{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T14:24:47Z","timestamp":1791901487449,"version":"4.3.4"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circ: Cardiovascular Imaging"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery being associated with poorer outcomes. Revealing before the operation of left atrial subtle structural\/functional abnormalities may help to identify patients at increased risk of POAF. We investigated the role of left atrial strain parameters by preoperative speckle tracking echocardiography as independent predictors of POAF in patients undergoing coronary artery bypass graft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Consecutive patients undergoing isolated coronary artery bypass graft were prospectively enrolled at three Italian centers. All patients underwent transthoracic echocardiography before the operation. The occurrence of POAF up to discharge was monitored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Overall, a total of 310 patients were included. POAF was demonstrated in 103 patients (33%). At receiver operating characteristic curve analysis, lower global peak atrial longitudinal strain (PALS) values significantly predicted the risk of POAF (area under the curve, 0.74;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). The optimal cutoff value for the arrhythmia prediction was a global PALS value &lt;28%, with a specificity of 86% and a sensitivity of 36%. The incidence of POAF was 51% in patients with global PALS &lt;28% versus 14% in those with PALS \u226528% (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001), with a POAF-free survival at Kaplan-Meier analysis of 45.4% and 85.7%, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). At multivariate analysis, a global PALS &lt;28% carried a 3.6-fold higher risk of POAF (hazard ratio, 3.6 [95% CI, 2.2\u20135.9];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001). The risk increase was even higher when PALS &lt;28% was associated with age \u226570 years (adjusted hazard ratio, 11.2 [4.7\u201326.6],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>A presurgery global PALS &lt;28% is a specific parameter to stratify patients at increased risk of POAF after coronary artery bypass graft. This assessment can be useful to identify patients at higher arrhythmic risk in whom perioperative preventive strategies and stricter monitoring aimed at early diagnosing and treating POAF may be applied.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/circimaging.123.015969","type":"journal-article","created":{"date-parts":[[2024,1,16]],"date-time":"2024-01-16T14:00:25Z","timestamp":1705413625000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":33,"title":["Left Atrial Strain to Predict Postoperative Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Grafting"],"prefix":"10.1161","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7223-141X","authenticated-orcid":true,"given":"Maria Concetta","family":"Pastore","sequence":"first","affiliation":[{"name":"University of Eastern Piedmont, Novara (M.C.P., L.G., M.S., A.G., G.P.)."},{"name":"Department of Medical Biotechnologies, Division of Cardiology, University of Siena (M.C.P., C.S., M.F., M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4503-7531","authenticated-orcid":true,"given":"Anna","family":"Degiovanni","sequence":"additional","affiliation":[{"name":"Department of Cardio-Thoracic and Vascular Diseases, Maggiore della Carit\u00e0 Hospital, Novara (A.D., L.G., G.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5277-9907","authenticated-orcid":true,"given":"Leonardo","family":"Grisafi","sequence":"additional","affiliation":[{"name":"University of Eastern Piedmont, Novara (M.C.P., L.G., M.S., A.G., G.P.)."},{"name":"Department of Cardio-Thoracic and Vascular Diseases, Maggiore della Carit\u00e0 Hospital, Novara (A.D., L.G., G.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia","family":"Renda","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, G. d\u2019Annunzio University of Chieti-Pescara, Chieti (G.R., F.P., C.C., F.D.D., F.R., U.B., S.G.)."},{"name":"Division of Cardiology, SS. Annunziata Hospital, Chieti (G.R., F.P., C.C., F.D.D., F.R., S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Sozzani","sequence":"additional","affiliation":[{"name":"University of Eastern Piedmont, Novara (M.C.P., L.G., M.S., A.G., G.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9501-8425","authenticated-orcid":true,"given":"Andrea","family":"Giordano","sequence":"additional","affiliation":[{"name":"University of Eastern Piedmont, Novara (M.C.P., L.G., M.S., A.G., G.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9209-2372","authenticated-orcid":true,"given":"Cosimo","family":"Salvatici","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Division of Cardiology, University of Siena (M.C.P., C.S., M.F., M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Lorenz","sequence":"additional","affiliation":[{"name":"Division of Cardio-Thoracic Surgery, Department of Medical Biotechnologies, Azienda Ospedaliera Universitaria Senese, Siena (V.L.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0002-9960","authenticated-orcid":true,"given":"Francesca","family":"Pierfelice","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, G. d\u2019Annunzio University of Chieti-Pescara, Chieti (G.R., F.P., C.C., F.D.D., F.R., U.B., S.G.)