Factors associated with postoperative atrial fibrillation and other adverse events after cardiac surgery Emmanuel Akintoye, MD, MPH, Frank Sellke, MD,

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Presentation transcript:

Factors associated with postoperative atrial fibrillation and other adverse events after cardiac surgery Emmanuel Akintoye, MD, MPH, Frank Sellke, MD, Roberto Marchioli, MD, Luigi Tavazzi, MD, Dariush Mozaffarian, MD, DrPH The Journal of Thoracic and Cardiovascular Surgery Volume 155, Issue 1, Pages 242-251.e10 (January 2018) DOI: 10.1016/j.jtcvs.2017.07.063 Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Cumulative incidence of postoperative atrial fibrillation among patients undergoing cardiac surgery, according to type of surgery. PoAF, Postoperative atrial fibrillation; CABG, coronary artery bypass grafting; CABG + valvular, combination of CABG and valvular surgery; CABG + valvular +, surgeries involving CABG, valvular, and at least 1 other type of cardiac procedure; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Cumulative incidence of PoAF among patients undergoing cardiac surgery, according to use of CPB (A = among the entire patient population; B = among subgroup of patients who underwent CABG). PoAF, Postoperative atrial fibrillation; CPB, cardiopulmonary bypass; CI, confidence interval; ONCAB, on-pump coronary artery bypass; OPCAB, off-pump coronary artery bypass. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Cumulative incidence of in-hospital MACE among patients undergoing cardiac surgery, according to method of rhythm return. Assisted method of rhythm return includes atrial pacing, defibrillation, and ventricular pacing. MACE, Major adverse cardiovascular event; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 The 30-day Kaplan–Meier survival curve among patients undergoing cardiac surgery, according to type of surgery. CABG, Coronary artery bypass grafting; CABG + valvular, combination of CABG and valvular surgery; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 The 1-year Kaplan–Meier survival curve among patients undergoing cardiac surgery, according to incidence of postoperative atrial fibrillation. PoAF, Postoperative atrial fibrillation; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Absolute incidence of PoAF among 1462 patients undergoing cardiac surgery in the OPERA trial. PoAF, Postoperative atrial fibrillation. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Absolute incidence of in-hospital MACE among 1462 patients undergoing cardiac surgery in the OPERA trial. MACE, Major adverse cardiovascular event. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 Cumulative incidence of in-hospital MACE among patients undergoing cardiac surgery, according to method of rhythm return. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Cumulative incidence of PoAF according to type of surgery. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions

Video 1 A video by the first author explaining the importance and main findings of the article. Video available at: http://www.jtcvsonline.org/article/S0022-5223(17)31716-6/fulltext. The Journal of Thoracic and Cardiovascular Surgery 2018 155, 242-251.e10DOI: (10.1016/j.jtcvs.2017.07.063) Copyright © 2017 The American Association for Thoracic Surgery Terms and Conditions