Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis
Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, a...
Ausführliche Beschreibung
Autor*in: |
Cai, Guo-Long [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2013 |
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Anmerkung: |
© Société Internationale de Chirurgie 2013 |
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Übergeordnetes Werk: |
Enthalten in: World Journal of Surgery - Springer-Verlag, 1996, 38(2013), 1 vom: 16. Okt., Seite 51-59 |
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Übergeordnetes Werk: |
volume:38 ; year:2013 ; number:1 ; day:16 ; month:10 ; pages:51-59 |
Links: |
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DOI / URN: |
10.1007/s00268-013-2284-2 |
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Katalog-ID: |
SPR003444597 |
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520 | |a Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. | ||
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10.1007/s00268-013-2284-2 doi (DE-627)SPR003444597 (SPR)s00268-013-2284-2-e DE-627 ger DE-627 rakwb eng Cai, Guo-Long verfasserin aut Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. Natriuretic Peptide (dpeaa)DE-He213 Brain Natriuretic Peptide (dpeaa)DE-He213 Diagnostic Odds Ratio (dpeaa)DE-He213 Brain Natriuretic Peptide Level (dpeaa)DE-He213 Postoperative Atrial Fibrillation (dpeaa)DE-He213 Chen, Jin aut Hu, Cai-Bao aut Yan, Mo-Lei aut Xu, Qiang-Hong aut Yan, Jing aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 1 vom: 16. Okt., Seite 51-59 (DE-627)SPR003391159 nnns volume:38 year:2013 number:1 day:16 month:10 pages:51-59 https://dx.doi.org/10.1007/s00268-013-2284-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2013 1 16 10 51-59 |
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10.1007/s00268-013-2284-2 doi (DE-627)SPR003444597 (SPR)s00268-013-2284-2-e DE-627 ger DE-627 rakwb eng Cai, Guo-Long verfasserin aut Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. Natriuretic Peptide (dpeaa)DE-He213 Brain Natriuretic Peptide (dpeaa)DE-He213 Diagnostic Odds Ratio (dpeaa)DE-He213 Brain Natriuretic Peptide Level (dpeaa)DE-He213 Postoperative Atrial Fibrillation (dpeaa)DE-He213 Chen, Jin aut Hu, Cai-Bao aut Yan, Mo-Lei aut Xu, Qiang-Hong aut Yan, Jing aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 1 vom: 16. Okt., Seite 51-59 (DE-627)SPR003391159 nnns volume:38 year:2013 number:1 day:16 month:10 pages:51-59 https://dx.doi.org/10.1007/s00268-013-2284-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2013 1 16 10 51-59 |
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10.1007/s00268-013-2284-2 doi (DE-627)SPR003444597 (SPR)s00268-013-2284-2-e DE-627 ger DE-627 rakwb eng Cai, Guo-Long verfasserin aut Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. Natriuretic Peptide (dpeaa)DE-He213 Brain Natriuretic Peptide (dpeaa)DE-He213 Diagnostic Odds Ratio (dpeaa)DE-He213 Brain Natriuretic Peptide Level (dpeaa)DE-He213 Postoperative Atrial Fibrillation (dpeaa)DE-He213 Chen, Jin aut Hu, Cai-Bao aut Yan, Mo-Lei aut Xu, Qiang-Hong aut Yan, Jing aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 1 vom: 16. Okt., Seite 51-59 (DE-627)SPR003391159 nnns volume:38 year:2013 number:1 day:16 month:10 pages:51-59 https://dx.doi.org/10.1007/s00268-013-2284-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2013 1 16 10 51-59 |
allfieldsGer |
10.1007/s00268-013-2284-2 doi (DE-627)SPR003444597 (SPR)s00268-013-2284-2-e DE-627 ger DE-627 rakwb eng Cai, Guo-Long verfasserin aut Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. Natriuretic Peptide (dpeaa)DE-He213 Brain Natriuretic Peptide (dpeaa)DE-He213 Diagnostic Odds Ratio (dpeaa)DE-He213 Brain Natriuretic Peptide Level (dpeaa)DE-He213 Postoperative Atrial Fibrillation (dpeaa)DE-He213 Chen, Jin aut Hu, Cai-Bao aut Yan, Mo-Lei aut Xu, Qiang-Hong aut Yan, Jing aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 1 vom: 16. Okt., Seite 51-59 (DE-627)SPR003391159 nnns volume:38 year:2013 number:1 day:16 month:10 pages:51-59 https://dx.doi.org/10.1007/s00268-013-2284-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2013 1 16 10 51-59 |
