Predictive value of preoperative tissue Doppler echocardiographic analysis for postoperative atrial fibrillation after pulmonary resection for lung cancer
Objective The objective of the present study was to evaluate the utility of tissue Doppler imaging for predicting the development of postoperative atrial fibrillation. Methods In this prospective observational study, we evaluated 126 patients with lung cancer who underwent a lobectomy during the 18-...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2010-10, Vol.140 (4), p.764-768 |
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| creator | Nojiri, Takashi, MD Maeda, Hajime, MD, PhD Takeuchi, Yukiyasu, MD, PhD Funakoshi, Yasunobu, MD, PhD Maekura, Ryoji, MD, PhD Yamamoto, Kazuhiro, MD, PhD Okumura, Meinoshin, MD, PhD |
| description | Objective The objective of the present study was to evaluate the utility of tissue Doppler imaging for predicting the development of postoperative atrial fibrillation. Methods In this prospective observational study, we evaluated 126 patients with lung cancer who underwent a lobectomy during the 18-month period from August 2007 to January 2009. Preoperative evaluations for all patients included tissue Doppler imaging in addition to conventional echocardiographic analysis. The study end point was the development of postoperative atrial fibrillation. Results Postoperative atrial fibrillation was identified in 29 (23%) patients, in whom significantly higher early transmitral velocity/tissue Doppler mitral annular early diastolic velocity values were noted compared with those seen in patients without atrial fibrillation (9.76 ± 2.3 vs 7.14 ± 1.7, P |
| doi_str_mv | 10.1016/j.jtcvs.2009.11.073 |
| format | Article |
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Methods In this prospective observational study, we evaluated 126 patients with lung cancer who underwent a lobectomy during the 18-month period from August 2007 to January 2009. Preoperative evaluations for all patients included tissue Doppler imaging in addition to conventional echocardiographic analysis. The study end point was the development of postoperative atrial fibrillation. Results Postoperative atrial fibrillation was identified in 29 (23%) patients, in whom significantly higher early transmitral velocity/tissue Doppler mitral annular early diastolic velocity values were noted compared with those seen in patients without atrial fibrillation (9.76 ± 2.3 vs 7.14 ± 1.7, P < .0001). The area under the receiver operating characteristic curve for early transmitral velocity/tissue Doppler mitral annular early diastolic velocity to predict postoperative atrial fibrillation after pulmonary resection for lung cancer was 0.83 (95% confidence interval, 0.74–0.92; P < .001). An early transmitral velocity/tissue Doppler mitral annular early diastolic velocity value of greater than 8 had a sensitivity of 90% and a specificity of 73% for predicting postoperative atrial fibrillation. Conclusions Postoperative atrial fibrillation after pulmonary resection might be associated with left ventricular diastolic dysfunction before surgical intervention revealed by using tissue Doppler imaging. Additional studies to establish the significance of tissue Doppler imaging as a tool to predict postoperative atrial fibrillation could contribute to improvements in lung cancer treatments.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/j.jtcvs.2009.11.073</identifier><identifier>PMID: 20691999</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Atrial Fibrillation - diagnostic imaging ; Atrial Fibrillation - etiology ; Biological and medical sciences ; Carcinoma, Non-Small-Cell Lung - complications ; Carcinoma, Non-Small-Cell Lung - diagnostic imaging ; Carcinoma, Non-Small-Cell Lung - surgery ; Cardiac dysrhythmias ; Cardiology. Vascular system ; Cardiothoracic Surgery ; Cardiovascular system ; Chi-Square Distribution ; Echocardiography, Doppler ; Female ; Heart ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Japan ; Logistic Models ; Lung Neoplasms - complications ; Lung Neoplasms - diagnostic imaging ; Lung Neoplasms - surgery ; Male ; Medical sciences ; Middle Aged ; Pneumology ; Pneumonectomy - adverse effects ; Predictive Value of Tests ; Preoperative Care ; Prospective Studies ; Risk Assessment ; Risk Factors ; ROC Curve ; Sensitivity and Specificity ; Time Factors ; Treatment Outcome ; Tumors of the respiratory system and mediastinum ; Ultrasonic investigative techniques ; Ventricular Dysfunction, Left - complications ; Ventricular Dysfunction, Left - diagnostic imaging</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2010-10, Vol.140 (4), p.764-768</ispartof><rights>The American Association for Thoracic Surgery</rights><rights>2010 The American Association for Thoracic Surgery</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2010 The American Association for Thoracic Surgery. