Predicting postoperative atrial fibrillation after myocardial revascularization without cardiopulmonary bypass: A retrospective cohort study
2019; Wiley; Volume: 34; Issue: 7 Linguagem: Inglês
10.1111/jocs.14088
ISSN1540-8191
AutoresEdgar Vidotti, Lisia F. K. Vidotti, Camila A. G. Arruda Tavares, Érica D. Z. Ferraz, V. T. B. M. de Oliveira, Augusto G. de Andrade, Janaina M. B. Cardoso, Márcio H. Cardoso,
Tópico(s)Atrial Fibrillation Management and Outcomes
ResumoJournal of Cardiac SurgeryVolume 34, Issue 7 p. 577-582 ORIGINAL ARTICLE Predicting postoperative atrial fibrillation after myocardial revascularization without cardiopulmonary bypass: A retrospective cohort study Edgar Vidotti, Corresponding Author Edgar Vidotti edgarvidotti@hotmail.com orcid.org/0000-0002-1699-0630 Hospital Norte Paranaense, Arapongas, Paraná, Brazil Correspondence Edgar Vidotti, Hospital Norte Paranaense, Arapongas, Paraná, Brazil Rodovia PR 218, Km 01, Jardim Universitário, Arapongas 86702-420, PR, Brasil. Email: edgarvidotti@hotmail.comSearch for more papers by this authorLisia F. K. Vidotti, Lisia F. K. Vidotti Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorCamila A. G. Arruda Tavares, Camila A. G. Arruda Tavares Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorÉrica D. Z. Ferraz, Érica D. Z. Ferraz Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorVagner Oliveira, Vagner Oliveira Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorAugusto G. de Andrade, Augusto G. de Andrade Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorJanaina M. B. Cardoso, Janaina M. B. Cardoso Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorMárcio H. Cardoso, Márcio H. Cardoso Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this author Edgar Vidotti, Corresponding Author Edgar Vidotti edgarvidotti@hotmail.com orcid.org/0000-0002-1699-0630 Hospital Norte Paranaense, Arapongas, Paraná, Brazil Correspondence Edgar Vidotti, Hospital Norte Paranaense, Arapongas, Paraná, Brazil Rodovia PR 218, Km 01, Jardim Universitário, Arapongas 86702-420, PR, Brasil. Email: edgarvidotti@hotmail.comSearch for more papers by this authorLisia F. K. Vidotti, Lisia F. K. Vidotti Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorCamila A. G. Arruda Tavares, Camila A. G. Arruda Tavares Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorÉrica D. Z. Ferraz, Érica D. Z. Ferraz Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorVagner Oliveira, Vagner Oliveira Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorAugusto G. de Andrade, Augusto G. de Andrade Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorJanaina M. B. Cardoso, Janaina M. B. Cardoso Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this authorMárcio H. Cardoso, Márcio H. Cardoso Hospital Norte Paranaense, Arapongas, Paraná, BrazilSearch for more papers by this author First published: 18 June 2019 https://doi.org/10.1111/jocs.14088Citations: 2Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Introduction Considering the threat imposed by postoperative atrial fibrillation (POAF) after coronary artery bypass grafting (CABG) and the potential benefits of off-pump CABG, the objective of this study was to describe the incidence and identify predictor factors for POAF in patients undergoing CABG without cardiopulmonary bypass (CPB). Methods In this retrospective cohort study, we enrolled patients undergoing CABG without CPB between December 2008 and December 2011. The independent variables evaluated in this study were major patients' characteristics (age, sex, and ethnia), associated comorbidities (systemic arterial hypertension, diabetes mellitus, thyroid dysfunction, chronic renal failure (CRF), chronic obstructive pulmonary disease, and ischemic stroke), and the revascularization approach (the number of grafts used, the revascularized branch, and the choice of vascular graft (arterial or venous). The dependent variable was the onset of atrial fibrillation after the procedure. Results Two hundred and eighty patients were included in the present study. The overall incidence of POAF after off-pump CABG was 5.0%. In the univariate analysis, the presence of chronic renal failure (odds ratio [OR], 3.01 [1.00-9.06], P = .049) and the use of venous-origin graft alone (OR, 9.67 [1.15-81.56], P = .037) were associated with an increased risk or POAF. These findings were confirmed after multivariate analysis, for both CRF (OR, 3.31 [1.05-10.46], P = .042) and the use of venous-origin graft alone (OR, 9.81 [1.13-85.35], P = .039). Conclusion Off-pump coronary artery bypass grafting proved a safe and effective procedure, with low postoperative atrial fibrillation occurrence, for myocardial revascularization. Chronic renal insufficiency and the use of venous-origin graft solely proved to be independent predictor factors for PAOF. Citing Literature Volume34, Issue7July 2019Pages 577-582 RelatedInformation
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