Predictors of atrial fibrillation occurrence after coronary artery bypass graft surgery

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dc.contributor.authorTopal, Askin Ender
dc.contributor.authorEren, Mehmet Nesimi
dc.date.accessioned2024-04-24T16:02:32Z
dc.date.available2024-04-24T16:02:32Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose. Postoperative atrial fi brillation (AF) is the most common complication after coronary artery bypass graft (CABG) surgery, with an incidence of 20%-50%. The objective of this study was to investigate perioperative risk factors of postoperative sustained AF by the way of logistic regression analysis. Methods. Data for the last 98 patients who had undergone CABG surgery before January 2010 were retrospectively collected and analyzed. Results. Postoperative sustained AF was detected in 34 (34.7%) patients. Mean arterial blood pressure, previous hypertension (HT), previous AF, previous chronic obstructive pulmonary disease, aortic cross-clamp time, cardiopulmonary bypass time, postoperative urea, postoperative creatinine, postoperative potassium, extubation time, chest tube drainage, units of transfused packed red blood cells (pRBC), and postoperative pneumonia were associated with higher occurrence of postoperative sustained AF according to the univariate analysis. Upon logistic regression analysis, pRBC transfusion, previous AF, and preoperative HT remained independent predictors for the development of postoperative sustained AF. Conclusion. On-pump versus off-pump CABG is not significantly associated with AF development so long as the operating time does not extend over a certain time period. pRBC transfusion was the single risk factor that is amenable to intervention at the time of operation. Unneeded transfusion of pRBCs must be prohibited. Also, serious precautions must be taken against postoperative pneumonia to avoid postoperative AF occurrence.en_US
dc.identifier.doi10.1007/s11748-010-0721-9
dc.identifier.endpage260en_US
dc.identifier.issn1863-6705
dc.identifier.issn1863-6713
dc.identifier.issue4en_US
dc.identifier.pmid21484551
dc.identifier.scopus2-s2.0-79957440897
dc.identifier.scopusqualityQ2
dc.identifier.startpage254en_US
dc.identifier.urihttps://doi.org/10.1007/s11748-010-0721-9
dc.identifier.urihttps://hdl.handle.net/11468/14830
dc.identifier.volume59en_US
dc.identifier.wosWOS:000217558400003
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer Japan Kken_US
dc.relation.ispartofGeneral Thoracic and Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCoronary Artery Bypass Graften_US
dc.subjectAtrial Fi Brillationen_US
dc.subjectTransfusionen_US
dc.subjectHypertensionen_US
dc.titlePredictors of atrial fibrillation occurrence after coronary artery bypass graft surgeryen_US
dc.titlePredictors of atrial fibrillation occurrence after coronary artery bypass graft surgery
dc.typeArticleen_US

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