New-onset atrial fibrillation (AF) is a common complication affecting patients who undergo aortic valve replacement (AVR) and transcatheter aortic valve implantation (TAVI), according to a population-based, observational study. The analysis included 48,715 patients admitted to hospital to receive TAVI and 122,765 to receive AVR. New-onset AF was observed in 50.4% of TAVI hospitalizations and 50.1% of AVR hospitalizations. Patients with new-onset AF also had a greater prevalence of coronary artery disease, congestive heart failure and peripheral vascular disease than those without new-onset AF. Furthermore, new-onset AF was associated with prolonged hospitalization and higher in-hospital mortality.
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Kalra, R. et al. Evaluation of the incidence of new-onset atrial fibrillation after aortic valve replacement. JAMA Intern. Med. https://doi.org/10.1001/jamainternmed.2019.0205 (2019)
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Huynh, K. Incidence of new-onset AF after TAVI and AVR. Nat Rev Cardiol 16, 454 (2019). https://doi.org/10.1038/s41569-019-0229-7
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DOI: https://doi.org/10.1038/s41569-019-0229-7