Predictors of postoperative atrial fibrillation after beating-heart coronary artery bypass surgery: Is cardiopulmonary bypass a risk factor?

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dc.authorid0000-0003-4709-4705
dc.authorid0000-0002-5633-9092
dc.contributor.authorVelioğlu, Yusuf
dc.contributor.authorYüksel, Ahmet Berat
dc.date.accessioned2021-06-23T19:50:56Z
dc.date.available2021-06-23T19:50:56Z
dc.date.issued2019
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackgrouand: To determine the risk factors and postoperative outcomes of new-onset atrial fibrillation (AF) following beating-heart coronary artery bypass grafting (CABG) surgery. Methods: A total of 458 patients who underwent beating-heart CABG without the use of aortic cross clamping and cardioplegic arrest between January 2011 and January 2015 were included in the study, and they were divided into two groups according to the development of new-onset AF as the AF group (n = 143) and non-AF group (n = 315). Both groups were compared in terms of preoperative clinical features and perioperative data, and the risk factors and postoperative outcomes of AF following beating-heart CABG were determined. Results: The incidence of postoperative AF was 31.2%. Patients in the AF group were significantly older (68.08 +/- 7.76 vs. 61.76 +/- 9.83 years, p <= 0.001) and had significantly higher use of cardiopulmonary bypass during surgery (69.2% vs. 43.2%, p <= 0.001) than the patients in the non-AF group. The patients with AF also had statistically significantly longer lengths of intensive care unit and hospital stay than those without AF (43.79 +/- 32.39 vs. 30.49 +/- 33.31 hours, p <= 0.001, and 8.20 +/- 4.37 vs. 5.77 +/- 2.16 days, p <= 0.001, respectively). Conclusions: Our study revealed that age and the use of cardiopulmonary bypass during surgery were independent predictors of AF following beating-heart CABG. In addition, postoperative AF was associated with prolonged intensive care unit and hospital stay. Further prospective randomized studies with larger patient series are required to support our research and attain more accurate data.en_US
dc.identifier.doi10.6515/ACS.201909_35(5).20190325A
dc.identifier.endpage475en_US
dc.identifier.issn1011-6842
dc.identifier.issue5en_US
dc.identifier.pmid31571795en_US
dc.identifier.scopus2-s2.0-85073480896en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage468en_US
dc.identifier.urihttps://doi.org/10.6515/ACS.201909_35(5).20190325A
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9892
dc.identifier.volume35en_US
dc.identifier.wosWOS:000487859100003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorVelioğlu, Yusuf
dc.institutionauthorYüksel, Ahmet Berat
dc.language.isoenen_US
dc.publisherTaiwan Soc Cardiologyen_US
dc.relation.ispartofActa Cardiologica Sinicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAtrial Fibrillationen_US
dc.subjectBeating-Hearten_US
dc.subjectCardiopulmonary Bypassen_US
dc.subjectCoronary Artery Bypass Graftingen_US
dc.subjectPredictoren_US
dc.subjectRisk Factoren_US
dc.titlePredictors of postoperative atrial fibrillation after beating-heart coronary artery bypass surgery: Is cardiopulmonary bypass a risk factor?en_US
dc.typeArticleen_US

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