Predictors of Atrial Fibrillation Following Coronary Artery Bypass Grafting

Overview

Journal Clin Med Insights Cardiol

Publisher Sage Publications

Specialty Cardiology & Vascular Diseases

Date 2011 Aug 13

PMID 21836815

Citations 16

Authors

Feridoun Sabzi

Abdol Hamid Zokaei

Abdol Rasoul Moloudi

Affiliations

Soon will be listed here.

Abstract

Background: Atrial fibrillation (AF) is a frequent and serious complication of coronary artery bypass graft (CABG) surgery.

Methods: We undertook a retrospective review of the records of patients undergoing CABG at Imam Ali Hospital between February 1, 2003 and February 1, 2006. The patients were divided in two groups, ie, Group A (AF) and Group B (no AF). The association between the occurrence of AF following CABG and other variables was compared with respect to continuous or categorical variables by t-test and χ(2)-test.

Results: Multivariate logistic regression analysis of potentially predictive factors in univariate analysis showed that opium use, type of operation, and crossclamp time were predictors of AF following CABG.

Conclusion: This study identifies some new predictors of postoperative AF, control of which could lead to a lower incidence of AF and reduced morbidity, mortality, and resource utilization for patients undergoing cardiac surgery.

Citing Articles

The prevalence and predictors of cardiovascular diseases in Kherameh cohort study: a population-based study on 10,663 people in southern Iran.

Baeradeh N, Ghoddusi Johari M, Moftakhar L, Rezaeianzadeh R, Hosseini S, Rezaianzadeh A BMC Cardiovasc Disord. 2022; 22(1):244.

PMID: 35643460 PMC: 9148515. DOI: 10.1186/s12872-022-02683-w.

The effect of opium addiction on short-term postoperative outcomes after coronary artery bypass graft surgery: A prospective observational cohort study.

Habibi M, Alipour A, Soleimani A, Kiabi F, Habibi A, Emami Zeydi A Biomedicine (Taipei). 2021; 10(4):23-28.

PMID: 33854931 PMC: 7735979. DOI: 10.37796/2211-8039.1042.

Opium and cardiovascular health: A devil or an angel?.

Roayaei P, Aminorroaya A, Vasheghani-Farahani A, Oraii A, Sadeghian S, Poorhosseini H Indian Heart J. 2020; 72(6):482-490.

PMID: 33357635 PMC: 7772609. DOI: 10.1016/j.ihj.2020.10.003.

The effects of opium on the cardiovascular system: a review of side effects, uses, and potential mechanisms.

Nakhaee S, Ghasemi S, Karimzadeh K, Zamani N, Alinejad-Mofrad S, Mehrpour O Subst Abuse Treat Prev Policy. 2020; 15(1):30.

PMID: 32303254 PMC: 7164148. DOI: 10.1186/s13011-020-00272-8.

Opioids and Cardiac Arrhythmia: A Literature Review.

Behzadi M, Joukar S, Beik A Med Princ Pract. 2018; 27(5):401-414.

PMID: 30071529 PMC: 6244110. DOI: 10.1159/000492616.

References

Ommen S, ODell J, Stanton M . Atrial arrhythmias after cardiothoracic surgery. N Engl J Med. 1997; 336(20):1429-34. DOI: 10.1056/NEJM199705153362006. View

Roffman J, Fieldman A . Digoxin and propranolol in the prophylaxis of supraventricular tachydysrhythmias after coronary artery bypass surgery. Ann Thorac Surg. 1981; 31(6):496-501. DOI: 10.1016/s0003-4975(10)61337-9. View

Wolf P, Kannel W, McGee D, Meeks S, Bharucha N, MCNAMARA P . Duration of atrial fibrillation and imminence of stroke: the Framingham study. Stroke. 1983; 14(5):664-7. DOI: 10.1161/01.str.14.5.664. View

Stephenson L, MacVaugh 3rd H, Tomasello D, Josephson M . Propranolol for prevention of postoperative cardiac arrhythmias: a randomized study. Ann Thorac Surg. 1980; 29(2):113-6. DOI: 10.1016/s0003-4975(10)61647-5. View

