TITLE

The incidence of in-hospital atrial fibrillation after coronary artery bypass grafting using ventricular and atrial pacing

AUTHOR(S)
Naghnaeian, Mina; Samienasab, Mohammadreza; Mirmohammadsadeghi, Mohsen; Rabani, Majid; Pourmoghaddas, Ali; Behnemun, Mahsa
PUB. DATE
March 2013
SOURCE
ARYA Atherosclerosis;2013, Vol. 9 Issue 1, Special section p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
BACKGROUND: Atrial fibrillation (AF) after coronary artery bypass graft (CABG) surgery is a common problem. In this study, we sought to evaluate the safety and tolerance of continuous atrial pacing after CABG. We hypothesized that a strategy of temporary atrial pacing after CABG would reduce the incidence of postoperative AF. METHODS: During 2012, CABG candidates over 18 years of age at Sina Hospital (Isfahan, Iran) were recruited. Before surgery, the participants were randomly assigned to two groups of ventricular pacing and left atrial ventricular pacing (atrial pacing). The primary end point of the study was the initial occurrence of AF or atrial flutter with a ventricular rate greater than 100 beats per minute for 10 consecutive minutes or completion of the 48-hour monitoring period. RESULTS: We evaluated 64 consecutive CABG candidates with sinus rhythm. They were allocated to two groups of ventricular pacing and atrial ventricular pacing (n = 32 in each group). Three patients in the ventricular pacing group (10%) and six in the atrial ventricular pacing group (22%) had sustained AF during the first 48 hours after CABG (P = 0.18 according to Fisher's exact test). CONCLUSION: Continuous atrial pacing in the postoperative setting is safe and well-tolerated. In this study, we found that temporary atrial pacing increased the frequency of postoperative AF. Since the difference between the two groups was not significant, larger studies are required to determine the exact relation between pacing method and AF.
ACCESSION #
86858995

 

Related Articles

  • Predictors of Atrial Fibrillation after Coronary Bypass Surgery. Elbaz, Mohamed S.; Mohammed, Yasser E.; Mowafy, Ahmed H.; Abo Alia, Abdelmohsen M.; Abd Elhamed, Ahmed F. // Nature & Science;Dec2012, Vol. 10 Issue 12, p163 

    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...

  • Does off-pump coronary artery bypass reduce the incidence of post-operative atrial fibrillation? A question revisited Athanasiou, Thanos; Aziz, Omer; Mangoush, Omar; Al-Ruzzeh, Sharif; Nair, Sujit; Malinovski, Vitali; Casula, Roberto; Glenville, Brian // European Journal of Cardio-Thoracic Surgery;Oct2004, Vol. 26 Issue 4, p701 

    Atrial fibrillation (AF) is the most common post-operative complication in patients undergoing coronary artery bypass grafting, with an increased incidence associated with advancing age. This study aims to determine whether off-pump coronary artery bypass (OPCAB) reduces the incidence of AF in a...

  • Histologic Assessment of Right Atrial Appendage Myocardium in Patients with Atrial Fibrillation after Coronary Artery Bypass Graft Surgery. Nakai, Toshiko; Chandy, Joby; Nakai, Kazuhiko; Bellows, Wayne H.; Flachsbart, Keith; Lee, Randall J.; Leung, Jacqueline M. // Cardiology;2007, Vol. 108 Issue 2, p90 

    Atrial fibrillation (AF) is a common complication after coronary artery bypass graft (CABG) surgery. Despite the prevalence of AF occurring after cardiac surgery, its pathophysiology is incompletely understood. Our previous study demonstrated that age and left atrial enlargement were independent...

  • Pharmacological Management of Atrial Fibrillation following Cardiac Surgery. Hilleman, Daniel E.; Hunter, Claire B.; Mohiuddin, Syed M.; Maciejewski, Stephanie // American Journal of Cardiovascular Drugs;2005, Vol. 5 Issue 6, p361 

    Atrial fibrillation (AF) is the most common complication following coronary artery bypass graft surgery (CABG). Post-CABG AF occurs most commonly on the second postoperative day and declines in incidence thereafter. A number of risk factors have been found to be associated with a higher...

  • Early outcomes in the elderly: a meta-analysis of 4921 patients undergoing coronary artery bypass grafting—comparison between off-pump and on- pump techniques. Panesar, S. S.; Athanasiou, T.; Nair, S.; Rao, C.; Jones, C.; Nicolaou, M.; Darzi, A. // Heart;Dec2006, Vol. 92 Issue 12, p1808 

    Objective: To assess early outcomes in the elderly population undergoing coronary revascularisation with and without cardiopulmonary bypass (CPB). Methods: Meta-analysis of all retrospective, non-randomised studies comparing off-pump coronary artery bypass (OPCAB) versus CPB techniques in the...

  • Does prophylactic sotalol and magnesium decrease the incidence of atrial fibrillation following coronary artery bypass surgery: a propensity-matched analysis. Aerra, V.; Kuduvalli, M.; Moloto, A. N.; Srinivasan, A. K.; Grayson, A. D.; Fabri, B. M.; Oo, A. Y. // Journal of Cardiothoracic Surgery;2006, Vol. 1, p6 

    Background: Atrial fibrillation can occur in up to 40% of patients undergoing coronary surgery. Methods: We retrospectively analysed 103 consecutive coronary surgery patients under the care of one surgeon between April 2003 and September 2003. These patients received 40 mg of sotalol orally...

  • Editorial: Atrial Fibrillation After Coronary Artery Bypass Grafting. Francis, Johnson // Internet Journal of Cardiology;2003, Vol. 2 Issue 1, p51 

    Editorial. Discusses the incidence of atrial fibrillation (AF) after coronary artery bypass grafting. Efforts to reduce the incidence of AF; Predictors of post operative AF; Use of amiodarone as an antiarrhythmic agent to prevent the occurrence of AF after cardiac surgery.

  • Microwave ablation for the surgical treatment of permanent atrial fibrillation—a single centre experience Knaut, Michael; Tugtekin, Sems Malte; Jung, Friedrich; Matschke, Klaus // European Journal of Cardio-Thoracic Surgery;Oct2004, Vol. 26 Issue 4, p742 

    Objective: Microwave ablation (MW) has been established as a safe and efficient procedure for the treatment of permanent atrial fibrillation (pAF) resulting in conversion to sinus rhythm (SR). For further improvement of clinical results, a new ablation line concept has been introduced. We...

  • FIBRILACION AURICULAR EN EL POSTOPERATORIO DE CIRUGIA CARDIACA. PREVALENCIA Y TIEMPO DE INTERNACION. E. CONTRERAS, ALEJANDRO; FERRERO GUADAGNOLI, ADOLFO; J. BRENNA, EDUARDO; POGONZA, PABLO; A. COPPA, LUIS; G. PALADINI, GUILLERMO; A. SALOMONE, OSCAR // Medicina (Buenos Aires);2010, Vol. 70 Issue 4, p339 

    Atrial fibrillation in postoperative cardiac surgery. Prevalence and hospitalized period. Atrial fibrillation is the most common heart rhythm disorder after cardiac surgery. In previous studies it has been associated with prolonged hospitalization, increased costs and mortality. This study aimed...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics