Site search
Correspondence address
310 Mira Street, Stavropol, Russia, 355017
Tel
+7 865 2352511, +7 865 2353229.
E-mail
medvestnik@stgmu.ru
The journal is included into The list of leading scientific periodicals.
The journal is included into VINITI database and is registered in Electronic scientific library.
The journal is indexed by SCOPUS, Ulrich's International Periodicals Directory.
[Original research] [Internal diseases]
Vladimir Kolesnikov; Olga Boeva; Anna Ivanenko; Alexandr Yagoda;
The aim was to study the risk factors of postoperative atrial fibrillation (POAF) following coronary artery bypass grafting (CABG) on-pump in patients without valve pathology and history of atrial fibrillation. 160 patients with indications for CABG were enrolled into a prospective comparative study. Odds ratio with 95 % CI was calculated to predict POAF from various variables. POAF lasting > 30 seconds occurred in 32 (20 %) patients. The identification of such risk factors as age > 60 years, history of Q-positive myocardial infarction, II B stage of chronic heart failure, left ventricle ejection fraction less than 40 %, dilation of left chambers of heart, NT proBNP level > 80 pg/ml, multi-vessel coronary disease, inotropic support, off-pump surgery time > 80 min was found helpful to alert the clinician about higher probability of new-onset atrial fibrillation after CABG and to guide prophylactic therapy.
References:
1. Bokeriya L. A., Golukhova E. Z., Alekyan B. G. et al. Resultaty khirurgicheskogo i endovasculyarnogo lecheniya bolnykh icshemicheskoy bolezn’yu serdtza: perioperatsionnye oslozhneniya, factory riska, prognoz. Kreativnaya cardiologiya. – Creative cardiology. 2011;1:41-60.
2. Borde D., Gandhe U., Hargave N. et al. Ann. Card. Anaesth. 2014;17(3):182 187.
3. Brinkman W., Herbert M. A., O’Brien S. et al. JAMA Intern. Med. 2014;174(8):1320-1327.
4. Candilio L., Malik A., Ariti C. et al. Heart. 2014 Sep 24. pii: heartjnl-2014-306178.
5. Chua S. K., Shyu K. G., Lu M. J. et al. J. Thorac. Cardiovasc. Surg. 2013;146(4):919-926.
6. Corral L., Carrió M. L., Ventura J. L. et al. J. Cardiothorac. Vasc. Anesth. 2009;23(2):166-169.
7. Gibson P. H., Croal B. L., Cuthbertson B. H. et al. Am. Heart J. 2009;158(2):244-251
8. Hayashida N., Shojima T., Yokokura Y. et al. Ann. Thorac. Surg. 2005;79(3):859-864.
9. Horwich P., Buth K. J., Légaré J. F. J. Card. Surg. 2013;28(1):8-13.
10. Kuhn E. W., Liakopoulos O. J., Stange S. et al. Eur. J. Cardiothorac. Surg. 2014;45(1):17-26.
11. LaPar D. J., Speir A. M., Crosby I. K. et al. Ann. Thorac. Surg. 2014;98(2):527-533.
12. Steinberg B. A., Zhao Y., He X. et al. Clin. Cardiol. 2014;37(1):7-13.
13. Tanaka S., Sakata R., Marui A. et al. Circ. J. 2012;76(2):328-34.
14. Wijns W. Eur. Heart J. 2010;10(31):2501-2555.
15. Yu L., Gu T., Shi E. et al. Ann. Saudi Med. 2014;34(3):222- 228.
Keywords: coronary artery bypass grafting, new-onset postoperative atrial fibrillation, predicting