| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2024-03-12 |
| タイトル |
|
|
タイトル |
Abdominal aortic calcification as a potential predictor for postoperative atrial fibrillation in patients with aortic valve stenosis undergoing aortic valve replacement |
|
言語 |
en |
| 作成者 |
WANG, Yichao
TAKASAKI, Taiichi
KATAYAMA, Keijirou
GO, Seimei
INOUE, Risa
TAKAHASHI, Shinya
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
Copyright (c) 2023 Hiroshima University Medical Press |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Aortic Valve Stenosis |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Valve disease |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Atrial Fibrillation |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Arrhythmia |
| 内容記述 |
|
|
内容記述 |
Background: Postoperative atrial fibrillation (AF) is a common complication of cardiac surgery that has negative implications on patient outcomes. This study aimed to evaluate the effect of abdominal aortic calcification, measured using the Agatston Score, on patients undergoing aortic valve replacement for aortic valve stenosis. Methods and Results: This study included 183 patients who underwent aortic valve replacement. Preoperative characteristics and Agatston scores for abdominal aortic calcification were compared between patients with (n = 108) and without (n = 75) postoperative atrial fibrillation. Multivariate analysis showed that a high Agatston Score (derived by a cutoff point of 2767.65; odds ratio, 2.314; 95% confidence intervals (CI) , 1.063–5.041; P = 0.035), left atrial volumes (LAV) (derived by a cutoff point of 69.95; odds ratio, 3.176; 95% CI, 1.459–6.914; P = 0.004), and age (derived by a cutoff point of 75.5 years old, odds ratio, 3.465; 95% CI, 1.588–7.557; P = 0.003) were significant predictors of postoperative atrial fibrillation in the second week after surgery. Conclusions: Age and left atrial volume could be independent predictors of postoperative atrial fibrillation in patients with aortic valve stenosis, while the severity of abdominal aortic calcification, as measured using the Agatston Score, independently predicted postoperative atrial fibrillation during the second week following aortic valve stenosis. Patients with an Agatston Score exceeding 2767.65 should be considered at high risk and should receive appropriate management to improve outcomes. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Hiroshima University Medical Press |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 開始ページ |
|
|
開始ページ |
41 |
| 書誌情報 |
en : Hiroshima Journal of Medical Sciences
巻 72,
号 3-4,
p. 41-48,
ページ数 8,
発行日 2023-12
|
| 旧ID |
54948 |
HiroshimaJMedSci_72_41.pdf (2.4 MB)
