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Developing a Risk Prediction Model for Early Atrial Fibrillation Recurrence After Maze Procedure
Amirhosein Seyedhoseinpour1, Ali Vasheghani-Farahani1, Kyomars Abbasi2
1From the Cardiac Primary Prevention Research Center (CPPRC), Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Critical Pathways in Cardiology
|March 21, 2022
Summary
Predictors of early atrial fibrillation (AF) recurrence after maze and valvular surgery were identified. Older age, multivalvular surgery, and persistent AF increased risk, while CABG and beta-blockers showed protective effects.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- The concomitant Maze procedure is effective for atrial fibrillation (AF) in patients undergoing mitral valve surgery.
- Early recurrence of AF post-procedure necessitates identifying predictive factors.
Purpose of the Study:
- To define predictors of early AF recurrence following a concomitant Maze procedure combined with valvular surgery.
- To develop a model for anticipating early AF recurrence based on patient characteristics.
Main Methods:
- Retrospective analysis of 234 patients with AF who underwent concomitant valvular replacement and Maze procedure.
- Patients were categorized into sinus rhythm and AF groups post-operatively for comparison.
Main Results:
- 148 out of 234 patients maintained sinus rhythm.
- Independent predictors of in-hospital AF recurrence included age, number of replaced valves, concomitant coronary artery bypass grafting (CABG), preoperative persistent AF, and beta-blocker therapy.
Conclusions:
- Older age, multivalvular surgery, and persistent preoperative AF predict higher risk of early recurrent AF.
- Concomitant CABG and beta-blocker therapy demonstrated a protective effect.
- A predictive model using preoperative and operative factors can assess patient benefit from combined procedures.
