BACKGROUND: The onset of @entity955 ( @entity955 ) in the postoperative setting has been associated with increased morbidity and mortality in @entity1 undergoing major noncardiothoracic operations. The purpose of this study was to determine the incidence, associated complications, and outcomes of @entity955 after open aortic operations. STUDY DESIGN: We studied 211 consecutive @entity1 undergoing elective aortic operations at a single hospital during a recent 6-year period. Postoperatively all @entity1 had continuous ECG monitoring in the ICU for a mean (+/- SD) of 6 +/- 8 days and routine cardiac enzyme determinations. RESULTS: @entity955 developed in 22 of the 211 @entity1 (10%), a mean (+/- SD) of 2 +/- 1 days after operation, and it lasted for a mean of 4 +/- 6 days after onset. Sixteen @entity1 spontaneously reverted to normal sinus rhythm, 3 required cardioversion (2 chemical, 1 electrical), and 3 continued in @entity955 at discharge. Four of the 22 @entity1 suffered additional @entity299 , including antecedent MI in 3 (14%) and sustained @entity1455 requiring electrical cardioversion in 1. By comparison, the incidence of MI in the other 189 @entity1 was 4% (no significant difference [NSD]). There were no deaths in the @entity955 @entity1 . @entity299 developed in none of the 22 @entity1 , and all @entity1 had normal sinus rhythm on ECG obtained a mean of 14 +/- 10 months after discharge. Comparing the 22 @entity1 with @entity955 with the 189 @entity1 without @entity955 , there were no differences in the mean duration of ICU stay (6 +/- 4 versus 6 +/- 8 days), total length of hospital stay (10 +/- 5 versus 11 +/- 10 days), or hospital mortality (0% versus 0.5%). @entity955 @entity1 were older (71 versus 66 years, p = 0.016), but there was no difference in gender or use of beta-blockers between the two groups. CONCLUSIONS: These data suggest that @entity955 is not uncommon after aortic operations but is not associated with increased morbidity, mortality, or length of hospital stay. Although a minority of affected @entity1 can have other @entity299 such as MI, these complications are usually recognized before the onset of @entity955 . @entity955 does not affect the outcomes of aortic operations. Most @entity1 will revert spontaneously to normal sinus rhythm and do not require longterm anticoagulation to prevent @entity1031 .

The clinical course of new-onset XXXX after elective aortic operations.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolic complications'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation', 'AFIB'] @entity299 :: ('MESH:D006331', 'Disease') :: ['Cardiac emboli', 'cardiac complications'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['cardiogenic shock']
@entity955 :: (MESH:D001281,Disease) :: ['atrial fibrillation']
