Document Detail


Predictors of atrial fibrillation after coronary artery bypass graft surgery.
MedLine Citation:
PMID:  11940338     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To identify the clinical predictors of atrial fibrillation (AF) after coronary artery bypass grafting (CABG). METHODS: 322 consecutive patients who had undergone isolated CABG were reviewed. Preoperative, intraoperative and postoperative data were collected. Patients were grouped according to whether AF appeared postoperatively. RESULTS: AF occurred in 75 patients (23.3%). Most cases of AF (85.6%) appeared on or before the third postoperative day. The mean age for patients with AF was 62.5 years compared with 56.7 years for patients without AF (P < 0.05). The mean aortic crossclamp time for patients with AF was 67 min compared with 60.3 min for patients without AF (P < 0.05). The mean duration of cardiopulmonary bypass for patients with AF was 109.6 min compared with 97.3 min for patients without AF (P < 0.05). The mean duration of mechanical ventilation for patients with AF was 19.1 h compared with 15.7 h for patients without AF (P < 0.05). Multivariate logistic regression analysis was used to identify the following independent predictors of postoperative AF (P < 0.05): age > or = 65 years (OR 2.7; 95% CI 1.5 to 5.1), lesions in the right coronary artery (OR 2.5; 95% CI 1.4 to 4.5), and early postoperative withdrawal of beta blocker (OR 3.9; 95% CI 2.1 to 7.7). CONCLUSIONS: AF remains the most common complication after CABG. Age and lesions in the right coronary artery can influence the incidence of AF, and beta blocker and magnesium may be the most economical and effective prevention for AF early after CABG.
Authors:
Yan Guo; Shengshou Hu; Qingyu Wu; Jianping Xu; Yunhu Song; Xiaodong Zhu
Related Documents :
12670638 - Old and new antiarrhythmic drugs for converting and maintaining sinus rhythm in atrial ...
19808428 - Incidence of atrial fibrillation in relation to changing heart rate over time in hypert...
14753628 - Noninvasive, direct visualization of macro-reentrant circuits by using magnetocardiogra...
10636188 - Inducibility of atrial fibrillation during atrioventricular pacing with varying interva...
3392328 - Exercise training after anterior q wave myocardial infarction: importance of regional l...
10643188 - Current concepts in cardiopulmonary resuscitation in adults.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese medical journal     Volume:  115     ISSN:  0366-6999     ISO Abbreviation:  Chin. Med. J.     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-04-09     Completed Date:  2002-04-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7513795     Medline TA:  Chin Med J (Engl)     Country:  China    
Other Details:
Languages:  eng     Pagination:  232-4     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Fu Wai Hospital and Cardiovascular Institute, CAMS & PUMC, Beijing 100037, China. guoyan@cmmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Atrial Fibrillation / diagnosis,  etiology*
Coronary Artery Bypass / adverse effects*
Coronary Vessels / pathology,  surgery
Female
Humans
Male
Middle Aged
Multivariate Analysis
Postoperative Complications
Prognosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  In situ transduction of cytosine deaminase gene followed by systemic use of 5-fluorocytosine inhibit...
Next Document:  Long-term prognostic analysis of thymectomized patients with myasthenia gravis.