Age is a strong risk factor for atrial fibrillation after pulmonary lobectomy

Darius D. Hollings, Robert S.D. Higgins, L. Penfield Faber, William H. Warren, Michael J. Liptay, Sanjib Basu, Anthony W. Kim

Research output: Contribution to journalArticle

Abstract

Background: Atrial fibrillation (AF) after pulmonary lobectomy can be associated with increased morbidity and mortality as well as increased costs. Methods: The records of 360 patients who underwent lobectomy between 2004 and 2008 at a single institution were reviewed. Univariate and multivariate analyses were performed to identify whether any recorded parameters served as prognostic variables in the development of AF. Results: The overall incidence of AF was 18% (65 of 360). Univariate/multivariate analyses showed that age and preoperative history of AF/antiarrhythmic medications were strongly predictive for the development of AF (P ≤ .001). Conclusions: Age and pre-existing cardiac disease/arrhythmias are strong risk factors for AF after pulmonary lobectomy by both univariate and multivariate analyses. This study suggests that the elderly are at increased risk for AF. Therefore, this population should be monitored closely or targeted for prophylactic therapy.

Original languageEnglish (US)
Pages (from-to)558-561
Number of pages4
JournalAmerican journal of surgery
Volume199
Issue number4
DOIs
StatePublished - Apr 1 2010
Externally publishedYes

Keywords

  • Atrial fibrillation
  • Lung cancer
  • Neo-adjuvant therapy
  • VATS
  • Video assisted thoracoscopy

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Hollings, D. D., Higgins, R. S. D., Faber, L. P., Warren, W. H., Liptay, M. J., Basu, S., & Kim, A. W. (2010). Age is a strong risk factor for atrial fibrillation after pulmonary lobectomy. American journal of surgery, 199(4), 558-561. https://doi.org/10.1016/j.amjsurg.2009.11.006