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Anticoagulation in new-onset postoperative atrial fibrillation: An analysis from the Society of Thoracic Surgeons Adult Cardiac Surgery Database

Fady S. Riad, Maria V. Grau‐Sepulveda, Oliver K. Jawitz, Andrew M. Vekstein, Varun Sundaram, Jayakumar Sahadevan, Robert Habib, Jeffrey P. Jacobs, Sean M. O’Brien, Vinod H. Thourani, Sreekanth Vemulapalli, Ying Xian, Albert L. Waldo, Joseph F. Sabik

2022Heart Rhythm O237 citationsDOIOpen Access PDF

Abstract

Background: New-onset postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery and is associated with increased long-term stroke and mortality. Anticoagulation has been suggested as a potential therapy, but data on safety and efficacy are scant. Objectives: To determine the association between anticoagulation for POAF and long-term outcomes. Methods: -VASc score was also assessed. Results: -VASc scores ≥5 compared to patients with scores of 2-4. Anticoagulation did not appear to benefit either subgroup. Conclusion: -VASc score.

Topics & Concepts

MedicineAtrial fibrillationHazard ratioPropensity score matchingStroke (engine)Myocardial infarctionCardiac surgeryInternal medicineCardiologyComplicationIncidence (geometry)Subgroup analysisCardiothoracic surgeryCoronary artery bypass surgeryConfidence intervalSurgeryArteryPhysicsMechanical engineeringOpticsEngineeringAtrial Fibrillation Management and OutcomesCardiac Arrhythmias and TreatmentsVenous Thromboembolism Diagnosis and Management
Anticoagulation in new-onset postoperative atrial fibrillation: An analysis from the Society of Thoracic Surgeons Adult Cardiac Surgery Database | Litcius