Predictors of atrial fibrillation after off-pump coronary artery bypass graft surgery

Zangrillo, Alberto; Landoni, Giovanni; Sparicio, D.; Benussi, Stefano; Aletti, Giacomo; Pappalardo, Federico; Fracasso, G.; Fano, Greta; Crescenzi, Giuseppe

doi:10.1053/j.jvca.2004.08.005

Cited by 33 publications

(36 citation statements)

References 24 publications

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“…The theoretical reasons for off-pump-related mechanisms of AF have been reported elsewhere. 22 In this study, the incidence of postoperative AF was higher (30% absolute difference) after off-pump surgery. It has been suggested that possible left atrial stretching with heart dislocation during revascularization of the lateral wall could lead to a higher risk of postoperative AF.…”

Section: Discussionmentioning

confidence: 50%

Five-Year Follow-Up of a Randomized Comparison Between Off-Pump and On-Pump Stable Multivessel Coronary Artery Bypass Grafting. The MASS III Trial

et al. 2010

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Background-Coronary artery bypass graft surgery with cardiopulmonary bypass is a safe, routine procedure. Nevertheless, significant morbidity remains, mostly because of the body's response to the nonphysiological nature of cardiopulmonary bypass. Few data are available on the effects of off-pump coronary artery bypass graft surgery (OPCAB) on cardiac events and long-term clinical outcomes. Methods and Results-In a single-center randomized trial, 308 patients undergoing coronary artery bypass graft surgery were randomly assigned: 155 to OPCAB and 153 to on-pump CAB (ONCAB). Primary composite end points were death, myocardial infarction, further revascularization (surgery or angioplasty), or stroke. After 5-year follow-up, the primary composite end point was not different between groups (hazard ratio 0.

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Section: Discussionmentioning

confidence: 50%

Five-Year Follow-Up of a Randomized Comparison Between Off-Pump and On-Pump Stable Multivessel Coronary Artery Bypass Grafting. The MASS III Trial

et al. 2010

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“…[21][22][23] Age is the independent variable most consistently associated with POAF. [31][32][33] In the present investigation, 62.6% of POAF patients were aged Ͼ70 years. Aranki et al 34 report an 18% incidence of POAF in patients aged Ͻ60 years versus 52% for those aged Ͼ80 years.…”

Section: Atrial Fibrillation and Cardiac Surgery Discussionmentioning

confidence: 97%

Atrial Fibrillation After Cardiac Surgery: Incidence, Risk Factors, and Economic Burden

Rostagno

Meir

Gelsomino

et al. 2010

Journal of Cardiothoracic and Vascular Anesthesia

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Objective: To evaluate the incidence of postoperative atrial fibrillation (POAF), the predisposing factors, the results of treatment before discharge, and the impact on duration and costs of hospitalization.Design: A prospective observational study. Conclusions: The overall incidence of POAF in the authors' center is close to 30%; 95.3% of patients were discharged in sinus rhythm. The increase in length and costs of hospitalization (on average, 1.0 day with a burden of about €1,800/ patient) were significantly lower than in previous investigations. Methods

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“…Atrial fibrillation (AF), the most common complication of CABG, occurs in 20% to 40% of patients [52]. By avoiding the atrial myocyte alterations that result from aortic crossclamping and avoiding the systemic inflammatory response to CPB, OPCAB should decrease the incidence of postoperative AF [28].…”

Section: Atrial Fibrillationmentioning

confidence: 99%

Is it time to adopt beating-heart coronary artery bypass grafting? A review of literature

Hijazi¹

2010

Rev Bras Cir Cardiovasc

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Predictors of atrial fibrillation after off-pump coronary artery bypass graft surgery

Cited by 33 publications

References 24 publications

Five-Year Follow-Up of a Randomized Comparison Between Off-Pump and On-Pump Stable Multivessel Coronary Artery Bypass Grafting. The MASS III Trial

Five-Year Follow-Up of a Randomized Comparison Between Off-Pump and On-Pump Stable Multivessel Coronary Artery Bypass Grafting. The MASS III Trial

Atrial Fibrillation After Cardiac Surgery: Incidence, Risk Factors, and Economic Burden

Is it time to adopt beating-heart coronary artery bypass grafting? A review of literature

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