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10.1007/s00268-013-2284-2 doi (DE-627)SPR003444597 (SPR)s00268-013-2284-2-e DE-627 ger DE-627 rakwb eng Cai, Guo-Long verfasserin aut Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Société Internationale de Chirurgie 2013 Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. Natriuretic Peptide (dpeaa)DE-He213 Brain Natriuretic Peptide (dpeaa)DE-He213 Diagnostic Odds Ratio (dpeaa)DE-He213 Brain Natriuretic Peptide Level (dpeaa)DE-He213 Postoperative Atrial Fibrillation (dpeaa)DE-He213 Chen, Jin aut Hu, Cai-Bao aut Yan, Mo-Lei aut Xu, Qiang-Hong aut Yan, Jing aut Enthalten in World Journal of Surgery Springer-Verlag, 1996 38(2013), 1 vom: 16. Okt., Seite 51-59 (DE-627)SPR003391159 nnns volume:38 year:2013 number:1 day:16 month:10 pages:51-59 https://dx.doi.org/10.1007/s00268-013-2284-2 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 38 2013 1 16 10 51-59 |
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We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. 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Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis |
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Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis |
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Cai, Guo-Long |
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World Journal of Surgery |
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World Journal of Surgery |
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2013 |
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Cai, Guo-Long Chen, Jin Hu, Cai-Bao Yan, Mo-Lei Xu, Qiang-Hong Yan, Jing |
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Elektronische Aufsätze |
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Cai, Guo-Long |
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10.1007/s00268-013-2284-2 |
title_sort |
value of plasma brain natriuretic peptide levels for predicting postoperative atrial fibrillation: a systemic review and meta-analysis |
title_auth |
Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis |
abstract |
Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. © Société Internationale de Chirurgie 2013 |
abstractGer |
Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. © Société Internationale de Chirurgie 2013 |
abstract_unstemmed |
Background Blood natriuretic peptide (NP) levels have been reported to be useful for predicting postoperative atrial fibrillation (AF). We aimed to quantitatively synthesize the current evidence of the accuracy of using NP levels in predicting postoperative AF. Methods and Results Medline, Embase, and reference lists were searched. Studies were included if either brain natriuretic peptide (BNP) or N-terminal pro-b type natriuretic peptide (NT-proBNP) had been evaluated perioperatively to predict postoperative AF. Data were analyzed to obtain summary accuracy estimates. Data from 1,844 patients in 10 studies were analyzed. Summary estimates for the sensitivity and specificity of using NP levels for predicting postoperative AF were 75 % [95 % confidence interval (CI) 67–79 %] and 80 % (95 % CI 62–91 %), respectively. The overall diagnostic odds ratio was 3.28 (95 % CI 2.23–4.84). Subgroup analysis showed that elevated NP levels in the perioperative period were a strong independent predictor of postoperative AF. NT-proBNP appeared to have better predictive value than BNP, as did postoperative assessment over preoperative assessment. BNP had a better correlation with postoperative AF in patients undergoing thoracic surgery than in patients undergoing cardiac surgery. Conclusions Perioperative assessment of the natriuretic peptide level in patients undergoing major cardiothoracic surgery could be a valuable diagnostic aid for identifying patients at high risk of developing postoperative AF, and for providing critical clinical information to guide prophylactic antiarrhythmic therapy in the perioperative period. © Société Internationale de Chirurgie 2013 |
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title_short |
Value of Plasma Brain Natriuretic Peptide Levels for Predicting Postoperative Atrial Fibrillation: A Systemic Review and Meta-analysis |
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https://dx.doi.org/10.1007/s00268-013-2284-2 |
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Chen, Jin Hu, Cai-Bao Yan, Mo-Lei Xu, Qiang-Hong Yan, Jing |
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Chen, Jin Hu, Cai-Bao Yan, Mo-Lei Xu, Qiang-Hong Yan, Jing |
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up_date |
2024-07-03T19:31:26.607Z |
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