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-c2fd7e4b131c98e35b65bf5f769da65c14cec1fffc0295244c6e4b364ceef6bc3</citedby><cites>FETCH-LOGICAL-c554t-c2fd7e4b131c98e35b65bf5f769da65c14cec1fffc0295244c6e4b364ceef6bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022522310007634$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23280472$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20691999$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nojiri, Takashi, MD</creatorcontrib><creatorcontrib>Maeda, Hajime, MD, PhD</creatorcontrib><creatorcontrib>Takeuchi, Yukiyasu, MD, PhD</creatorcontrib><creatorcontrib>Funakoshi, Yasunobu, MD, PhD</creatorcontrib><creatorcontrib>Maekura, Ryoji, MD, PhD</creatorcontrib><creatorcontrib>Yamamoto, Kazuhiro, MD, PhD</creatorcontrib><creatorcontrib>Okumura, Meinoshin, MD, PhD</creatorcontrib><title>Predictive value of preoperative tissue Doppler echocardiographic analysis for postoperative atrial fibrillation after pulmonary resection for lung cancer</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Objective The objective of the present study was to evaluate the utility of tissue Doppler imaging for predicting the development of postoperative atrial fibrillation. Methods In this prospective observational study, we evaluated 126 patients with lung cancer who underwent a lobectomy during the 18-month period from August 2007 to January 2009. Preoperative evaluations for all patients included tissue Doppler imaging in addition to conventional echocardiographic analysis. The study end point was the development of postoperative atrial fibrillation. Results Postoperative atrial fibrillation was identified in 29 (23%) patients, in whom significantly higher early transmitral velocity/tissue Doppler mitral annular early diastolic velocity values were noted compared with those seen in patients without atrial fibrillation (9.76 ± 2.3 vs 7.14 ± 1.7, P < .0001). The area under the receiver operating characteristic curve for early transmitral velocity/tissue Doppler mitral annular early diastolic velocity to predict postoperative atrial fibrillation after pulmonary resection for lung cancer was 0.83 (95% confidence interval, 0.74–0.92; P < .001). An early transmitral velocity/tissue Doppler mitral annular early diastolic velocity value of greater than 8 had a sensitivity of 90% and a specificity of 73% for predicting postoperative atrial fibrillation. Conclusions Postoperative atrial fibrillation after pulmonary resection might be associated with left ventricular diastolic dysfunction before surgical intervention revealed by using tissue Doppler imaging. Additional studies to establish the significance of tissue Doppler imaging as a tool to predict postoperative atrial fibrillation could contribute to improvements in lung cancer treatments.</description><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Atrial Fibrillation - diagnostic imaging</subject><subject>Atrial Fibrillation - etiology</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Non-Small-Cell Lung - complications</subject><subject>Carcinoma, Non-Small-Cell Lung - diagnostic imaging</subject><subject>Carcinoma, Non-Small-Cell Lung - surgery</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Cardiothoracic Surgery</subject><subject>Cardiovascular system</subject><subject>Chi-Square Distribution</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Heart</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Japan</subject><subject>Logistic Models</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - diagnostic imaging</subject><subject>Lung Neoplasms - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pneumology</subject><subject>Pneumonectomy - adverse effects</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Care</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Tumors of the respiratory system and mediastinum</subject><subject>Ultrasonic investigative techniques</subject><subject>Ventricular Dysfunction, Left - complications</subject><subject>Ventricular Dysfunction, Left - diagnostic imaging</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks-KFDEQxhtR3NnVJxAkF_E0Y5LudE8OCrKuf2BBQQVvIV1d2c2Y6fSmugfmVXxa0zOjC148Bb78vkqlviqKZ4KvBBf1q81qM8KOVpJzvRJixZvyQbEQXDfLeq1-PCwWnEu5VFKWZ8U50YZz3nChHxdnktdaaK0Xxa8vCTsPo98h29kwIYuODQnjgMke1NETZfldHIaAiSHcRrCp8_Em2eHWA7O9DXvyxFxMbIg03nvtmLwNzPk2-RCyFntm3ZjLDFPYxt6mPUtICIeb2R-m_oaB7QHTk-KRs4Hw6em8KL6_v_p2-XF5_fnDp8u310tQqhqXIF3XYNWKUoBeY6naWrVOuabWna0ViAoQhHMOuNRKVhXUmS7rLKOrWygvipfHukOKdxPSaLaeAHO_PcaJTKOUaGQldSbLIwkpEiV0Zkh-mz9hBDdzJmZjDpmYORMjhMmZZNfzU_2p3WL31_MnhAy8OAGWwAaX8vc93XOlXPOqkZl7feQwT2PnMRkCj3lUnU95hKaL_j-NvPnHD8H3Pj_5E_dImzilHCUZYUgabr7O6zNvj5gXpy6r8jerhMaF</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Nojiri, Takashi, MD</creator><creator>Maeda, Hajime, MD, PhD</creator><creator>Takeuchi, Yukiyasu, MD, PhD</creator><creator>Funakoshi, Yasunobu, MD, PhD</creator><creator>Maekura, Ryoji, MD, PhD</creator><creator>Yamamoto, Kazuhiro, MD, PhD</creator><creator>Okumura, Meinoshin, MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20101001</creationdate><title>Predictive value of preoperative tissue Doppler echocardiographic analysis for postoperative atrial fibrillation after pulmonary resection for lung cancer</title><author>Nojiri, Takashi, MD ; Maeda, Hajime, MD, PhD ; Takeuchi, Yukiyasu, MD, PhD ; Funakoshi, Yasunobu, MD, PhD ; Maekura, Ryoji, MD, PhD ; Yamamoto, Kazuhiro, MD, PhD ; Okumura, Meinoshin, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c554t-c2fd7e4b131c98e35b65bf5f769da65c14cec1fffc0295244c6e4b364ceef6bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Atrial Fibrillation - diagnostic imaging</topic><topic>Atrial Fibrillation - etiology</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Non-Small-Cell