Influence of atrial fibrillation on outcome following mitral valve repair

To investigate the outcome of patients in atrial fibrillation (AF) following mitral valve repair, clinical and echocardiographic follow-up was undertaken in 400 consecutive patients who underwent mitral valvuloplasty from 1987 to 1999. The main indications for surgery were degenerative (81.4%), endo...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2001-09, Vol.104 (12 Suppl 1), p.I59-I63
Main Authors: Lim, E, Barlow, C W, Hosseinpour, A R, Wisbey, C, Wilson, K, Pidgeon, W, Charman, S, Barlow, J B, Wells, F C
Format: Article
Language:English
Subjects:
Aged
Atrial Fibrillation - complications
Atrial Fibrillation - diagnosis
Demography
Disease Progression
Echocardiography
Female
Follow-Up Studies
Humans
Male
Middle Aged
Mitral Valve - surgery
Mitral Valve Insufficiency - complications
Mitral Valve Insufficiency - surgery
Survival Analysis
Survival Rate
Treatment Outcome
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - diagnosis
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Summary:To investigate the outcome of patients in atrial fibrillation (AF) following mitral valve repair, clinical and echocardiographic follow-up was undertaken in 400 consecutive patients who underwent mitral valvuloplasty from 1987 to 1999. The main indications for surgery were degenerative (81.4%), endocarditis (7.1%), rheumatic (6.6%), ischemic (4.6%), and traumatic (0.3%) mitral valve disease. After excluding 6 paced patients and 1 patient in nodal rhythm, we compared the outcomes of 152 patients in AF against 241 patients in sinus rhythm. For patients in AF versus those in sinus rhythm, more AF patients were older (mean age 67.2+/-8.8 versus 61.9+/-11.8 years, respectively; P
ISSN:0009-7322
1524-4539
DOI:10.1161/circ.104.suppl_1.I-59