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Evaluation of the Relationship Between Changes in Potassium Concentration and Arrhythmia During Coronary Artery

Sara Jorairahmadi1, Fatemeh Javaherforooshzadeh1, Farahzad Jannatmakan1

  • 1Pain Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Anesthesiology and Pain Medicine
|April 18, 2022
PubMed

Insights

Changes in potassium levels during coronary artery bypass grafting (CABG) surgery significantly increase the risk of cardiac arrhythmias. Monitoring potassium is crucial for preventing complications in CABG patients.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Clinical Chemistry

Background:

  • Coronary artery bypass grafting (CABG) is a key treatment for coronary artery disease.
  • Cardiac arrhythmias pose significant risks during CABG surgery.
  • Potassium ion concentration is implicated in the development of these arrhythmias.

Purpose of the Study:

  • To investigate the association between potassium levels and cardiac arrhythmias in patients undergoing CABG.
  • To identify factors related to cardiac arrhythmia incidence during CABG.

Main Methods:

  • A descriptive cross-sectional study involving 60 patients undergoing on-pump CABG.
  • Potassium levels and cardiac arrhythmias were monitored throughout the surgery.
  • Mean arterial pressure, blood sugar, BUN, creatinine, calcium, magnesium, Hb, and sodium were also recorded.

Main Results:

  • A significant relationship was found between changes in mean arterial pressure, potassium, blood sugar, BUN, creatinine, calcium, and magnesium and the occurrence of cardiac arrhythmias (P < 0.05).
  • No significant association was observed between hemoglobin or sodium levels and cardiac arrhythmias (P < 0.05).

Conclusions:

  • Elevated potassium levels are linked to an increased risk of cardiac arrhythmias during CABG.
  • Monitoring and managing potassium levels are essential for mitigating complications in CABG patients.
Abstract

Keywords:
Cardiac ArrhythmiasCoronary Artery Bypass GraftingHyperkalemiaHypokalemiaSodium

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