POSTOPERATIVE ATRIAL FIBRILLATION IS ASSOCIATED WITH HIGHER EUROSCORE, BUT NOT WITH HOSPITAL MORTALITY AFTER CORONARY ARTERY BYPASS GRAFT SURGERY
Autor: | Jagat Narula, Giuseppe Faggian, Giuseppe Petrilli, TM Scarabelli, Carol Chen-Scarabelli, Louis D. Saravolatz |
---|---|
Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Ejection fraction business.industry Incidence (epidemiology) EuroSCORE Atrial fibrillation medicine.disease Cardiac surgery Coronary artery bypass surgery medicine.anatomical_structure Internal medicine Heart rate medicine Cardiology Cardiology and Cardiovascular Medicine business Artery |
Zdroj: | Journal of the American College of Cardiology. 61:E1216 |
ISSN: | 0735-1097 |
DOI: | 10.1016/s0735-1097(13)61216-4 |
Popis: | Background: Postoperative atrial fibrillation (POAF) is the most common arrhythmia after coronary artery bypass surgery (CABG) and is associated with an increased morbidity. Recently, it has been suggested that POAF is also associated with increased postoperative mortality. Aim: To investigate whether POAF after isolated CABG was associated with a higher EuroSCORE, indicating greater in-hospital mortality risk. Methods: We reviewed data from our prospective cardiac surgery database of all patients (n=2791) undergoing isolated CABG from January 2003 through December 2006 at a large university medical center. The Mann-Whitney test was used to test for differences in continuous variables between the POAF and non-POAF groups, while the Chi-square test was used for categorical variables. Cox proportional-hazards regression analysis was used to identify independent predictors of in-hospital mortality. Results: The mean age was 68 ± 9.1yrs, and mean EuroSCORE was 6.91 ± 3.18. The overall incidence of POAF was 32.3%. The POAF group was older (70.5 ± 7.8 vs. 66.8 ± 9.5yrs non-POAF: p |
Databáze: | OpenAIRE |
Externí odkaz: |