Effect of vitamin D deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patients

Introduction: Various factors may be responsible for the development of postoperative atrial fibrillation (POAF) in coronary artery bypass graft (CABG) patients. In our study, we demonstrated the effect of vitamin D deficiency on the development of POAF. Methods: In this prospective case control stu...

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Main Authors: Safa Gode, Timuçin Aksu, Aylin Demirel, Murat Sunbul, Mehmet Gul, Ihsan Bakır, Mehmet Yeniterzi
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2016-12-01
Series:Journal of Cardiovascular and Thoracic Research
Subjects:
Online Access:http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-140.pdf
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author Safa Gode
Timuçin Aksu
Aylin Demirel
Murat Sunbul
Mehmet Gul
Ihsan Bakır
Mehmet Yeniterzi
author_facet Safa Gode
Timuçin Aksu
Aylin Demirel
Murat Sunbul
Mehmet Gul
Ihsan Bakır
Mehmet Yeniterzi
author_sort Safa Gode
collection DOAJ
description Introduction: Various factors may be responsible for the development of postoperative atrial fibrillation (POAF) in coronary artery bypass graft (CABG) patients. In our study, we demonstrated the effect of vitamin D deficiency on the development of POAF. Methods: In this prospective case control study, patients undergoing elective, isolated CABG were considered. A total of 15 patients (16.6%) who developed POAF during the first five days after surgery made up the POAF group. Seventy-five patients that had a sinus rhythm in the same period were the non-POAF group. The two groups were compared statistically in terms of laboratory, clinical, echocardiographic, operative, and postoperative parameters. Results: All patients were in sinus rhythm at discharge. The baseline characteristics of the study groups were comparable. The POAF group had a lower vitamin D level than the non-POAF group (9.0 ± 5.0 and 15.0 ± 8.4 ng/mL, respectively; P = 0.007). In the POAF group, the patients’ left atrium diameter and incidence of hypertension (HT) were higher than those of the non-POAF group. Conclusion: Incidence of POAF was significantly higher in patients with vitamin D deficiency or insufficiency than the patients with vitamin D level in normal range. Therefore vitamin D deficiency or insufficiency may be a predictor of POAF in patients with CABG.
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spelling doaj.art-7ea96172f8c7418b85d206a4db1391602022-12-22T03:35:48ZengTabriz University of Medical SciencesJournal of Cardiovascular and Thoracic Research2008-51172008-68302016-12-018414014610.15171/jcvtr.2016.29JCVTR_5236_20160502233540Effect of vitamin D deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patientsSafa Gode0Timuçin Aksu1Aylin Demirel2Murat Sunbul3Mehmet Gul4Ihsan Bakır5Mehmet Yeniterzi6Department of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiology, Marmara University School of Medicine, Istanbul, TurkeyDepartment of Cardiology, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, TurkeyIntroduction: Various factors may be responsible for the development of postoperative atrial fibrillation (POAF) in coronary artery bypass graft (CABG) patients. In our study, we demonstrated the effect of vitamin D deficiency on the development of POAF. Methods: In this prospective case control study, patients undergoing elective, isolated CABG were considered. A total of 15 patients (16.6%) who developed POAF during the first five days after surgery made up the POAF group. Seventy-five patients that had a sinus rhythm in the same period were the non-POAF group. The two groups were compared statistically in terms of laboratory, clinical, echocardiographic, operative, and postoperative parameters. Results: All patients were in sinus rhythm at discharge. The baseline characteristics of the study groups were comparable. The POAF group had a lower vitamin D level than the non-POAF group (9.0 ± 5.0 and 15.0 ± 8.4 ng/mL, respectively; P = 0.007). In the POAF group, the patients’ left atrium diameter and incidence of hypertension (HT) were higher than those of the non-POAF group. Conclusion: Incidence of POAF was significantly higher in patients with vitamin D deficiency or insufficiency than the patients with vitamin D level in normal range. Therefore vitamin D deficiency or insufficiency may be a predictor of POAF in patients with CABG.http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-140.pdfVitamin DAtrial FiibrillationCoronary Artery Bypass Graft
spellingShingle Safa Gode
Timuçin Aksu
Aylin Demirel
Murat Sunbul
Mehmet Gul
Ihsan Bakır
Mehmet Yeniterzi
Effect of vitamin D deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patients
Journal of Cardiovascular and Thoracic Research
Vitamin D
Atrial Fiibrillation
Coronary Artery Bypass Graft
title Effect of vitamin D deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patients
title_full Effect of vitamin D deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patients
title_fullStr Effect of vitamin D deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patients
title_full_unstemmed Effect of vitamin D deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patients
title_short Effect of vitamin D deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patients
title_sort effect of vitamin d deficiency on the development of postoperative atrial fibrillation in coronary artery bypass patients
topic Vitamin D
Atrial Fiibrillation
Coronary Artery Bypass Graft
url http://jcvtr.tbzmed.ac.ir/PDF/JCVTR-8-140.pdf
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