title: Risk factors predictive of atrial fibrillation after lung cancer surgery.
abstract: Postoperative atrial fibrillation (POAF), the most frequent arrhythmia after pulmonary resection, is a cause of both morbidity and mortality. Being able to predict the risk of POAF before surgery would help us evaluate the surgical risk and plan prophylaxis. We investigated the reported preoperative risk factors associated with the incidence of POAF and found that the recommended predictive factors were quite variable. Therefore, we evaluated the previously reported preoperative risk factors for POAF using our institutional data. We discuss our findings in this short review. Male gender, resected lung volume, brain natriuretic peptide (BNP), and left ventricular early transmitral velocity/mitral annular early diastolic velocity (E/e') calculated by echocardiography were suggested as independent predictors for POAF, but the predictive values of each individual parameter were not high. The lack of definitive predictors for POAF warrants further investigations by gathering the reported knowledge, to establish an effective preoperative examination strategy.
authors.affiliation: Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana Chuo-ku, Chiba City, Chiba, 260-8670, Japan. takeiwata-ths@umin.ac.jp.
authors.forename: Takekazu
authors.initials: T
authors.lastname: Iwata
authors.affiliation: Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana Chuo-ku, Chiba City, Chiba, 260-8670, Japan.
authors.forename: Kaoru
authors.initials: K
authors.lastname: Nagato
authors.affiliation: Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana Chuo-ku, Chiba City, Chiba, 260-8670, Japan.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nakajima
authors.affiliation: Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana Chuo-ku, Chiba City, Chiba, 260-8670, Japan.
authors.forename: Hidemi
authors.initials: H
authors.lastname: Suzuki
authors.affiliation: Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana Chuo-ku, Chiba City, Chiba, 260-8670, Japan.
authors.forename: Shigetoshi
authors.initials: S
authors.lastname: Yoshida
authors.affiliation: Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana Chuo-ku, Chiba City, Chiba, 260-8670, Japan.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Yoshino
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D001783:Blood Flow Velocity; D005260:Female; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D015994:Incidence; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008943:Mitral Valve / Q000503:physiopathology; D020097:Natriuretic Peptide, Brain / Q000378:metabolism; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control; D011237:Predictive Value of Tests; D057234:Preoperative Period; D012307:Risk Factors; D012737:Sex Factors
chemical_list: D020097:Natriuretic Peptide, Brain
keywords: Atrial fibrillation; Pulmonary surgery; Risk factor