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Cardiac variables associated with atrial fibrillation occurrence and mortality in octogenarians implanted with dual chamber permanent pacemakers.
Hayiroglu, Mert Ilker; Çinar, Tufan; Çinier, Göksel; Yüksel, Gizem; Pay, Levent; Keskin, Kivanç; Coskun, Cahit; Ayan, Gökçem; Çiçek, Vedat; Tekkesin, Ahmet Ilker.
Afiliación
  • Hayiroglu MI; Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tibbiye street, 34668, Istanbul, Turkey. mertilkerh@yahoo.com.
  • Çinar T; Department of Cardiology, Haydarpasa Sultan II. Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.
  • Çinier G; Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tibbiye street, 34668, Istanbul, Turkey.
  • Yüksel G; Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tibbiye street, 34668, Istanbul, Turkey.
  • Pay L; Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tibbiye street, 34668, Istanbul, Turkey.
  • Keskin K; Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tibbiye street, 34668, Istanbul, Turkey.
  • Coskun C; Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tibbiye street, 34668, Istanbul, Turkey.
  • Ayan G; Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tibbiye street, 34668, Istanbul, Turkey.
  • Çiçek V; Department of Cardiology, Haydarpasa Sultan II. Abdulhamid Han Training and Research Hospital, Istanbul, Turkey.
  • Tekkesin AI; Department of Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Tibbiye street, 34668, Istanbul, Turkey.
Aging Clin Exp Res ; 34(10): 2533-2539, 2022 Oct.
Article en En | MEDLINE | ID: mdl-35834163
BACKGROUND: There is a dearth of data on the predictors of atrial fibrillation (AF) and the association between AF and long-term mortality in octogenarians with dual-chamber permanent pacemakers (PPM). We investigate the occurrence of AF and whether it is associated with overall mortality among octogenarians with dual-chamber PPM implants. METHODS: Three hundred and fifty-four patients with PPM implants were divided into two groups based on their long-term survival status. Baseline characteristics, laboratory variables, and echocardiographic variables were then compared between the groups, and independent predictors of the long-term incidence of AF and mortality were determined. RESULTS: Multivariable Cox regression analysis performed after adjusting for the parameters in univariable analysis revealed that diabetes, urea levels, albumin levels, paced QRS duration, and the frequency of atrial high-rate episodes (AHREs) were independently associated with a long-term risk of AF in octogenarians after having dual chamber PPMs implanted. The left ventricular (LV) ejection fraction, left atrial (LA) anteroposterior diameter, and AHRE + AF (HR 1.498, 95%CI 1.003-2.237, p = 0.048) were independent risk factors for the long-term mortality in octogenarians receiving dual-chamber PPMs implants. CONCLUSION: The occurrence of AF following dual-chamber PPM implantation is a significant prognostic factor in octogenarian patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Marcapaso Artificial / Fibrilación Atrial Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Aged80 / Humans Idioma: En Revista: Aging Clin Exp Res Asunto de la revista: GERIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Marcapaso Artificial / Fibrilación Atrial Tipo de estudio: Etiology_studies / Prognostic_studies / Risk_factors_studies Límite: Aged80 / Humans Idioma: En Revista: Aging Clin Exp Res Asunto de la revista: GERIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Alemania