Epidemiology and New Predictors of Atrial Fibrillation After Coronary Surgery

Arribas-Leal, José M.; Pascual-Figal, Domingo A.; Tornel-Osorio, Pedro L.; Gutiérrez-García, Francisco; Corral, Julio J. García-Puente del; Ray-López, Víctor G.; Valdés‐Chávarri, Mariano; Arcas-Meca, Ramón

doi:10.1016/s1885-5857(08)60028-6

Cited by 7 publications

(4 citation statements)

References 29 publications

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“…AF may lead to increased risk of hemodynamic compromise, prolonged hospitalization, and increased risk for cerebral thromboembolism. 3 In this study the proportion of patients who developed AF was 18% which peaked on the third followed by the second postoperative day. This is consistent with a study by Lewicki et al in which 18.3% ONCABG and 19.3% OPCABG patients developed AF and they also observed that the peak incidence of arrhythmia was on the second and third postoperative day.…”

Section: Discussionmentioning

confidence: 56%

“…4 Perrier et al reported an AF incidence of 21% and Arribas-Leal et al reported an incidence of 23% with on pump CABG. 3,5 This shows that there is no much variation in the incidence of AF in patients undergoing on pump versus off pump CABG. However, a meta-analysis showed that there was a significant reduction of AF in the OPCABG group.…”

Section: Discussionmentioning

confidence: 95%

“…From study by Arribas-Leal et al, the incidence of postoperative AF following CABG was 23%, so sample size of 334 was fixed. 3 All patients with single and multi-vessel disease patients undergoing elective OPCABG surgery during this period were included in the study after obtaining informed consent. Patients with recent ischemic attack and chronic renal failure were excluded from the study.…”

Section: Methodsmentioning

confidence: 99%

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Predictors of atrial fibrillation after off pump coronary artery bypass graft-a prospective observational study

2021

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Background: Postoperative atrial fibrillation (AF) is a common and potentially morbid complication following coronary artery bypass graft (CABG) surgery. Many factors have been suggested to increase the incidence of post-operative AF after CABG. Objective was to estimate the proportion of patients developing AF after off pump CABG (OPCABG) and to determine the possible predictors of AF after OPCABG.Methods: This was a prospective observational study done in the department of Cardiovascular and Thoracic Surgery of a tertiary center from December 2019 to December 2020 after obtaining Institutional review board clearance. A sample size of 334 was fixed and patients undergoing OPCABG were consecutively recruited in the study. The association of preoperative and postoperative factors with occurrence of AF were analysed using the univariate analysis with a p value <0.05 using the SPSS 16 software. Multivariate analysis was done to determine the independent predictors after OPCABG.Results: In this prospective study amongst the 334 patients recruited 60 (18%) developed atrial fibrillation and the maximum incidence was seen on the third postoperative day. Patients who developed AF were older with mean age of 61.38±7.63 years, 2.96 (95% CI 0.71-5.21) as compared to those who did not develop AF. Male gender Odds ratio 1.17 (95%CI 1.06-1.31), low ejection fraction 54.95±10.47, -3.25 (95% CI-5.99- -0.52); large atrial size 3.45±0.42, 0.12 (95% CI 0.02-0.06); long intensive care unit (ICU) stay 2.47±0.59, 0.32 (95% CI 0.06-0.21) and long hospital stay 7.62±3.36, 1.48 (95% CI 0.44-0.59) were associated with development of AF after OPCABG. Older age was found to be an independent predictor of development of AF on doing multivariate analysis.Conclusions: In our study advanced age was found to be an independent predictor of atrial fibrillation after OPCABG. Males, low ejection fraction, large atrial size and longer ICU and hospital stays were associated with occurrence of AF after OPCABG.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 95%

Section: Methodsmentioning

confidence: 99%

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Predictors of atrial fibrillation after off pump coronary artery bypass graft-a prospective observational study

2021

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“…[1] Among patients undergoing CABG, AF incidence has been reported to vary between 10% and 30%. [2,3] Although AF is a benign and often self-limiting disorder, it has significant adverse effects on the recovery which may lead to hemodynamic instability, renal insufficiency, prolonged requirement for ventilatory support, thromboembolic complications, and stroke. [4,5] As, the length of hospital stay and cost of care may increase in this case, [6] many investigations have addressed to identify patients at a higher risk for AF to improve postoperative recovery and reduce the cost.…”

mentioning

confidence: 99%

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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Colesterol HDL y troponina T ultrasensible como biomarcadores predictivos de fibrilación auricular postoperatoria

Tornos¹,

Vílchez-Aguilera

Hernández-Romero

et al. 2015

Archivos de Cardiología de México

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Epidemiology and New Predictors of Atrial Fibrillation After Coronary Surgery

Cited by 7 publications

References 29 publications

Predictors of atrial fibrillation after off pump coronary artery bypass graft-a prospective observational study

Predictors of atrial fibrillation after off pump coronary artery bypass graft-a prospective observational study

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

Colesterol HDL y troponina T ultrasensible como biomarcadores predictivos de fibrilación auricular postoperatoria

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