Factors for the development of atrial fibrillation after open heart surgery
https://doi.org/10.17802/2306-1278-2021-10-2S-40-44
Abstract
Aim. To identify the factors influencing the development of postoperative atrial fibrillation (POAF).
Methods. The study included 100 patients with indications for cardiac surgery, aged 53 to 82 years (mean age 67.2±17 years). The group included patients who had no history of AF before surgery. Cardiac surgery in the group was presented in 63 patients by coronary artery bypass grafting, and in 37 – by intervention on the heart valves. All respondents were divided into 2 groups: the first included 39 people (39%) who had AF paroxysms lasting more than 30 seconds in the early postoperative period, with a peak at 1–2 days, in 13 (33.3%) cases of AF relapsed. The second group of patients was represented by 61 patients (61%) without cardiac arrhythmias after surgery.
Results. The dependence of the development of POAF on age, the concentration of C-reactive protein in the peripheral blood taken on the day of cardiac surgery, the longitudinal size of the left atrium before surgery was revealed.
Conclusion. It was found out that a number of factors such as age, preoperative left atrium size, C-reactive protein level in the first days after surgery suggest the development of POAF. The use of the predictors obtained can make it possible to develop an effective strategy for the prevention of POAF.
About the Authors
D. I. Lebedev
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
Candidate of Medical Sciences, a researcher at the Laboratory of Valvular Heart Disease, Department of Heart and Vessel Surgery,
6, Sosnoviy Blvd., Kemerovo, 650002
A. V. Evtushenko
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
M.D., Head of the Laboratory of Valvular Heart Disease, Department of Heart and Vessel Surgery,
6, Sosnoviy Blvd., Kemerovo, 650002
A. A. Khorlampenko
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
Candidate of Medical Sciences, Cardiologist at the Cardiac Surgery Department No. 1,
6, Sosnoviy Blvd., Kemerovo, 650002
References
1. Chugh S.S., Havmoeller R., Narayanan K., Singh D., Rienstra M., Benjamin E.J., Gillum R.F., Kim Y.H., McAnulty J.H. Jr., Zheng Z.J., Forouzanfar M.H., Naghavi M., Mensah G.A., Ezzati M., Murray C.J. Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study. Circulation. 2014;129(8):837-47. doi: 10.1161/CIRCULATIONAHA.113.005119.
2. Zulkifly H., Lip G.Y.H., Lane D.A. Epidemiology of atrial fibrillation. Int J Clin Pract. 2018;72(3):e13070. doi: 10.1111/ijcp.13070.
3. Fontaine G.H. New Mechanisms of Atrial Fibrillation. Int. Cardiol. J. 2017; 3( 1): 10.
4. Echahidi N., Pibarot P., O'Hara G., Mathieu P. Mechanisms, prevention, and treatment of atrial fibrillation after cardiac surgery. J Am Coll Cardiol. 2008;51(8):793-801. doi: 10.1016/j.jacc.2007.10.043.
5. Evtushenko A.V., Evtushenko V.V., Pavljukova E.N., Popov S.V. Monopoljarnaja radiochastotnaja ablacija dlitel'no persistirujushhej fibrilljacii predserdij u pacientov s porokami serdca i hronicheskoj serdechnoj nedostatochnost'ju. Tomsk: NII kardiologii, Tomskij NIMC. 2019. (In Russian)
6. Rostagno C., Blanzola C., Pinelli F., Rossi A., Carone E, Stefàno P. L. Atrial fibrillation after isolated coronary surgery. Incidence, long term effects and relation with operative technique Heart Lung Vessel. 2014; 6(3): 171–179.
7. Gibson P.H., Cuthbertson B.H., Croal B.L., Rae D., El-Shafei H., Gibson G., Jeffrey R.R., Buchan K.G., Hillis G.S. Usefulness of neutrophil/lymphocyte ratio as predictor of new-onset atrial fibrillation after coronary artery bypass grafting. Am J Cardiol. 2010 Jan 15;105(2):186-91. doi: 10.1016/j.amjcard.2009.09.007.
8. Aviles R.J., Martin D.O., Apperson-Hansen C., Houghtaling P.L., Rautaharju P., Kronmal R.A., