TITLE

Predictors of Atrial Fibrillation after Coronary Bypass Surgery

AUTHOR(S)
Elbaz, Mohamed S.; Mohammed, Yasser E.; Mowafy, Ahmed H.; Abo Alia, Abdelmohsen M.; Abd Elhamed, Ahmed F.
PUB. DATE
December 2012
SOURCE
Nature & Science;Dec2012, Vol. 10 Issue 12, p163
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Atrial fibrillation is the most common arrhythmia after coronary artery bypass grafting (CABG), with a rate of occurrence of 17% to 33% in different studies. Post-CABG AF is known to be a potential risk for systemic thromboembolism, CABG and combined valve surgery have a higher incidence of postoperative AF than do patients having CABG alone. We studied sixty patients with ischemic heart disease diagnosed by coronary angiography and underwent coronary artery bypass surgery,30 patients had post operative AF and another 30 patients didn't have post operative AF. The results of this study as regard preoperative assessment of studied groups showed increased age, body mass index, presence of hypertension, dyslipedemiam, reduced ejection fraction, increased left atrial dimension and increased number af affected vessels were statistically significant while intraoperative failed RCA grafting was statistically significant and lastly postoperative increased duration of positive inotrope, decreased magnesium level, reduced ejection fraction and increased left atrial size were statistically significant. The conclusion from our results suggested that preoperative, intraoperative and postoperative Assessment of the surgical patients may be useful in risk stratification for the occurrence of post CABG AF
ACCESSION #
84521250

 

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