."},{"name":"Division of Cardiology, SS. Annunziata Hospital, Chieti (G.R., F.P., C.C., F.D.D., F.R., S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3552-5947","authenticated-orcid":true,"given":"Clelia","family":"Cappelli","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, G. d\u2019Annunzio University of Chieti-Pescara, Chieti (G.R., F.P., C.C., F.D.D., F.R., U.B., S.G.)."},{"name":"Division of Cardiology, SS. Annunziata Hospital, Chieti (G.R., F.P., C.C., F.D.D., F.R., S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"De Donno","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, G. d\u2019Annunzio University of Chieti-Pescara, Chieti (G.R., F.P., C.C., F.D.D., F.R., U.B., S.G.)."},{"name":"Division of Cardiology, SS. Annunziata Hospital, Chieti (G.R., F.P., C.C., F.D.D., F.R., S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Focardi","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Division of Cardiology, University of Siena (M.C.P., C.S., M.F., M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1401-6623","authenticated-orcid":true,"given":"Fabrizio","family":"Ricci","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, G. d\u2019Annunzio University of Chieti-Pescara, Chieti (G.R., F.P., C.C., F.D.D., F.R., U.B., S.G.)."},{"name":"Division of Cardiology, SS. Annunziata Hospital, Chieti (G.R., F.P., C.C., F.D.D., F.R., S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7074-7949","authenticated-orcid":true,"given":"Umberto","family":"Benedetto","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, G. d\u2019Annunzio University of Chieti-Pescara, Chieti (G.R., F.P., C.C., F.D.D., F.R., U.B., S.G.)."},{"name":"Division of Cardiac Surgery, SS. Annunziata Hospital, Chieti; Italy (U.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabina","family":"Gallina","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, G. d\u2019Annunzio University of Chieti-Pescara, Chieti (G.R., F.P., C.C., F.D.D., F.R., U.B., S.G.)."},{"name":"Division of Cardiology, SS. Annunziata Hospital, Chieti (G.R., F.P., C.C., F.D.D., F.R., S.G.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Cameli","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnologies, Division of Cardiology, University of Siena (M.C.P., C.S., M.F., M.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5404-3968","authenticated-orcid":true,"given":"Giuseppe","family":"Patti","sequence":"additional","affiliation":[{"name":"University of Eastern Piedmont, Novara (M.C.P., L.G., M.S., A.G., G.P.)."},{"name":"Department of Cardio-Thoracic and Vascular Diseases, Maggiore della Carit\u00e0 Hospital, Novara (A.D., L.G., G.P.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199710000-00011"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa612"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eup124"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.31083\/j.rcm2202040"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40292-019-00326-4"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1476-7120-10-48"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.109.865683"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.08.017"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.4022\/jafib.1641"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.869076"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2017.07.001"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2020.09.130"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2016.02.003"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2012.06.006"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.4022\/jafib.2320"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.5543\/tkda.2015.11354"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/echo.13059"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43044-021-00188-z"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.10.003"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2019.08.015"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics10110946"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jeab154"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jeab106"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2018.08.007"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12975-020-00873-2"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-017-1140-0"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/echo.12222"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10741-020-09945-9"}],"container-title":["Circulation: Cardiovascular Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCIMAGING.123.015969","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T17:10:26Z","timestamp":1748538626000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCIMAGING.123.015969"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1161\/CIRCIMAGING.123.015969"],"URL":"https:\/\/doi.org\/10.1161\/circimaging.123.015969","relation":{},"ISSN":["1941-9651","1942-0080"],"issn-type":[{"value":"1941-9651","type":"print"},{"value":"1942-0080","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-08-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}