Atrial fibrillation after coronary artery bypass grafting in elderly patients ıncidence and risk factor analysis
Küçük Resim Yok
Tarih
2007
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
The Thoracic and Cardiovascular Surgeon
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: New-onset atrial fibrillation (AF) is the most frequent arrhythmic complication after coronary artery bypass grafting (CABG). Elderly patients who undergo this operation may have a different risk profile from the general population. The aim of this study was to identify risk factors for post-CABG AF in the elderly population. Methods: Between September 2001 and December 2005, 426 elderly patients (age ≥ 65 years) underwent CABG at our center. Ninety-one developed post-CABG AF (AF group), and the other 335 (no-AF group) did not develop this complication. Multivariate analysis (odds ratio, ± 95 % CI, p value) was used to identify independent clinical predictors of post-CABG AF. Results: The incidence of post-CABG AF in elderly patients during the study period was 21.4 %. Multivariate analysis identified age (OR 1.07, p < 0.009), age ≥ 75 years (OR 1.77, p < 0.042), preoperative renal insufficiency (OR 5.09, p < 0.035), EuroSCORE (OR 1.18, p < 0.038), and cross-clamping time (OR 1.02, p < 0.012) as predictors of AF occurrence. The AF group had a significantly longer mean intensive care unit (ICU) stay (3.8 ± 4.7 vs. 2.5 ± 1.3 days for AF vs. no-AF; p = 0.0001), and a significantly higher proportion of patients with prolonged (≥ 6 days) ICU stays (8.8 % vs. 3.2 %, respectively; p = 0.033). Hospital mortality was 3.2 % in the no-AF group and 2.2 % in the AF group (p = 0.74). Conclusion: This study of elderly patients reveals some novel predictors of post-CABG AF, most notably preoperative renal insufficiency and EuroSCORE. It is important to identify risk factors for post-CABG AF in all patient groups as this knowledge might lead to better prevention of this problem and its potential consequences.
Açıklama
The Thoracic and Cardiovascular Surgeon
Anahtar Kelimeler
Cardiovascular Surgery, Coronary bypass surgery, Heart disease
Kaynak
The Thoracic and Cardiovascular Surgeon
WoS Q Değeri
Scopus Q Değeri
Cilt
55
Sayı
1
Künye
Nisanoğlu, V., Erdil, N., Aldemir, M., Özgür, B., Cihan, H. B., Yoloğlu, S., & Battaloğlu, B. (2007). Atrial Fibrillation After Coronary Artery Bypass Grafting İn Elderly Patients Incidence And Risk Factor Analysis. The Thoracic And Cardiovascular Surgeon, 55(1), 32–38.
