The Incidence of Atrial Fibrillation after On-Pump Versus Off-Pump Coronary Artery Bypass Grafting
| Autor: | Gökhan Erol, Cengiz Bolcal, Hakan Kartal, Gokhan Arslan, Ertan Demirdaş |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Atrial fibrillation General Medicine medicine.disease law.invention Cardiac surgery Obstructive sleep apnea Coronary artery bypass surgery surgical procedures operative law Right coronary artery medicine.artery Internal medicine medicine Cardiology Cardiopulmonary bypass Surgery Sinus rhythm Cardiology and Cardiovascular Medicine business Off-pump coronary artery bypass |
| Zdroj: | The Heart Surgery Forum. 24:E645-E650 |
| ISSN: | 1522-6662 1098-3511 |
| DOI: | 10.1532/hsf.3873 |
| Popis: | Background: This study aimed to investigate the incidence of postoperative atrial fibrillation (POAF) in patients undergoing off-pump versus on-pump coronary artery bypass grafting (CABG) under cardiopulmonary bypass (CPB). Methods: A total of 3,197 consecutive patients (1,816 males, 1,381 females; mean age: 60.8 ± 9.8 years) with preoperative sinus rhythm who underwent CABG at a cardiovascular surgery clinic between November 2009 and March 2014 retrospectively were analyzed. Of the patients, 1,680 underwent on-pump and 1,517 underwent off-pump cardiac surgery. Data, including demographic characteristics, preoperative risk factors, preoperative medications, laboratory test results, postoperative data and complications, and mortality and morbidity rates, were recorded. Results: According to the multivariate analysis, the type of operation, number of anastomoses, right coronary artery or right coronary posterior descending artery graft, vasopressor therapy (epinephrine, norepinephrine), operation duration, age >60 years, hypertension, length of hospital stay >4 days, and obstructive sleep apnea syndrome (OSAS) were the independent predictors of POAF after CABG. Our study results suggest that on-pump CABG under CPB is correlated with POAF. Conclusion: We recommend using off-pump CABG in select cases to minimize the risk of POAF. |
| Databáze: | OpenAIRE |
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