对心脏手术后术后心房动风险因素的前性研究
Michael E Bowdish1, Emilia Bagiella2, Gennaro Giustino2
1Department of Cardiac Surgery, Cedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, California.
The Journal of surgical research
|November 6, 2023
概括
年龄较大,非西班牙裔白人,心力衰竭和甲状腺功能低下会增加心脏手术后新发性术后心房动 (POAF) 的风险. 门修复或更换,有或没有冠状动脉旁路移植 (CABG),也会增加POAF风险.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 电子生理学 电子生理学
背景情况:
- 手术后心房动 (POAF) 是心脏手术后的一个常见并发症.
- 确定POAF的风险因素对于患者的管理和结果至关重要.
研究的目的:
- 在接受心脏手术的患者中调查与新发性POAF相关的风险因素.
主要方法:
- 来自心胸外科试验网络的2104名患者的前性队列研究.
- 用多变量逻辑回归分析来确定POAF的预测因素.
主要成果:
- 在33.0%的患者中发生POAF.
- 增加POAF风险与年龄较大,白人非西班牙裔种族,心力衰竭和甲状腺功能低下有关.
- 门维修/更换,有或没有CABG,与单独的CABG相比,增加了POAF风险.
结论:
- 高龄,非西班牙裔白人,甲状腺功能低下,心力衰竭和特定的手术 (门修复/更换) 是POAF的重要风险因素.
- 没有发现任何手术前的心脏药物与POAF风险有关.
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