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

Silva, Rogério Gomes da; Lima, Gustavo Glotz de; Guerra, Nelma; Bigolin, André Vicente; Petersen, Lucas Celia

doi:10.1590/s0102-76382010000200009

Cited by 20 publications

(14 citation statements)

References 27 publications

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“…Advanced age is a factor described in different studies as a risk for development of POAF in heart surgeries. (3,8,13,14) …”

Section: Discussionmentioning

confidence: 99%

“…Other authors had reported similar results concerning the type of surgery. (8) In relation to use of ECC, researchers concluded that CABG without ECC did not reduce the incidence of POAF. (4) Measures that reflect intraoperative time of ischemic heart, such as aortic clamp time, have been reported as risk factors for POAF, although literature still controversial on the subject.…”

Section: Discussionmentioning

confidence: 99%

“…Predictive models has been tested to estimate the risk of POAF development after heart surgery. (6-8) A number of models were proposed based only in pre, intra or postoperative data, and using predictive models of stroke in patients with AF to predict POAF or by analyzing patients who underwent combined heart surgery (coronary artery bypass grafting and valve replacement). (9-11) In addition, Brazilian studies evaluating predictive factors to POAF are scarce.…”

Section: Introductionmentioning

confidence: 99%

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Predictive factors of atrial fibrillation after coronary artery bypass grafting

Folla

Melo

Silva

2016

Einstein (São Paulo)

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Objective To analyze predictive demographic and perioperative variables of postoperative atrial fibrillation in patients who underwent exclusively coronary artery bypass grafting.Methods This was a retrospective cohort. We randomly selected 105 medical records of patients who underwent exclusively coronary artery bypass grafting in 2014. Demographic, clinical (preoperative and immediate postoperative) data and related with surgical procedure were collected from medical records. The occurrence of postoperative atrial fibrillation was considered until the third day after the surgery. Variables were analyzed using descriptive and inferential statistics. To identify predictive factors of postoperative atrial fibrillation we used a decision tree model with Classification and Regression Trees algorithm.Results Atrial fibrillation incidence was 19.0% (n=20). Patients with left atrial >40.5mm and aged >64.5 years were more likely to develop the arrhythmia during the post-surgical period.Conclusion Left atrial diameter and advanced age were predictive factors of atrial fibrillation in patients who underwent exclusively coronary artery bypass grafting.

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“…Advanced age is a factor described in different studies as a risk for development of POAF in heart surgeries. (3,8,13,14) …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictive factors of atrial fibrillation after coronary artery bypass grafting

Folla

Melo

Silva

2016

Einstein (São Paulo)

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“…Duarte et al30 determined the reliability of central atrial venous blood gasometry data as estimates of cardiac index in patients who underwent cardiac surgery and found that SvO 2 and the C(a-v)O 2 correlated with low cardiac output. Silva et al31 proposed and developed a risk index to predict Atrial fibrillation after cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Patel¹,

Caramelli²,

Gomes³

2011

Clinics

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Recent original scientific contributions published in selected Brazilian periodicals and classifiable under cardiovascular and pulmonary subject categories cover a wide range of sub specialties, both clinical and exprimental. Because they appear in journals with only recently enhanced visibility, we have decided to highlight a number of specific items appeared in four Brazilian journals, because we understand that this is an important subsidy to keep our readership adequately informed. These papers cover extensive sub-areas in both fields.

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“…The peak incidence of this arrhythmia is on the second to fourth postoperative day, and studies indicate that its risk may be reduced with the administration of specific perioperative drugs 7,8 . The identification of patients at high risk for developing PAF may be of great value for early intervention and preventive measures to reduce morbimortality 5 Although these tachyarrhythmias are considered transient and benign, in specific patient clinical profiles, they may have different outcomes 1,4 .…”

Section: Importance Of Postoperative Atrial Fibrillation Development mentioning

confidence: 99%

Importance of Postoperative Atrial Fibrillation Development in Heart Surgery: Intra-Hospital Outcomes in Santa Catarina Tertiary Cardiology Center

Silva¹,

Goldoni²,

Luciano³

et al. 2019

J Cardiac Arrhtythmias

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Objective: To determine the incidence of postoperative atrial fibrillation (PAF) of cardiac surgery, its impact on morbimortality and duration of hospital stay in a tertiary cardiology center of the state of Santa Catarina, Brazil. Methods: Cohort study with 134 adult patients submitted to cardiac surgery. Results: the incidence was 32.8%. After multivariate analysis, patients who did not receive beta-blockers were associated with PAF with a relative risk odds ratio (RR) 10.73 (p <0.001). The highest rate of cardiovascular events (cerebrovascular accident, mortality, and acute coronary syndrome) was 25% in the PAF group. 10% (RR 3.21; p = 0.035) which, consequently, generated longer hospitalization time in these patients (19.1 vs. 12.5; p = 0.01). Conclusion: the incidence of PAF was high, caused a significant increase in morbimortality and duration of hospital stay, and consolidated the role of beta-blocker therapy in its prevention, and may serve as a basis for future prevention policies.

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

Cited by 20 publications

References 27 publications

Predictive factors of atrial fibrillation after coronary artery bypass grafting

Predictive factors of atrial fibrillation after coronary artery bypass grafting

A survey of recently published cardiovascular, hematological and pneumological original articles in the Brazilian scientific press

Importance of Postoperative Atrial Fibrillation Development in Heart Surgery: Intra-Hospital Outcomes in Santa Catarina Tertiary Cardiology Center

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