Mendes L, Connelly G, McKenney P, Podrid P, Cupples L, Shemin R . Right coronary artery stenosis: an independent predictor of atrial fibrillation after coronary artery bypass surgery. J Am Coll Cardiol. 1995; 25(1):198-202. DOI: 10.1016/0735-1097(94)00329-o. View

Lauer M, Eagle K, Buckley M, DESANCTIS R . Atrial fibrillation following coronary artery bypass surgery. Prog Cardiovasc Dis. 1989; 31(5):367-78. DOI: 10.1016/0033-0620(89)90031-5. View

Rose M, Glassman E, SPENCER F . Arrhythmias following cardiac surgery: relation to serum digoxin levels. Am Heart J. 1975; 89(3):288-94. DOI: 10.1016/0002-8703(75)90077-0. View

Weiner B, RHEINLANDER H, Decker E, Cleveland R . Digoxin prophylaxis following coronary artery bypass surgery. Clin Pharm. 1986; 5(1):55-8. View

Cox J . A perspective of postoperative atrial fibrillation in cardiac operations. Ann Thorac Surg. 1993; 56(3):405-9. DOI: 10.1016/0003-4975(93)90871-e. View

10.

Abreu J, Reilly J, Salzano R, Khachane V, Jekel J, Clyne C . Comparison of frequencies of atrial fibrillation after coronary artery bypass grafting with and without the use of cardiopulmonary bypass. Am J Cardiol. 1999; 83(5):775-6, A9. DOI: 10.1016/s0002-9149(98)00988-6. View

11.

Klemperer J, Klein I, Ojamaa K, Helm R, Gomez M, Isom O . Triiodothyronine therapy lowers the incidence of atrial fibrillation after cardiac operations. Ann Thorac Surg. 1996; 61(5):1323-7; discussion 1328-9. DOI: 10.1016/0003-4975(96)00102-6. View

12.

Leitch J, Thomson D, Baird D, Harris P . The importance of age as a predictor of atrial fibrillation and flutter after coronary artery bypass grafting. J Thorac Cardiovasc Surg. 1990; 100(3):338-42. View

13.

Hashimoto K, Ilstrup D, Schaff H . Influence of clinical and hemodynamic variables on risk of supraventricular tachycardia after coronary artery bypass. J Thorac Cardiovasc Surg. 1991; 101(1):56-65. View

14.

Angelini P, FELDMAN M, Lufschanowski R, Leachman R . Cardiac arrhythmias during and after heart surgery: diagnosis and management. Prog Cardiovasc Dis. 1974; 16(5):469-95. DOI: 10.1016/0033-0620(74)90007-3. View

15.

Mathew J, Fontes M, Tudor I, Ramsay J, Duke P, Mazer C . A multicenter risk index for atrial fibrillation after cardiac surgery. JAMA. 2004; 291(14):1720-9. DOI: 10.1001/jama.291.14.1720. View

16.

Smith R, Grossman W, Johnson L, Segal H, Collins J, Dalen J . Arrhythmias following cardiac valve replacement. Circulation. 1972; 45(5):1018-23. DOI: 10.1161/01.cir.45.5.1018. View

17.

Kannel W, Abbott R, Savage D, MCNAMARA P . Epidemiologic features of chronic atrial fibrillation: the Framingham study. N Engl J Med. 1982; 306(17):1018-22. DOI: 10.1056/NEJM198204293061703. View

18.

Almassi G, Schowalter T, Nicolosi A, Aggarwal A, Moritz T, Henderson W . Atrial fibrillation after cardiac surgery: a major morbid event?. Ann Surg. 1997; 226(4):501-11; discussion 511-3. PMC: 1191069. DOI: 10.1097/00000658-199710000-00011. View

19.

Fuller J, Adams G, Buxton B . Atrial fibrillation after coronary artery bypass grafting. Is it a disorder of the elderly?. J Thorac Cardiovasc Surg. 1989; 97(6):821-5. View

20.

Aranki S, Shaw D, Adams D, Rizzo R, Couper G, VanderVliet M . Predictors of atrial fibrillation after coronary artery surgery. Current trends and impact on hospital resources. Circulation. 1996; 94(3):390-7. DOI: 10.1161/01.cir.94.3.390. View