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Features of clinical and echocardiographic parameters in patients with perioperative atrial fibrillation in abdominal surgery

Year: 2020, volume 16 Issue: №3 Pages: 718-724
Heading: Cardiology Article type: Original article
Authors: Dzhioeva O.N., Drapkina О.М., Bezkorovayny P.N., Abdurozikov Е.Е., Shvartz V.A.
Organization: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow State Clinical Hospital n. a. V. V. Veresaev, Moscow State Clinical Hospital №24, National Research Center for Preventive Medicine
Summary:

Aim: To examine the features of the clinical and anamnestic status and parameters of transthoracic echocardiogra-phy in patients depending on the development of perioperative AF during abdominal noncardiac surgery. Material and Methods: A cohort study. Data from 102 patients was analyzed. The median age was 66 (60; 74), for men —42.2% and 57.8% for women. Results: PeOAF was observed in 37.25% of all studied medical histories. In the group of patients with PeOAF was marked by greater body mass index (p=0.053). In the group with PeOAF it was observed a statistically significant lower value of glomerular filtration rate (p=0.001). Of the comorbidities in the PeOAF group, CHD, diabetes mellitus, and COPD were significantly more common (p<0.001). In patients who were transferred to insulin therapy in the perioperative period, PeOAF was also significantly more frequent. Obtained statistically significant differences (p=0.019) in the development PeOAF in various techniques of surgical intervention: at laparotomy PeOAF marked more often. According to Echo data revealed that in terms of research alone, intraoperatively and in the postoperative period in the group of patients with PeOAF significantly differed from patients without PeOAF all the parameters of intracardiac hemodynamics. Conclusion: In the group of patients with PeOAF at rest, a statistically significant lower LV FV was observed; increased values of linear LV dimensions, LV diastolic filling index, the diameter of the inferior Vena cava, and calculated systolic pressure in the pulmonary artery.

Keywords: noncardiac surgery, perioperative atrial fibrillation, risk stratification of noncardiac surgery, transthoracic echocardiography

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