Cardiothoracic & vascular anesthesia
Left Atrial Strain to Predict Postoperative Atrial Fibrillation in Patients Undergoing Off-pump Coronary Artery Bypass Graft
Authors' conclusion
LAS R is a significant predictor of POAF
Study context
- Population
- Patients undergoing off-pump CABG (off-pump coronary artery bypass grafting (OPCABG)), tertiary care hospital
- Participants
- 103 patients
- Exposure
- Postoperative atrial fibrillation (POAF) vs No POAF
- POAFn = 24
- Outcome
- POAF prediction by left atrial strain (LAS)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
LAS components (POAF vs no POAF) and prediction of POAF
Odds ratio (multivariate)
0.84
P = 0.004
Left atrial strain (LAS) R
Odds ratio (multivariate)
1.08
P = 0.025
Age
POAF
19.2
± 4.7
No POAF
23.5
± 4.8
- LAS R AUC
- 0.758
- LAS conduction (CD) AUC
- 0.67
- LAS contraction (CT) AUC
- 0.62
- LAS R optimal cutoff
- 23%
- LAS R sensitivity
- 95.8% (CI 78.9-99.9%)
- LAS R specificity (37.9-60.9%)
- 49.4%
Observational data: associations, not effects.
Further findings
- Incidence of POAF
- 23.3% · 24
Ejection fraction, average global longitudinal strain, LV diastolic dysfunction grades
- No difference between patients with and without POAF
Original publication
Left Atrial Strain to Predict Postoperative Atrial Fibrillation in Patients Undergoing Off-pump Coronary Artery Bypass Graft. J Cardiothorac Vasc Anesth. Published 14 August 2024. doi:10. 1053/ j. jvca. 2024. 07. 047
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