Atrial fibrillation after coronary artery bypass grafting in elderly patients ıncidence and risk factor analysis

Basit Öğe Kaydı
dc.authorid223334en_US
dc.authorid8752en_US
dc.authorid39164en_US
dc.authorid9608en_US
dc.contributor.authorNisanoğlu, Vedat
dc.contributor.authorErdil, Nevzat
dc.contributor.authorAldemir, Mustafa
dc.contributor.authorÖzgür, Bülent
dc.contributor.authorCihan, H. Berat
dc.contributor.authorYoloğlu, Saim
dc.contributor.authorBattaloğlu, Bektaş
dc.date.accessioned2017-10-20T07:40:40Z
dc.date.available2017-10-20T07:40:40Z
dc.date.issued2007
dc.departmentİnönü Üniversitesien_US
dc.descriptionThe Thoracic and Cardiovascular Surgeonen_US
dc.description.abstractObjective: 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.en_US
dc.identifier.citationNisanoğlu, 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.en_US
dc.identifier.doi10.1055/s-2006-924711en_US
dc.identifier.endpage38en_US
dc.identifier.issue1en_US
dc.identifier.startpage32en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pubmed/17285471
dc.identifier.urihttps://hdl.handle.net/11616/7765
dc.identifier.volume55en_US
dc.language.isoenen_US
dc.publisherThe Thoracic and Cardiovascular Surgeonen_US
dc.relation.ispartofThe Thoracic and Cardiovascular Surgeonen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCardiovascular Surgeryen_US
dc.subjectCoronary bypass surgeryen_US
dc.subjectHeart diseaseen_US
dc.titleAtrial fibrillation after coronary artery bypass grafting in elderly patients ıncidence and risk factor analysisen_US
dc.typeArticleen_US

Dosyalar

Lisans paketi
Listeleniyor 1 - 1 / 1
Küçük Resim Yok
İsim:
license.txt
Boyut:
1.71 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı Koleksiyonu