Atrial Fibrillation following CABG Surgery. Our Experience with 100 Patients
Kuci S. et al. - Atrial Fibrillation following CABG Surgery. Our Experience with 100 Patients

Keywords

Atrial Fibrillation
CABG Surgery
Cardiac Surgery

How to Cite

Kuci, S., Ibrahimi, A., Goga, M., Hamiti, F., Bejko, E., Llazo, S., Burimi, J., & Bulku, E. (2024). Atrial Fibrillation following CABG Surgery. Our Experience with 100 Patients. Albanian Journal of Trauma and Emergency Surgery, 8(1), 1366-1370. https://doi.org/10.32391/ajtes.v8i1.380

Abstract

Introduction: Atrial fibrillation (AF) is the most common complication of cardiac surgery, occurring in 10-40% of patients. Postoperative AF (POAF) refers to new-onset AF in a patient without a history of AF that occurs within the first four weeks after cardiac surgery. While POAF can be transient and without consequences, it may lead to severe complications, increasing mortality and morbidity in the postoperative period. Risk factors can be patient-related, intraoperative, and postoperative.

This study aimed to estimate the frequency of AF in patients after CABG combined with valvular replacement or not. Identification of patients vulnerable to arrhythmia will allow targeting of those most likely to benefit from prophylactic therapy. 

Material and Methods: The presented study is a prospective study of 100 patients undergoing elective CABG from February to April 2022 with a mean age of 66 ± 13 years, 30% women, undergoing CABG at the University Hospital Centre “Mother Teresa” Tirana, that developed POAF.

Results: Postoperative atrial fibrillation occurred in sixteen patients (16%) at a median of 3.7 days after cardiac surgery (2nd – 7th day). 94% (15) of POAF occurred in CABG only, and 6% (1) in the combined intervention (AVR et CABG).

Conclusion: AF is the most common complication after CABG. The occurrence is not dependent on the type of intervention (only CABG or combined with valve replacement), the number of vessels that underwent bypass grafting, or the type of vessel. Electrolytic imbalance should be assessed during the postoperative course of patients who undergo CABG.

 

https://doi.org/10.32391/ajtes.v8i1.380
Kuci S. et al. - Atrial Fibrillation following CABG Surgery. Our Experience with 100 Patients

References

1. Hashemzadeh K, Dehdilani M, Dehdilani M: Postoperative Atrial Fibrillation following Open Cardiac Surgery: Predisposing Factors and Complications. J Cardiovasc Thorac Res. 2013;5(3):101–7. 10.5681/jcvtr.2013.022
2. Tatsuishi W, Adachi H, Murata M, et al.: Postoperative hyperglycemia and atrial fibrillation after coronary artery bypass graft surgery. Circ J. 2015;79(1):112–8. 10.1253/circa.CJ-14-0989
3. Sample Size Calculator by Raosoft, Inc. [Internet]. Raosoft.com.2016. [cited 11 June 2016].
4. Naing L, Winn T, Rusli BN: Practical issues in calculating the sample size for prevalence studies. Arch Orofac Sci.2006; (1):9–14
5. The Asia-Pacific perspective: Redefining obesity and its treatment. IASO International Association for the Study of Obesity; World Health Organization, Western Pacific Region.2000
6. Bradley D, Creswell L, Hogue CW, Jr, et al.: Pharmacologic prophylaxis: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest. 2005;128(2 Suppl):39S–47S. 10.1378/chest.128.2_suppl.39S
7. Martinez EA, Bass EB, Zimetbaum P, et al.: Pharmacologic control of rhythm: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest. 2005;128(2 Suppl):48S–55S. 10.1378/chest.128.2_suppl.48S
8. Alqahtani AA: Atrial fibrillation post cardiac surgery trends toward management. Heart Views. 2010;11(2):57–63. 10.4103/1995-705X.73212
9. Hogue CW, Jr, Creswell LL, Gutterman DD, et al.: Epidemiology, mechanisms, and risks: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest.2005;128(2 Suppl):9S–16S. 10.1378/chest.128.2_suppl.9S
10. Mathew JP, Parks R, Savino JS, et al.: Atrial Fibrillation following coronary artery bypass graft surgery: predictors, outcomes, and resource utilization. MultiCenter Study of Perioperative Ischemia Research Group. JAMA. 1996;276(4):300–6. 10.1001/jama.1996.03540040044031
11. Zhang W, Liu W, Chew ST, et al.: A Clinical Prediction Model for Postcardiac Surgery Atrial Fibrillation in an Asian Population. Anesth Analg. 2016;123(2):283–9. 10.1213/ANE.0000000000001384
12. Aranki SF, Shaw DP, Adams DH, et al.: Predictors of atrial fibrillation after coronary artery surgery. Current trends and impact on hospital resources. Circulation. 1996;94(3):390–7. 10.1161/01.CIR.94.3.390
13. Almassi GH, Schowalter T, Nicolosi AC, et al.: Atrial fibrillation after cardiac surgery: a major morbid event? Ann Surg. 1997;226(4):501–11; discussion 511–3.
14. Fuster V, Rydén LE, Asinger RW, et al.: ACC/AHA/ESC Guidelines for the Management of Patients With Atrial Fibrillation: Executive Summary, A Report of the American College of Cardiology/American Heart Association, Developed in Collaboration With the North American Society of Pacing and Electrophysiology. Circulation. 2001;104(17):2118–50.
15. European Heart Rhythm Association, European Association for Cardio-Thoracic Surgery, . Camm AJ, et al.: Guidelines for the management of atrial fibrillation: the Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Eur Heart J. 2010;31(19):2369–429. 10.1093/eurheartj/ehq278
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