Abstract:This study of elderly patients reveals some novel predictors of post-CABG AF, most notably preoperative renal insufficiency and EuroSCORE. It is important to identify risk factors for post-CABG AF in all patient groups as this knowledge might lead to better prevention of this problem and its potential consequences.
“…It takes into account general patient information, preoperative general and cardiac risk factors, and operative information. 12) Analysis of the data revealed that AF Group had a signifi cantly higher mean additive EuroSCORE score than Non-AF Group. Applying this risk-scoring model might make it possible to administer appropriate pharmacologic and non-pharmacologic prophylaxis before or after CABG, and thus reduce postoperative AF and its consequences.…”
“…It takes into account general patient information, preoperative general and cardiac risk factors, and operative information. 12) Analysis of the data revealed that AF Group had a signifi cantly higher mean additive EuroSCORE score than Non-AF Group. Applying this risk-scoring model might make it possible to administer appropriate pharmacologic and non-pharmacologic prophylaxis before or after CABG, and thus reduce postoperative AF and its consequences.…”
“…Advanced age was detected as an independent predictor of the development of AF in our study. Age-related changes, including atrial fi brosis and accumulation of amyloid, can cause intraatrial reentry, which leads to the development of AF (15). Age has been repeatedly shown to be the major risk factor for AF after cardiac surgery (16,17).…”
OBJECTIVE: The aim of this study was to evaluate the relationship between red blood cell distribution width (RDW) and mean platelet volume (MPV) with development of postoperative atrial fi brillation (PoAF) after offpump coronary artery bypass grafting (CABG). BACKGROUND: The RDW and MPV have been associated with some cardiovascular disorders. METHODS: A total of 93 patients who underwent off-pump CABG were included in this study. The patients were divided into two groups as developing and nondeveloping PoAF groups in the postoperative period. We measured whether RDW and MPV levels are a predictive value for development PoAF. RESULTS: There were 24 patients with PoAF enrolled (mean age: 66 ± 7.8 years) and 69 patients without PoAF (mean age: 56.26 ± 11.53 years). The PoAF was signifi cantly correlated with age (p = 0.004), hematocrit (p: 0.010), RDW (p = 0.007) and creatinine (p = 0.006). Only advanced age (p = 0.012) was identifi ed as an independent predictor of PoAF. For predicting PoAF, there was 79.2 % sensitivity and 65.2 % specifi city for RDW (p = 0.001) and 62.5 % sensitivity and 55.1 % specifi city for MPV (p = 0.062). CONCLUSIONS: We found that RDW levels and MPV were not an independent predictor of the development of PoAF. However, elevated RDW levels and MPV may be one of the predictive values for PoAF development (Tab. 3, Fig. 2, Ref. 27). Text in PDF www.elis.sk. KEY WORDS: red blood cell, mean platelet volume, atrial fi brillation, coronary artery bypass, off-pump.
“…Preoperative renal insufficiency was defined as a serum creatinine level ≥1.5 mg/dL prior to coronary artery bypass surgery. 7) Patients are generally considered as having PAH when their mean PAP exceeds 25 mmHg at rest, and 30 mmHg during exercise. 8) Transthoracic echocardiographies were performed by the Cardiology Department of the Medical Faculty on the left lateral decubitus, the parasternal long axis, the parasternal short axis and the apical four chamber of the patients.…”
Section: Data Collection and Definitionsmentioning
IntroductionPulmonary hypertension (PH) is one of the main causes of increased mortality and morbidity rates in open heart surgery. Left heart disease is probably the most frequent cause of PH. 1) Left-sided ventricular or valvular diseases may lead to an increase in left atrial pressure, and the passive backward transmission of this pressure may result in increased pulmonary arterial pressure (PAP). 2) Despite intensive postoperative medical treatment, an increase is observed in mortality and morbidity rates following coronary bypass surgery in patients with PH and right heart failure. 3,4) PH has a significant effect on right ventricular afterload. Various studies have shown that patients with right ventricle dysfunction display higher rates of early perioperative mortality and poor long term survival. 5,6) In this study, we investigated the effect of preoperative PH on the early-and long term results of patients who underwent isolated coronary artery bypass surgery, as well as its effect on the quality of life and the changes in The late mortality of cases was 5.79%. In our study, during 33.9 ± 17 (9-100) months follow up period, life expectancy was calculated as 94.7 months. Conclusion: Preoperative evaluation of these patients for appropriate medical treatment at peroperative and postoperative period, coronary bypass can be performed with low morbidity and mortality rates. In the late period after surgical revascularization PH showed no significant change and had no adverse effect on quality of life.
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