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DEVELOPING ATRIAL FIBRILLATION AFTER SURGERY INCREASES THE LONG-TERM RISK OF STROKE

INTRO: Atrial fibrillation or A-Fib is a common type of abnormal heart rhythm. Having chronic A-Fib increases the risk of stroke. A-Fib can develop after undergoing different types of surgery, including heart surgery. A new study examined patients with newly diagnosed A-Fib after surgery and whether their long-term stroke risk was increased. Catherine Dolf explains in this week’s JAMA Report.

AUDIO
NATSO/FULL Runs: 01
“…in this case the patient is in atrial fibrillation or a-fib…”

VIDEO
B-ROLL
Pen pointing to irregular heart rhythm on EKG

AUDIO
VO
THE SMALLER WAVES ARE IRREGULAR AND SEEM TO COME AND GO. A PATIENT CAN DEVELOP THIS ABNORMAL HEART RHYTHM DURING OR AFTER SURGERY.

AUDIO
SOT/FULL Super@ :11 Hooman Kamel, M.D., – Weill Cornell Medical College Runs:12
“A-fib that occurred after surgery was thought to be a temporary condition and there was not a lot of emphasis placed on careful long-term monitoring and follow up of patients who developed A-fib after surgery.”

VIDEO
B-ROLL
Dr. Kamel walking into building, sitting and talking with colleague, doctors in operating room

AUDIO
VO
DR. HOOMAN (Who-mahn) KAMEL (Kah-Mel) FROM WEILL CORNELL MEDICAL COLLEGE AND CO-AUTHORS EXAMINED DATA FROM MORE THAN ONE POINT SEVEN MILLION INPATIENT SURGERIES, PERFORMED ACROSS THE STATE OF CALIFORNIA OVER A FOUR YEAR PERIOD.

AUDIO
SOT/FULL Super@ :37 Hooman Kamel, M.D., – Weill Cornell Medical College Runs:08
“About one and a half percent of these patients during or after their surgery developed A-fib that seemed to be a new diagnosis.”

(Video covering 1st half of bite: surgery video)

VIDEO
B-ROLL
Doctors operating on patient, OR technician pushing gurney

AUDIO
VO
PATIENTS WHO UNDERWENT CARDIAC SURGERY HAD A HIGHER RISK OF DEVELOPING A-FIB THAN THOSE WHO HAD OTHER TYPES OF SURGERY. BOTH GROUPS OF PATIENTS WERE FOLLOWED FOR UP TO FIVE YEARS AFTER SURGERY TO ASSESS THEIR STROKE RISK.

AUDIO
SOT/FULL Super@:51 Hooman Kamel, M.D., – Weill Cornell Medical College Runs:12
“Among patients who had cardiac surgery having A-Fib afterwards did increase your risk of stroke in the long-term but not by a tremendous amount. It was about 30 percent higher than the patients who didn’t develop A-fib.”

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:07 Hooman Kamel, M.D., – Weill Cornell Medical College Runs:11
“Among the patients who had non-cardiac surgery and who did develop A-fib their risk of stroke was much higher. It was about 100 percent higher, two fold higher, than the people who did not have A-fib.”

VIDEO
B-ROLL
Dr. walking down hall

AUDIO
VO
DR. KAMEL SAYS PATIENTS DEVELOPING A-FIB AFTER SURGERY SHOULD BE FOLLOWED VERY CLOSELY.

AUDIO
SOT/FULL Runs:09 Super@1:22
“These diagnoses of A-fib after surgery need to be documented and clearly communicated to patients so that they can be followed appropriately over the long-term.”

(Video covering end of bite: Dr. Kamel looking at EKG)

VIDEO
B-ROLL
Dr. Kamel looking at EKG

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG: MORE RESEARCH IS NEEDED TO LEARN IF THE RISK OF STROKE VARIES DEPENDING ON HOW LONG PATIENTS STAY IN A-FIB AFTER SURGERY.

INTRO: Atrial fibrillation or A-Fib is a common type of abnormal heart rhythm. Having chronic A-Fib increases the risk of stroke. A-Fib can develop after undergoing different types of surgery, including heart surgery. A new study examined patients with newly diagnosed A-Fib after surgery and whether their long-term stroke risk was increased. Catherine Dolf explains in this week’s JAMA Report.

AUDIO
NATSO/FULL Runs: 01
“…in this case the patient is in atrial fibrillation or a-fib…”

VIDEO
B-ROLL
Pen pointing to irregular heart rhythm on EKG

AUDIO
VO
THE SMALLER WAVES ARE IRREGULAR AND SEEM TO COME AND GO. A PATIENT CAN DEVELOP THIS ABNORMAL HEART RHYTHM DURING OR AFTER SURGERY.

AUDIO
SOT/FULL Super@ :11 Hooman Kamel, M.D., – Weill Cornell Medical College Runs:12
“A-fib that occurred after surgery was thought to be a temporary condition and there was not a lot of emphasis placed on careful long-term monitoring and follow up of patients who developed A-fib after surgery.”

VIDEO
B-ROLL
Dr. Kamel walking into building, sitting and talking with colleague, doctors in operating room

AUDIO
VO
DR. HOOMAN (Who-mahn) KAMEL (Kah-Mel) FROM WEILL CORNELL MEDICAL COLLEGE AND CO-AUTHORS EXAMINED DATA FROM MORE THAN ONE POINT SEVEN MILLION INPATIENT SURGERIES, PERFORMED ACROSS THE STATE OF CALIFORNIA OVER A FOUR YEAR PERIOD.

AUDIO
SOT/FULL Super@ :37 Hooman Kamel, M.D., – Weill Cornell Medical College Runs:08
“About one and a half percent of these patients during or after their surgery developed A-fib that seemed to be a new diagnosis.”

(Video covering 1st half of bite: surgery video)

VIDEO
B-ROLL
Doctors operating on patient, OR technician pushing gurney

AUDIO
VO
PATIENTS WHO UNDERWENT CARDIAC SURGERY HAD A HIGHER RISK OF DEVELOPING A-FIB THAN THOSE WHO HAD OTHER TYPES OF SURGERY. BOTH GROUPS OF PATIENTS WERE FOLLOWED FOR UP TO FIVE YEARS AFTER SURGERY TO ASSESS THEIR STROKE RISK.

AUDIO
SOT/FULL Super@:51 Hooman Kamel, M.D., – Weill Cornell Medical College Runs:12
“Among patients who had cardiac surgery having A-Fib afterwards did increase your risk of stroke in the long-term but not by a tremendous amount. It was about 30 percent higher than the patients who didn’t develop A-fib.”

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:07 Hooman Kamel, M.D., – Weill Cornell Medical College Runs:11
“Among the patients who had non-cardiac surgery and who did develop A-fib their risk of stroke was much higher. It was about 100 percent higher, two fold higher, than the people who did not have A-fib.”

VIDEO
B-ROLL
Dr. walking down hall

AUDIO
VO
DR. KAMEL SAYS PATIENTS DEVELOPING A-FIB AFTER SURGERY SHOULD BE FOLLOWED VERY CLOSELY.

AUDIO
SOT/FULL Runs:09 Super@1:22
“These diagnoses of A-fib after surgery need to be documented and clearly communicated to patients so that they can be followed appropriately over the long-term.”

(Video covering end of bite: Dr. Kamel looking at EKG)

VIDEO
B-ROLL
Dr. Kamel looking at EKG

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG: MORE RESEARCH IS NEEDED TO LEARN IF THE RISK OF STROKE VARIES DEPENDING ON HOW LONG PATIENTS STAY IN A-FIB AFTER SURGERY.

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