ATRIAL FIBRILLATION IN CARDIOVASCULAR INTERVENTIONS IN ON-PUMP AND OFF-PUMP REGIMENS
Aim. To evaluate the prevalence of post-operation atrial fibrillation (POAF) in coronary artery bypass (CBG) on-pump or off-pump regimens.Material and methods. Totally, 469 patients studied with ischemic heart disease admitted for CBG (389 patients, 77% — males, mean age — 61,1±8,0 y.) had onpump CB...
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| Format: | Article |
| Language: | Russian |
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«FIRMA «SILICEA» LLC
2015-11-01
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| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/448 |
| _version_ | 1797856961682735104 |
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| author | O. A. Rubanenko O. V. Fatenkov S. M. Khokhlunov |
| author_facet | O. A. Rubanenko O. V. Fatenkov S. M. Khokhlunov |
| author_sort | O. A. Rubanenko |
| collection | DOAJ |
| description | Aim. To evaluate the prevalence of post-operation atrial fibrillation (POAF) in coronary artery bypass (CBG) on-pump or off-pump regimens.Material and methods. Totally, 469 patients studied with ischemic heart disease admitted for CBG (389 patients, 77% — males, mean age — 61,1±8,0 y.) had onpump CBG, and 2nd group — off-pump (80 patients, 80% — males, mean age — 58,4±8,0 y.).Results. In early post-operation period AF developed in 17,7% of patients in the 1st group, in 7,5% in the 2nd. Multifactor analysis showed the odds ratio for the aorta clumping time more than 36 mins as 1,8 (95% CI, 1,0-3,3, р=0,04), for ischemia time more than 19 mins — 2,0 (95% CI, 1,1-3,8, р=0,02), for the age more than 59 y. — 2,7 (95% CI, 1,5-5,0, р=0,001), for the front-back size of the left atrium more than 39 mm — 3,7 (95% CI, 2,1-6,4, р<0,0001), for the LVEF less than 55% — 1,8 (95% CI, 1,1-3,2, р=0,03). However the odds ratio for cardiopulmonary bypass more than 56 mins was 1,4 (95% CI, 0, 6-3,1, р=0,4) and “p” value got non-significant.Conclusion. In our study we showed higher prevalence of POAF in CBG as on-pump comparing to off-pump regimen. The most valuable parameter predetermining arrhythmia development were age, front-back size of the left atrium, LVEF, duration of aorta clumping and duration of ischemia |
| first_indexed | 2024-04-09T20:50:04Z |
| format | Article |
| id | doaj.art-922e8ddf97974423b387acb8584f16a2 |
| institution | Directory Open Access Journal |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| last_indexed | 2024-04-09T20:50:04Z |
| publishDate | 2015-11-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj.art-922e8ddf97974423b387acb8584f16a22023-03-29T21:23:24Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202015-11-01011131710.15829/1560-4071-2015-11-13-17448ATRIAL FIBRILLATION IN CARDIOVASCULAR INTERVENTIONS IN ON-PUMP AND OFF-PUMP REGIMENSO. A. Rubanenko0O. V. Fatenkov1S. M. Khokhlunov2SBEI HPE Samara State Medical University of the Healthcare Ministry, SamaraSBEI HPE Samara State Medical University of the Healthcare Ministry, SamaraSBEI HPE Samara State Medical University of the Healthcare Ministry, Samara SBHI Samara Region Clinical Cardiological Dispensary, Samara, RussiaAim. To evaluate the prevalence of post-operation atrial fibrillation (POAF) in coronary artery bypass (CBG) on-pump or off-pump regimens.Material and methods. Totally, 469 patients studied with ischemic heart disease admitted for CBG (389 patients, 77% — males, mean age — 61,1±8,0 y.) had onpump CBG, and 2nd group — off-pump (80 patients, 80% — males, mean age — 58,4±8,0 y.).Results. In early post-operation period AF developed in 17,7% of patients in the 1st group, in 7,5% in the 2nd. Multifactor analysis showed the odds ratio for the aorta clumping time more than 36 mins as 1,8 (95% CI, 1,0-3,3, р=0,04), for ischemia time more than 19 mins — 2,0 (95% CI, 1,1-3,8, р=0,02), for the age more than 59 y. — 2,7 (95% CI, 1,5-5,0, р=0,001), for the front-back size of the left atrium more than 39 mm — 3,7 (95% CI, 2,1-6,4, р<0,0001), for the LVEF less than 55% — 1,8 (95% CI, 1,1-3,2, р=0,03). However the odds ratio for cardiopulmonary bypass more than 56 mins was 1,4 (95% CI, 0, 6-3,1, р=0,4) and “p” value got non-significant.Conclusion. In our study we showed higher prevalence of POAF in CBG as on-pump comparing to off-pump regimen. The most valuable parameter predetermining arrhythmia development were age, front-back size of the left atrium, LVEF, duration of aorta clumping and duration of ischemiahttps://russjcardiol.elpub.ru/jour/article/view/448atrial fibrillationcoronary bypass graftingcardiopulmonary bypasson-pump and off-pump coronary bypass |
| spellingShingle | O. A. Rubanenko O. V. Fatenkov S. M. Khokhlunov ATRIAL FIBRILLATION IN CARDIOVASCULAR INTERVENTIONS IN ON-PUMP AND OFF-PUMP REGIMENS Российский кардиологический журнал atrial fibrillation coronary bypass grafting cardiopulmonary bypass on-pump and off-pump coronary bypass |
| title | ATRIAL FIBRILLATION IN CARDIOVASCULAR INTERVENTIONS IN ON-PUMP AND OFF-PUMP REGIMENS |
| title_full | ATRIAL FIBRILLATION IN CARDIOVASCULAR INTERVENTIONS IN ON-PUMP AND OFF-PUMP REGIMENS |
| title_fullStr | ATRIAL FIBRILLATION IN CARDIOVASCULAR INTERVENTIONS IN ON-PUMP AND OFF-PUMP REGIMENS |
| title_full_unstemmed | ATRIAL FIBRILLATION IN CARDIOVASCULAR INTERVENTIONS IN ON-PUMP AND OFF-PUMP REGIMENS |
| title_short | ATRIAL FIBRILLATION IN CARDIOVASCULAR INTERVENTIONS IN ON-PUMP AND OFF-PUMP REGIMENS |
| title_sort | atrial fibrillation in cardiovascular interventions in on pump and off pump regimens |
| topic | atrial fibrillation coronary bypass grafting cardiopulmonary bypass on-pump and off-pump coronary bypass |
| url | https://russjcardiol.elpub.ru/jour/article/view/448 |
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