embolic events. Main Outcome Measures There were 565 patients who underwent anatomic lung resection. 40 patients (7.1%) developed new POAF that lasted a median of one day. In 32 patients (80%), POAF lasted for less than 48 hours. There were 28 males and 12 females, median age of 73 years. These patients underwent segmentectomy (2/40), lobectomy (24/40) and pneumonectomy (14/40). Twenty-nine patients were discharged home without anticoagulation. Median follow-up was 22 month (range 1.3 – 62.8 month). Two patients had embolic events and these two were discharged home without anticoagulation. The overall incidence rate of thromboembolic events was 3.2% per person year. Conclusions Our data suggest that the risk of arterial embolic events is low in patients with new, short duration atrial fibrillation post anatomical lung resection. Anticoagulation may not be necessary in these patients and can be given selectively.

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Ramdjan, TTTK, EMJP Mouws, CP Teuwen, GS Sitorus, CA Houck, AJJC Bogers, and NMS De Groot. "P1698Late post-operative atrial fibrillation in patients with corrected tetralogy of Fallot." EP Europace 19, suppl_3 (June 2017): iii365. http://dx.doi.org/10.1093/ehjci/eux161.008.

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Dy, J., T. Jayasundera, D. Kapadia, C. Cuperman, G. Whitman, V. DiSesa, C. Hargrove, J. Sink, S. Meister, and N. Wolf. "Post-operative atrial fibrillation — a randomized trial of Metoprolol, Flecainide, and placebo." Journal of the American College of Cardiology 31 (1998): 324. http://dx.doi.org/10.1016/s0735-1097(98)82057-3.

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