PREDISPOSING FACTORS OF ATRIAL FIBRILLATION IN PATIENTS AFTER ANATOMIC LUNG RESECTION
https://doi.org/10.21292/2078-5658-2019-16-1-49-55
Abstract
Atrial fibrillation (AF) remains to be one of the most common complications that occur after thoracic surgery; its frequency makes from 4 to 37%. This type of complication can significantly extend the recovery period for the patients after anatomic lung resection and increase the short-term and long-term mortality.
Subjects and methods. Data of 183 patients who underwent extensive anatomic lung resections due to malignant neoplasms were retrospectively analyzed. The following was evaluated: the impact of surgery approach (thoracotomy or VATS) and the type of anatomic lung resection, peri-operative fluid balance and severity of pain syndrome as per Visual Analogue Scale on the incidence of AF. Statistical analysis was performed using Student's t-test, non-parametric χ2 test and Mann – Whitney test, as well as a multidimensional logistic regression with standardization of indicators and odds ratio calculation.
Results. In the early post-operative period, AF developed in 40 patients. It was found out that with increasing age, the rate of intra-operative infusion and positive fluid balance during the first day of the post-operative period, the risk of post-operative AF went up in thoracic patients.
About the Authors
V. A. Zhikharev
S. V. Ochapovsky Research Institute – Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Senior Resident Physician of Anesthesiology and Intensive Care Department no 1,
167, 1st May St., Krasnodar, 350000
V. A. Porkhanov
S. V. Ochapovsky Research Institute – Regional Clinical Hospital no. 1;
Kuban State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Academician of RAS,
167, 1st May St., Krasnodar, 350000
A. S. Bushuev
S. V. Ochapovsky Research Institute – Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Resident Physician of Anesthesiology and Intensive Care Department no. 1,
167, 1st May St., Krasnodar, 350000
I. Yu. Sholin
S. V. Ochapovsky Research Institute – Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Head of Anesthesiology and Intensive Care Department no. 8,
167, 1st May St., Krasnodar, 350000
V. A. Koryachkin
Saint-Petersburg State Pediatric Medical Univer
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor of Anesthesiology, Intensive Care and Emergency Pediatrics Department within Professional Development Unit. 2,
Litovskaya St., St. Petersburg, 194100
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Review
For citations:
Zhikharev V.A., Porkhanov V.A., Bushuev A.S., Sholin I.Yu., Koryachkin V.A. PREDISPOSING FACTORS OF ATRIAL FIBRILLATION IN PATIENTS AFTER ANATOMIC LUNG RESECTION. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2019;16(1):49-55. (In Russ.) https://doi.org/10.21292/2078-5658-2019-16-1-49-55
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