Coronary vasculature and postoperative atrial fibrillation: a risk factor analysis

Polat, Adil

doi:10.5606/tgkdc.dergisi.2013.7517

Cited by 4 publications

(8 citation statements)

References 20 publications

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“…Among these factors, age was documented to be the most reliable predictor for postoperative AF. [18] Gökşin et al [13] reported that age was an independent risk factor for postoperative AF, whereas Polat et al, [19] similar to our results, found no correlations between gender and age and the development of postoperative AF. Also, there are other studies showing no relationship between postoperative AF in patients undergoing CABG and gender, DM, hypertension, and hypercholesterolemia.…”

Section: Discussionsupporting

confidence: 86%

“…In our study, we evaluated RCA revascularization whether it was associated with postoperative AF; however, we did not find an association. Similarly, Polat et al [19] investigated the effect of RCA revascularization on the occurrence of postoperative AF; however, they found no association, either.…”

Section: Discussionmentioning

confidence: 98%

“…In addition, there are several studies showing no significant association between the occurrence of postoperative AF and the number of bypassed vessels. [15,19] Although, the effect of left atrial enlargement on the pathogenesis of AF is well-known, its association is under debate in patients undergoing CABG without a valvular disease. In our study, we assessed only left atrial anteroposterior diameter exceeding 40 mm due to the limitations of our database.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, consistent with several studies, our study showed no correlation between postoperative AF and the left atrial diameter. [1,2,19] Furthermore, the association between the atrial injury by cannulation with postoperative AF has been evaluated by some authors. [16] However, in our study population, none of the patients had such a type of injury.…”

Section: Discussionmentioning

confidence: 99%

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Usefulness of troponin I for prediction of atrial fibrillation after coronary artery bypass grafting

Altindeğer¹,

Doğan²,

Bolukçu³

et al. 2016

Turk Gogus Kalp Dama

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Bu çalışmada, kardiyak troponin I'nın koroner arter baypas greftleme sonrası yüksek riskli atriyal fibrilasyon gelişimini öngörebilme özelliği değerlendirildi. Ça lış ma pla nı: Eylül 2013-Kasım 2013 tarihleri arasında, hemodinamik olarak stabil ve ameliyat öncesi sinüs ritminde olan, elektif ve izole koroner arter baypas greftleme yapılan 74 ardışık hasta (65 erkek, 9 kadın; ort. yaş 62.1±9.5 yıl; dağılım 44-75 yıl) çalışmaya alındı. Kardiyak troponin I düzeylerini ölçmek için kan örnekleri, prospektif olarak ameliyattan bir gün önce ve bir sonraki gün alındı. Atriyal fibrilasyon elektrokardiyografi ile taburculuğa kadar her gün ve gerektiğinde kaydedildi. Hastalar, atriyal fibrilasyon grubu ve sinüs ritim grubu olmak üzere iki gruba ayrıldı. Bul gu lar: Atriyal fibrilasyon 15 hastada (%20) tespit edildi. Atriyal fibrilasyon grubu ve sinüs ritim grubunun ortalama yaşları arasında anlamlı bir fark yoktu (p= 0.114). İki grup arasında kros-klemp süresi ve kardiyopulmoner baypas pompa süresi açısından anlamlı bir fark gözlenmedi (sırasıyla, p= 0.861, p= 0.468). Hipertansiyon, hiperlipidemi ve diabetes mellitus insidansı açısından gruplar arasında anlamlı bir fark yoktu (sırasıyla p= 0.225, p= 0.385, p= 0.318). Hastanede ve yoğun bakım ünitesinde yatış süresi açısından da iki grup arasında anlamlı bir fark yoktu (sırasıyla, p= 0.929, p= 0.186). Ameliyat öncesi ve ameliyat sonrası kardiyak troponin I düzeyleri, ameliyat sonrası atriyal fibrilasyon gelişimi ile ilişkili bulunmadı (sırasıyla, p= 0.763, p= 0.336). So nuç:Çalışma sonuçlarımız, koroner arter baypas cerrahisi yapılan hastalarda ameliyat sonrası atriyal fibrilasyon gelişimi için kardiyak troponin I'nın kesin bir öngördürücü olmadığını göstermektedir. Anah tar söz cük ler: Atriyal fibrilasyon; koroner arter baypas greftleme; troponin I.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Usefulness of troponin I for prediction of atrial fibrillation after coronary artery bypass grafting

