Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Zweiker, D; Fröschl, M; Tiede, S; Weidinger, P; Schmid, J; Manninger, M; Brussee, H; Zweiker, R; Binder, J; Mächler, H; Marte, W; Maier, R; Luha, O; Schmidt, A; Scherr, D.
Atrial fibrillation in transcatheter aortic valve implantation patients: Incidence, outcome and predictors of new onset.
J Electrocardiol. 2017; 50(4):402-409
Doi: 10.1016/j.jelectrocard.2017.02.013
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Zweiker David
- Co-Autor*innen der Med Uni Graz
- Binder Josepha Stephanie
- Brussee Helmut
- Mächler Heinrich
- Maier Robert
- Manninger-Wünscher Martin
- Marte Wolfgang
- Scherr Daniel
- Schmid Johannes
- Schmidt Albrecht
- Zweiker Robert
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- Abstract:
- There is controversial evidence if atrial fibrillation (AF) alters outcome after transcatheter aortic valve implantation (TAVI). TAVI itself may promote new-onset AF (NOAF). We performed a single-center study including 398 consecutive patients undergoing TAVI. Before TAVI, patients were divided into a sinus rhythm (SR) group (n=226, 57%) and baseline AF group (n=172, 43%) according to clinical records and electrocardiograms. Furthermore, incidence and predictors of NOAF were recorded. Baseline AF patients had a significantly higher 1-year mortality than the baseline SR group (19.8% vs. 11.5%, p=0.02). NOAF occurred in 7.1% of patients with prior SR. Previous valve surgery was the only significant predictor of NOAF (HR 5.86 [1.04-32.94], p<0.05). NOAF was associated with higher rehospitalization rate (62.5 vs. 34.8%, p=0.04), whereas mortality was unaffected. This study shows that NOAF is associated with higher rates of rehospitalization but not mortality after TAVI. Overall, patients with pre-existing AF have higher mortality. Copyright © 2017 Elsevier Inc. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged, 80 and over -
- Atrial Fibrillation - epidemiology
- Atrial Fibrillation - mortality
- Austria - epidemiology
- Electrocardiography -
- Female -
- Humans -
- Incidence -
- Male -
- Patient Readmission - statistics & numerical data
- Postoperative Complications - epidemiology
- Postoperative Complications - mortality
- Risk Factors -
- Transcatheter Aortic Valve Replacement -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Atrial fibrillation
- Transcatheter aortic valve implantation
- New-onset AF
- Retrospective study
- One-year mortality