Cardiothoracic & vascular anesthesia

Left Atrial Strain to Predict Postoperative Atrial Fibrillation in Patients Undergoing Off-pump Coronary Artery Bypass Graft

J Cardiothorac Vasc AnesthPublished Retrospective observational study

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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