CLINICAL COURSE OF POSTOPERATIVE ATRIAL FIBRILLATION AFTER CARDIAC SURGERY AND LONG-TERM RESULTS
Original research article
Published August 27, 2023
Keywords
atrial fibrillation
postoperative atrial fibrillation
heart surgery
coronary artery bypass grafting
postoperative atrial fibrillation
heart surgery
coronary artery bypass grafting
How to Cite
Tatarintseva Z. G., Kosmacheva E. D. CLINICAL COURSE OF POSTOPERATIVE ATRIAL FIBRILLATION AFTER CARDIAC SURGERY AND LONG-TERM RESULTS // Kremlin Medicine Journal. 2023. VOL. № 3. С. 5-7.
Abstract
First-time postoperative atrial fibrillation (POAF) is the most common complication after open-heart surgery, the frequency of occurrence of which ranges from 20 to 50%, depending on the type of surgery. In this study, we suggested that the clinical course of POAF is associated with long-term outcomes of cardiac surgery. In particular, we suggested that AF paroxysms are associated with an increased risk of death, thromboembolic and cardiovascular events. The study included patients operated in the cardiac surgery department № 2 of the State Medical Research Institute-KKB № 1 of Krasnodar in the period from January 1, 2020 to January 1, 2021. During the analyzed period of time, open heart surgery (coronary artery bypass, valve replacement surgery, combination of coronary artery bypass grafting and valve replacement) grafting was performed in 1503 patients, 158 of whom were diagnosed with POAF. There was a significant association between POAF and the long-term risk of thromboembolic complications (ischemic stroke), but not with acute myocardial infarction, death or major bleeding. In addition, in the group of patients with AF, relapses of AF were observed significantly more often in the postoperative period.References
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6. Dieberg G. et al. On- vs. off-pump coronary artery bypass grafting: a systematic review and meta-analysis // Int J Cardiol. – 2016. – V. 223. – P. 201–211.
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13. Zhang W. et al. A clinical prediction model for postcardiac surgery atrial fibrillation in an Asian population // Anesth Analg. – 2016. – V. 123. – № 2. – P. 283–289.