Lung - complications</topic><topic>Carcinoma, Non-Small-Cell Lung - diagnostic imaging</topic><topic>Carcinoma, Non-Small-Cell Lung - surgery</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Cardiothoracic Surgery</topic><topic>Cardiovascular system</topic><topic>Chi-Square Distribution</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>Heart</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Japan</topic><topic>Logistic Models</topic><topic>Lung Neoplasms - complications</topic><topic>Lung Neoplasms - diagnostic imaging</topic><topic>Lung Neoplasms - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pneumology</topic><topic>Pneumonectomy - adverse effects</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Care</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>ROC Curve</topic><topic>Sensitivity and Specificity</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Tumors of the respiratory system and mediastinum</topic><topic>Ultrasonic investigative techniques</topic><topic>Ventricular Dysfunction, Left - complications</topic><topic>Ventricular Dysfunction, Left - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nojiri, Takashi, MD</creatorcontrib><creatorcontrib>Maeda, Hajime, MD, PhD</creatorcontrib><creatorcontrib>Takeuchi, Yukiyasu, MD, PhD</creatorcontrib><creatorcontrib>Funakoshi, Yasunobu, MD, PhD</creatorcontrib><creatorcontrib>Maekura, Ryoji, MD, PhD</creatorcontrib><creatorcontrib>Yamamoto, Kazuhiro, MD, PhD</creatorcontrib><creatorcontrib>Okumura, Meinoshin, MD, PhD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nojiri, Takashi, MD</au><au>Maeda, Hajime, MD, PhD</au><au>Takeuchi, Yukiyasu, MD, PhD</au><au>Funakoshi, Yasunobu, MD, PhD</au><au>Maekura, Ryoji, MD, PhD</au><au>Yamamoto, Kazuhiro, MD, PhD</au><au>Okumura, Meinoshin, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive value of preoperative tissue Doppler echocardiographic analysis for postoperative atrial fibrillation after pulmonary resection for lung cancer</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>140</volume><issue>4</issue><spage>764</spage><epage>768</epage><pages>764-768</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><coden>JTCSAQ</coden><abstract>Objective The objective of the present study was to evaluate the utility of tissue Doppler imaging for predicting the development of postoperative atrial fibrillation. Methods In this prospective observational study, we evaluated 126 patients with lung cancer who underwent a lobectomy during the 18-month period from August 2007 to January 2009. Preoperative evaluations for all patients included tissue Doppler imaging in addition to conventional echocardiographic analysis. The study end point was the development of postoperative atrial fibrillation. Results Postoperative atrial fibrillation was identified in 29 (23%) patients, in whom significantly higher early transmitral velocity/tissue Doppler mitral annular early diastolic velocity values were noted compared with those seen in patients without atrial fibrillation (9.76 ± 2.3 vs 7.14 ± 1.7, P < .0001). The area under the receiver operating characteristic curve for early transmitral velocity/tissue Doppler mitral annular early diastolic velocity to predict postoperative atrial fibrillation after pulmonary resection for lung cancer was 0.83 (95% confidence interval, 0.74–0.92; P < .001). An early transmitral velocity/tissue Doppler mitral annular early diastolic velocity value of greater than 8 had a sensitivity of 90% and a specificity of 73% for predicting postoperative atrial fibrillation. Conclusions Postoperative atrial fibrillation after pulmonary resection might be associated with left ventricular diastolic dysfunction before surgical intervention revealed by using tissue Doppler imaging. Additional studies to establish the significance of tissue Doppler imaging as a tool to predict postoperative atrial fibrillation could contribute to improvements in lung cancer treatments.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>20691999</pmid><doi>10.1016/j.jtcvs.2009.11.073</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Atrial Fibrillation - diagnostic imaging Atrial Fibrillation - etiology Biological and medical sciences Carcinoma, Non-Small-Cell Lung - complications Carcinoma, Non-Small-Cell Lung - diagnostic imaging Carcinoma, Non-Small-Cell Lung - surgery Cardiac dysrhythmias Cardiology. Vascular system Cardiothoracic Surgery Cardiovascular system Chi-Square Distribution Echocardiography, Doppler Female Heart Humans Investigative techniques, diagnostic techniques (general aspects) Japan Logistic Models Lung Neoplasms - complications Lung Neoplasms - diagnostic imaging Lung Neoplasms - surgery Male Medical sciences Middle Aged Pneumology Pneumonectomy - adverse effects Predictive Value of Tests Preoperative Care Prospective Studies Risk Assessment Risk Factors ROC Curve Sensitivity and Specificity Time Factors Treatment Outcome Tumors of the respiratory system and mediastinum Ultrasonic investigative techniques Ventricular Dysfunction, Left - complications Ventricular Dysfunction, Left - diagnostic imaging |
| title | Predictive value of preoperative tissue Doppler echocardiographic analysis for postoperative atrial fibrillation after pulmonary resection for lung cancer |
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