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Eur J Cardiothorac Surg 1998;13:625-628
© 1998 Elsevier Science NL

Atrial fibrillation after surgery of the lung: clinical analysis of risk factors¹

Department of Thoracic Surgery, Karol Marcinkowski University of Medical Sciences, 62 Szamarzewski St., Pozna, Poland

Received 28 September 1997; received in revised form 17 March 1998; accepted 24 March 1998.

Corresponding author. Tel./fax: +48 61 8669053.

Objective: The aim of this study was to determine which of the clinical parameters are the most valuable in predicting postoperative atrial fibrillation after lung surgery. Materials and methods: Retrospective analysis was carried out on 298 patients after pulmonary resection necessitated mainly by lung cancer. The following parameters were investigated: age and sex, disturbances of cardiac rhythm, history of ischemic heart disease, diabetes and atherosclerosis, NYHA classification and type of surgical procedure. In addition, the duration of surgery, variations in oxygen saturation, changes in systemic blood pressure and heart-rate were noted intraoperatively. Statistical analysis was performed using Fisher's exact test. Results and conclusions: Atrial fibrillation occurred in 25 cases (8.4%) and more frequently after pneumonectomy (24%). Other factors contributing to atrial fibrillation after lung surgery were: history of ischemic heart disease, congestive heart failure, intraoperative cardiac arrest and the need for rethoracotomy.

Key Words: Surgery of the lung • Postoperative supraventricular arrhythmia

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