Fibrilação atrial e cirurgia cardíaca: uma história sem fim e sempre controversa

Tineli, Rafael Angelo; Silva, Jairo Rosa e; Luciano, Paula Menezes; Rodrigues, Alfredo José; Vicente, Walter Villela de Andrade; Évora, Paulo Roberto Barbosa

doi:10.1590/s0102-76382005000300015

Cited by 6 publications

(7 citation statements)

References 30 publications

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“…AF is the most common cardiac arrhythmia in the postoperative period of heart surgery and, although in most cases it presents as a self-limiting clinical condition, it may increase the hospitalization time and hospital costs [8].…”

Section: Discussionmentioning

confidence: 99%

Efeito da denervação cardíaca ventral na incidência de fibrilação atrial após revascularização cirúrgica do miocárdio

Breda¹,

Breda²,

Freitas³

et al. 2008

Rev Bras Cir Cardiovasc

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Objective: To evaluate the effect of ventral cardiac denervation on the incidence of atrial fibrillation after coronary artery bypass grafting.Methods: Between September and November 2005, 50 patients from the same institution, without previous diagnosis of atrial arrhythmia, presenting with coronary heart disease with indication for coronary artery bypass grafting were enrolled in a prospective, randomized study. The exclusion criteria were: patients older than 75 years of age, previous history of atrial arrhythmia and associated heart surgeries. Denervation was performed before cardiopulmonary bypass by removing the adipose tissues around the superior vena cava, aorta and pulmonary artery. Patients submitted to denervation were compared with a control group regarding demographic, clinical and operative variables.

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Section: Discussionmentioning

confidence: 99%

Efeito da denervação cardíaca ventral na incidência de fibrilação atrial após revascularização cirúrgica do miocárdio

Breda¹,

Breda²,

Freitas³

et al. 2008

Rev Bras Cir Cardiovasc

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“…The number of off-pump procedures performed has increased significantly in recent years. However, definitive conclusions about the incidence of AF in on-pump and in off-pump CABG surgeries have not been well established yet [ 11 , 12 ] .…”

Section: Introductionmentioning

confidence: 99%

Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting

Júnior¹,

Matkovski²,

Giovanni³

et al. 2015

Revista Brasileira De Cirurgia Cardiovascular

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ObjectiveTo determine the incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting.MethodsA retrospective study with analysis of 230 medical records between January 2011 and October 2013 was conducted.ResultsFifty-six (24.3%) out of the 230 patients were female. The average age of patients undergoing on-pump coronary artery bypass grafting was 59.91±8.62 years old, and off-pump was 57.16±9.01 years old (P=0.0213). The average EuroSCORE for the on-pump group was 3.37%±3.08% and for the off-pump group was 3.13%±3% (P=0.5468). Eighteen (13.43%) patients who underwent off-pump coronary artery bypass grafting developed postoperative atrial fibrillation, whereas for the onpump group, 19 (19.79%) developed this arrhythmia, with no significant difference between the groups (P=0.1955).ConclusionOff-pump coronary artery bypass grafting did not reduce the incidence of atrial fibrillation in the postoperative period. Important predictors of risk for the development of this arrhythmia were identified as: patients older than 70 years old and presence of atrial fibrillation in perioperative period in both groups, and non-use of beta-blockers drugs postoperatively in the on-pump group.

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“…Probably this is because the sample was insufficient and because other risk factors that are demonstrably linked to the incidence of postoperative atrial fibrillation, such as inflammation and activation of the renin-angiotensinaldosterone system, male gender, hypertension, chronic obstructive pulmonary disease, coronary stenosis and need for mechanical ventilation support, had not been analyzed in the derivation cohort [14,[27][28][29]. We believe that this was a major limitation of this study, but this does not prevent its validation in another population undergoing cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Several prophylactic measures for the onset of postoperative AF are reported in the literature, including the use of magnesium, amiodarone, digoxin, steroids and beta blockers, the latter being of greater viability and effectiveness [14].…”

mentioning

confidence: 99%

Proposta de escore de risco para predição de fibrilação atrial após cirurgia cardíaca

Silva¹,

Lima²,

Guerra³

et al. 2010

Rev Bras Cir Cardiovasc

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Fibrilação atrial e cirurgia cardíaca: uma história sem fim e sempre controversa

Cited by 6 publications

References 30 publications

Efeito da denervação cardíaca ventral na incidência de fibrilação atrial após revascularização cirúrgica do miocárdio

Efeito da denervação cardíaca ventral na incidência de fibrilação atrial após revascularização cirúrgica do miocárdio

Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting

Proposta de escore de risco para predição de fibrilação atrial após cirurgia cardíaca

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