Risk Factors for Atrial Fibrillation in Adult Patients in Long-Term Observation Following Surgical Closure of Atrial Septal Defect Type II

M. Piechowiak; M. Banach; J. Ruta; M. Barylski; J. Rysz; K. Bartczak; L. Markuszewski; J. Zasłonka; J. H. Goch

doi:10.1055/s-2006-923955

The Thoracic and Cardiovascular Surgeon, Table of Contents

Thorac Cardiovasc Surg 2006; 54(4): 259-263
DOI: 10.1055/s-2006-923955

Original Cardiovascular

Risk Factors for Atrial Fibrillation in Adult Patients in Long-Term Observation Following Surgical Closure of Atrial Septal Defect Type II

M. Piechowiak¹ , M. Banach² , J. Ruta¹ , M. Barylski³ , J. Rysz⁴ , K. Bartczak² , L. Markuszewski⁵ , J. Zasłonka² , J. H. Goch¹

¹1st Department of Cardiology, Medical University, University Hospital No. 3, Lodz, Poland
²Department of Cardiac Surgery, Medical University, University Hospital No. 3, Lodz, Poland
³Department of Internal Diseases and Cardiological Rehabilitation, Medical University, University Hospital No. 5, Lodz, Poland
⁴2nd Department of Family Medicine, Medical University, University Hospital No. 2, Lodz, Poland
⁵Department of Interventional Cardiology, Cardiodiabetology and Cardiac Rehabilitation, Medical University, University Hospital No. 2, Lodz, Poland

Abstract

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Abstract

Background: The aim of the study was to find the factors predictive for paroxysmal atrial fibrillation (AF) following surgical correction of atrial septal defect type II (ASD t.II). Methods: 93 patients, who underwent isolated surgical closure of ASD t.II between 1990 and 2001 were included. Follow-up studies were performed 2 - 11 years after surgery. Patients were divided into two groups according to the presence of AF before and after surgery. Group AF (+) consisted of 29 and group AF (-) of 64 patients. All patients underwent echocardiography, electrocardiogram (ECG) at rest, and signal-averaged P-wave duration (PWD) in signal-averaged ECG. The following parameters were assessed in echocardiography: pulmonary artery systolic pressure, left and right atrial dimensions, right ventricular dimension, tricuspid and mitral regurgitation. Results: Paroxysmal AF was observed in 27 patients before surgery and in 29 after surgery. Analyzing all potential risk factors we proved that PWD may independently predict occurrence of postoperative AF. Conclusion: PWD may independently predict postoperative AF in long-term follow-up after surgical correction of ASD t.II.

Key words

Atrial septal defect type II - atrial fibrillation - P-wave duration - risk factors

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References

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MD Maciej Banach

Department of Cardiac Surgery, Medical University

Sterlinga St. 1/3

91-425 Lodz

Poland

Phone: + 48426331558

Fax: + 48 4 26 33 15 58

Email: maciej.banach@kardiolog.pl