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Published on: February 11, 2022
[Atrial fibrillation following coronary artery bypass grafting: predictors and mid- term outcome]
Habib Ben Ahmed1, Mehdi Chelli, Khalifa Selmi
1Service de Cardiologie, Hospital Mongi Slim, La Marsa, Tunis, Tunisia.
Insights
Postoperative atrial fibrillation (AF) after coronary artery bypass grafting (CABG) occurs in 9.8% of patients. Key predictors include advanced age, left circumflex stenosis, sternal wound infection, and low cardiac output, with similar hospital mortality rates.
Area of Science:
- Cardiology
- Cardiac Surgery
- Electrophysiology
Context:
- Atrial fibrillation (AF) is a common complication following coronary artery bypass grafting (CABG).
- Post-CABG AF increases patient morbidity and prolongs hospital stays.
- Understanding AF predictors is crucial for improving patient outcomes after cardiac surgery.
Purpose:
- To identify predictors of AF in patients undergoing CABG.
- To evaluate the impact of post-CABG AF on hospital and mid-term outcomes.
- To analyze the relationship between specific clinical factors and AF development.
Summary:
- This retrospective study analyzed 224 patients undergoing CABG.
- Postoperative AF developed in 9.8% of patients.
- Multivariate analysis identified age, left circumflex stenosis, sternal wound infection, and low cardiac output as significant predictors of AF.
Impact:
- Identified key risk factors for AF post-CABG, enabling targeted prevention strategies.
- Demonstrated similar hospital mortality rates between patients with and without post-CABG AF.
- Provides valuable insights for optimizing perioperative care and patient management in cardiac surgery.
Background:
Atrial fibrillation (AF) is a frequent complication after coronary artery bypass grafting (CABG) which increase morbidity and hospitalization length.
Aim:
To identify the predictors of atrial fibrillation and its repercussion on hospital and mid-term outcomes in patients undergoing (CABG).
Methods:
We undertook a retrospective review of the data of 224 patients undergoing CABG. The mean age of the patients was 60.8 years. Atrial fibrillation was diagnosed from serial postoperative electrocardiogram.
Results:
Twenty two patients developed postoperative atrial fibrillation. Multivariate analysis showed that only: age, left circumflex stenosis, sternal wound infection and low cardiac output were predictors of AF following CABG. Hospital mortality was similar in the two groups (5% Vs 9.6 % P=0.7).
Conclusion:
In our study, the incidence of post-CABG atrial fibrillation was 9.8%. Multivariate predictors were age, left circumflex lesion, sternal wound infection and low cardiac output. Hospital mortality and mid-term outcome were similar in the two groups.
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