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Surgery Today
Published in: Surgery Today 10/2023

09-03-2023 | Lung Cancer | Original Article

Relationship between postoperative atrial fibrillation and its recurrence after lung resection

Authors: Manabu Kashiwagi, Yoshimitsu Hirai, Akio Kuroi, Takuya Ohashi, Yumi Yata, Aya Fusamoto, Hideto Iguchi, Natsuki Higashimoto, Takashi Tanimoto, Atsushi Tanaka, Yoshiharu Nishimura

Published in: Surgery Today | Issue 10/2023

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Abstract

Purpose

Atrial fibrillation (AF) frequently occurs after pulmonary resection and is commonly referred to as postoperative atrial fibrillation (POAF). This study explored whether or not POAF is related to the recurrence of AF in the chronic phase.

Methods

A total of 1311 consecutive patients without a history of AF who underwent lung resection based on a diagnosis of lung tumor were retrospectively analyzed.

Results

POAF occurred in 46 patients (3.5%), and a logistic regression analysis revealed that the age (p < 0.05), history of hyperthyroidism (p < 0.05), and major lung resection (p < 0.05) were independent predictors of POAF. AF events in the chronic phase were observed in 15 (32.6%) and 45 (3.6%) patients with and without POAF, respectively. A Cox regression analysis revealed that POAF was the only independent predictor of AF development in the chronic phase (p < 0.01). The Kaplan–Meier curve and log-rank test revealed that the cumulative incidence of AF in the chronic phase was significantly higher in patients with POAF than in those without POAF (p < 0.01).

Conclusion

POAF was an independent predictor for AF in the chronic phase after lung resection. Further investigations including cases of catheter ablation and optimal medical therapy for patients with POAF after lung resection are needed.
Appendix
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Metadata
Title
Relationship between postoperative atrial fibrillation and its recurrence after lung resection
Authors
Manabu Kashiwagi
Yoshimitsu Hirai
Akio Kuroi
Takuya Ohashi
Yumi Yata
Aya Fusamoto
Hideto Iguchi
Natsuki Higashimoto
Takashi Tanimoto
Atsushi Tanaka
Yoshiharu Nishimura
Publication date
09-03-2023
Publisher
Springer Nature Singapore
Published in
Surgery Today / Issue 10/2023
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-023-02670-4

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