Altindeğer¹,

Doğan²,

Bolukçu³

et al. 2016

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

show abstract

“…Atrial fibrillation (AF) is the most common arrhythmia following coronary artery bypass graft (CABG) and other cardiac surgeries, with an estimated incidence of 30% (range, 10%-50%). [1][2][3][4][5] Most patients (73%) typically develop AF by the third day after surgery, and the length of hospital stay is a mean of 3 days longer for such patients. Postoperative AF (POAF) increases morbidity and the risk of stroke, and this complication can lead to increased hospital expenditure because of prolonged hospital stay.…”

Section: Introductionmentioning

confidence: 99%

Effect of Low-dose ColchiciNe on the InciDence of Atrial Fibrillation in Open Heart Surgery Patients: END-AF Low Dose Trial

et al. 2020

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Background Studies using 1 mg of colchicine to prevent postoperative atrial fibrillation (POAF) reported conflicting results. Moreover, colchicine was associated with significant gastrointestinal (GI) side effects. This study examined whether low-dose colchicine effectively prevents POAF and whether low-dose therapy is associated with lower rates of colchicine-induced GI side effects. Methods In this prospective, randomized, double-blind, placebo-controlled study, consecutive adult patients admitted for elective cardiac surgeries randomly received a 1-mg dose of colchicine (n = 81) or placebo (n = 71) orally 12 to 24 hours before surgery followed by a daily dose of 0.5 mg until hospital discharge. The primary efficacy endpoint was the development of at least one episode of POAF of ≥5 minutes. The primary safety endpoint was the development of adverse events, especially diarrhea. Results The in-hospital mortality rate was 3.9%. POAF occurred in 13 patients (16.1%) in the colchicine group and 13 patients (18.3%) in the placebo group (odds ratio 0.85 [95% Confidence Interval = 0.37−1.99]). Diarrhea occurred in two patients in each group and necessitated treatment discontinuation in one patient in each group. Conclusion Low-dose colchicine did not prevent POAF in patients undergoing cardiac surgery. These results should be interpreted cautiously because of the small sample size and early study termination. ClinicalTrials.gov Unique Identifier number: NCT03015831

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Investigation of the effect of coronary collateral circulation quality on postoperative atrial fibrillation after coronary artery bypass graft operations in patients with right coronary artery total occlusion

Abanoz

Yavuz

2022

The European Research Journal

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Objectives: Postoperative atrial fibrillation (PoAF) may occur in 25-50% of patients after coronary artery bypass graft (CABG) surgery. The severity of coronary artery disease and the quality of coronary collateral circulation (CCC) in the coronary artery with chronic total occlusion (CTO) are known as indirect indicators of myocardial ischemia. In this study, we aimed to investigate the effect of CCC quality on PoAF in patients with right coronary artery (RCA) total occlusion who underwent CABG operation. Methods: Patients who underwent isolated CABG operation between May 15, 2016 and June 15, 2020 and had RCA CTO were included in the study retrospectively. The patients were recorded as Group 1 who developed PoAF in the postoperative period and Group 2 who did not. Results: A total of 99 patients were included in the study. Those who develop PoAF were determined as Group 1 (n = 32, mean age = 66.9 ± 11 years), and those who did not were determined as Group 2 (n = 67, mean age = 54.4 ± 12.8, years). There were no statistically significant differences between the two groups in terms of gender, smoking, diabetes mellitus, hypelipidemia and chronic obstuctive pulmonary disease rates. In multivariate analysis, being over 70 years old (OR: 1.396, 95% CI: 1.080-2.190, p = 0.007), poor CCC (OR: 1.090, 95% CI: 1.045-1.338, p = 0.014) and left atrial diamater (OR: 0.557, 95% CI: 0.471-0.783, p = 0.032) were determined as independent predictors of development of PoAF. Conclusions: In this current study, we demonstrated that low CCC quality increases the risk of POAF in patients with right coronary CTO. CCC quality can be used as an evaluation parameter in identifying groups at risk for PoAF in these special patient groups.

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Coronary vasculature and postoperative atrial fibrillation: a risk factor analysis

Cited by 4 publications

References 20 publications

Usefulness of troponin I for prediction of atrial fibrillation after coronary artery bypass grafting

Usefulness of troponin I for prediction of atrial fibrillation after coronary artery bypass grafting

Effect of Low-dose ColchiciNe on the InciDence of Atrial Fibrillation in Open Heart Surgery Patients: END-AF Low Dose Trial

Investigation of the effect of coronary collateral circulation quality on postoperative atrial fibrillation after coronary artery bypass graft operations in patients with right coronary artery total occlusion

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