Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting

AbstractObjective:To determine the incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting.Methods:A retrospective study with analysis of 230 medical records between January 2011 and October 2013 was conducted.Results:Fifty-six (24.3...

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Main Authors: Milton Sérgio Bohatch Júnior, Paula Dayana Matkovski, Frederico José Di Giovanni, Romero Fenili, Everton Luz Varella, Anderson Dietrich
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular 2015-09-01
Series:Brazilian Journal of Cardiovascular Surgery
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300007&lng=en&tlng=en
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author Milton Sérgio Bohatch Júnior
Paula Dayana Matkovski
Frederico José Di Giovanni
Romero Fenili
Everton Luz Varella
Anderson Dietrich
author_facet Milton Sérgio Bohatch Júnior
Paula Dayana Matkovski
Frederico José Di Giovanni
Romero Fenili
Everton Luz Varella
Anderson Dietrich
author_sort Milton Sérgio Bohatch Júnior
collection DOAJ
description AbstractObjective:To determine the incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting.Methods:A retrospective study with analysis of 230 medical records between January 2011 and October 2013 was conducted.Results:Fifty-six (24.3%) out of the 230 patients were female. The average age of patients undergoing on-pump coronary artery bypass grafting was 59.91±8.62 years old, and off-pump was 57.16±9.01 years old (P=0.0213). The average EuroSCORE for the on-pump group was 3.37%±3.08% and for the off-pump group was 3.13%±3% (P=0.5468). Eighteen (13.43%) patients who underwent off-pump coronary artery bypass grafting developed postoperative atrial fibrillation, whereas for the onpump group, 19 (19.79%) developed this arrhythmia, with no significant difference between the groups (P=0.1955).Conclusion:Off-pump coronary artery bypass grafting did not reduce the incidence of atrial fibrillation in the postoperative period. Important predictors of risk for the development of this arrhythmia were identified as: patients older than 70 years old and presence of atrial fibrillation in perioperative period in both groups, and non-use of beta-blockers drugs postoperatively in the on-pump group.
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spelling doaj.art-dc93203e64854a3b8b42e0faccf7ae5a2022-12-22T00:26:47ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412015-09-0130331632410.5935/1678-9741.20150040S0102-76382015000300007Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass graftingMilton Sérgio Bohatch JúniorPaula Dayana MatkovskiFrederico José Di GiovanniRomero FeniliEverton Luz VarellaAnderson DietrichAbstractObjective:To determine the incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting.Methods:A retrospective study with analysis of 230 medical records between January 2011 and October 2013 was conducted.Results:Fifty-six (24.3%) out of the 230 patients were female. The average age of patients undergoing on-pump coronary artery bypass grafting was 59.91±8.62 years old, and off-pump was 57.16±9.01 years old (P=0.0213). The average EuroSCORE for the on-pump group was 3.37%±3.08% and for the off-pump group was 3.13%±3% (P=0.5468). Eighteen (13.43%) patients who underwent off-pump coronary artery bypass grafting developed postoperative atrial fibrillation, whereas for the onpump group, 19 (19.79%) developed this arrhythmia, with no significant difference between the groups (P=0.1955).Conclusion:Off-pump coronary artery bypass grafting did not reduce the incidence of atrial fibrillation in the postoperative period. Important predictors of risk for the development of this arrhythmia were identified as: patients older than 70 years old and presence of atrial fibrillation in perioperative period in both groups, and non-use of beta-blockers drugs postoperatively in the on-pump group.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300007&lng=en&tlng=enFibrilação AtrialRevascularização MiocárdicaComplicações Pós-Operatórias
spellingShingle Milton Sérgio Bohatch Júnior
Paula Dayana Matkovski
Frederico José Di Giovanni
Romero Fenili
Everton Luz Varella
Anderson Dietrich
Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting
Brazilian Journal of Cardiovascular Surgery
Fibrilação Atrial
Revascularização Miocárdica
Complicações Pós-Operatórias
title Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting
title_full Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting
title_fullStr Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting
title_full_unstemmed Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting
title_short Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting
title_sort incidence of postoperative atrial fibrillation in patients undergoing on pump and off pump coronary artery bypass grafting
topic Fibrilação Atrial
Revascularização Miocárdica
Complicações Pós-Operatórias
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382015000300007&lng=en&tlng=en
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