Yusuf Velioglu1, Ahmet Yuksel1. 1. Department of Cardiovascular Surgery, Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey.
Abstract
BACKGROUND: To determine the risk factors and postoperative outcomes of new-onset atrial fibrillation (AF) following beating-heart coronary artery bypass grafting (CABG) surgery. METHODS: A total of 458 patients who underwent beating-heart CABG without the use of aortic cross clamping and cardioplegic arrest between January 2011 and January 2015 were included in the study, and they were divided into two groups according to the development of new-onset AF as the AF group (n = 143) and non-AF group (n = 315). Both groups were compared in terms of preoperative clinical features and perioperative data, and the risk factors and postoperative outcomes of AF following beating-heart CABG were determined. RESULTS: The incidence of postoperative AF was 31.2%. Patients in the AF group were significantly older (68.08 ± 7.76 vs. 61.76 ± 9.83 years, p ≤ 0.001) and had significantly higher use of cardiopulmonary bypass during surgery (69.2% vs. 43.2%, p ≤ 0.001) than the patients in the non-AF group. The patients with AF also had statistically significantly longer lengths of intensive care unit and hospital stay than those without AF (43.79 ± 32.39 vs. 30.49 ± 33.31 hours, p ≤ 0.001, and 8.20 ± 4.37 vs. 5.77 ± 2.16 days, p ≤ 0.001, respectively). CONCLUSIONS: Our study revealed that age and the use of cardiopulmonary bypass during surgery were independent predictors of AF following beating-heart CABG. In addition, postoperative AF was associated with prolonged intensive care unit and hospital stay. Further prospective randomized studies with larger patient series are required to support our research and attain more accurate data.
BACKGROUND: To determine the risk factors and postoperative outcomes of new-onset atrial fibrillation (AF) following beating-heart coronary artery bypass grafting (CABG) surgery. METHODS: A total of 458 patients who underwent beating-heart CABG without the use of aortic cross clamping and cardioplegic arrest between January 2011 and January 2015 were included in the study, and they were divided into two groups according to the development of new-onset AF as the AF group (n = 143) and non-AF group (n = 315). Both groups were compared in terms of preoperative clinical features and perioperative data, and the risk factors and postoperative outcomes of AF following beating-heart CABG were determined. RESULTS: The incidence of postoperative AF was 31.2%. Patients in the AF group were significantly older (68.08 ± 7.76 vs. 61.76 ± 9.83 years, p ≤ 0.001) and had significantly higher use of cardiopulmonary bypass during surgery (69.2% vs. 43.2%, p ≤ 0.001) than the patients in the non-AF group. The patients with AF also had statistically significantly longer lengths of intensive care unit and hospital stay than those without AF (43.79 ± 32.39 vs. 30.49 ± 33.31 hours, p ≤ 0.001, and 8.20 ± 4.37 vs. 5.77 ± 2.16 days, p ≤ 0.001, respectively). CONCLUSIONS: Our study revealed that age and the use of cardiopulmonary bypass during surgery were independent predictors of AF following beating-heart CABG. In addition, postoperative AF was associated with prolonged intensive care unit and hospital stay. Further prospective randomized studies with larger patient series are required to support our research and attain more accurate data.
Authors: Colleen Gorman Koch; Liang Li; David R Van Wagoner; Andra I Duncan; A Marc Gillinov; Eugene H Blackstone Journal: Ann Thorac Surg Date: 2006-11 Impact factor: 4.330
Authors: Maciej Banach; Jacek Rysz; Jarosl Aw Drozdz; Piotr Okonski; Malgorzata Misztal; Marcin Barylski; Robert Irzmanski; Janusz Zaslonka Journal: Circ J Date: 2006-04 Impact factor: 2.993
Authors: S F Aranki; D P Shaw; D H Adams; R J Rizzo; G S Couper; M VanderVliet; J J Collins; L H Cohn; H R Burstin Journal: Circulation Date: 1996-08-01 Impact factor: 29.690
Authors: Kevin Phan; Hakeem S K Ha; Steven Phan; Caroline Medi; Stuart P Thomas; Tristan D Yan Journal: Eur J Cardiothorac Surg Date: 2015-01-18 Impact factor: 4.191
Authors: Joseph P Mathew; Manuel L Fontes; Iulia C Tudor; James Ramsay; Peter Duke; C David Mazer; Paul G Barash; Ping H Hsu; Dennis T Mangano Journal: JAMA Date: 2004-04-14 Impact factor: 56.272
Authors: Zhong-Kai Wu; Tiina Iivainen; Erkki Pehkonen; Jari Laurikka; Sijian Zhang; Matti R Tarkka Journal: J Thorac Cardiovasc Surg Date: 2003-11 Impact factor: 5.209
Authors: Dursun Topal; Ufuk Turan Kursat Korkmaz; Yusuf Velioglu; Ahmet Yuksel; Ibrahim Donmez; Erhan Renan Uçaroğlu; Seyit Ali Kayis Journal: Rev Assoc Med Bras (1992) Date: 2022-09 Impact factor: 1.712