What question did this study set out to answer?

To identify clinical and perioperative predictors of atrial fibrillation occurrence in patients undergoing coronary artery bypass graft surgery.

October 1, 1999European Journal of Cardio-Thoracic SurgeryOpen Access

Perioperative clinical predictors of atrial fibrillation occurrence following coronary artery surgery

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Why the study?

What are the independent clinical predictors of atrial fibrillation occurrence following coronary artery surgery?

Population

150 consecutive patients undergoing coronary artery surgery, divided into those who maintained sinus rhythm…

Design

Cohort

Follow-up

perioperative

Authors

VDValentino DucceschiUniversity of Campania "Luigi Vanvitelli"ADAntonello D’AndreaCardiac Imaging BLBiagio LiccardoUniversity of Campania "Luigi Vanvitelli"

Discussion

Member takes

Implication

May aid preoperative risk stratification for post-CABG AF; leaves open prospective trials of targeted prophylaxis.

Key Points

To identify clinical and perioperative predictors of atrial fibrillation occurrence in patients undergoing coronary artery bypass graft surgery.
Consecutive cohort study of 150 patients undergoing coronary artery surgery, categorized into sinus rhythm (n=126) and post-operative atrial fibrillation (n=24) groups.
Assessed 47 perioperative variables using univariate comparisons and multivariate logistic regression analysis.
Univariate analysis showed significant differences in age (58.4±8.8 vs. 65.4±6.3 years, P < 0.001), BMI (26.1±2.7 vs. 27.4±2.5, P = 0.026), history of paroxysmal AF (3.2% vs. 16.7%, P = 0.028), left atrial enlargement (21.1% vs. 70.8%, P < 0.001), and three-vessel CAD (54.1% vs. 91.3%, P = 0.002).
Multivariate logistic regression confirmed left atrial enlargement (P < 0.0001), history of paroxysmal AF (P = 0.007), and severe CAD (P = 0.0047) as independent correlates of post-CABG atrial fibrillation.

Structured PICO

What are the independent clinical predictors of atrial fibrillation occurrence following coronary artery surgery?

Population

150 consecutive patients undergoing coronary artery surgery, divided into those who maintained sinus rhythm (n=126, 104 male, age 58.4+/-8.8 years) and those who developed post-CABG atrial fibrillation (n=24, 23 male, age 65.4+/-6.3 years).

Intervention

Coronary artery bypass grafting (CABG)

Outcome

Occurrence of post-CABG atrial fibrillationhard clinical

Left atrial enlargement, prior paroxysmal AF, and severe coronary artery disease are independent predictors of atrial fibrillation following coronary artery bypass surgery.

Cite This Study

Ducceschi et al. (1999) studied this question.

synapsesocial.com/papers/6a82e201ca0a238f9c75b820 https://doi.org/10.1016/s1010-7940(99)00217-1

Topics

Atrial fibrillation Persistent AF management Echocardiography Anticoagulation in AF AF ablation outcomes

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Perioperative clinical predictors of atrial fibrillation occurrence following coronary artery surgery

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Perioperative clinical predictors of atrial fibrillation occurrence following coronary artery surgery

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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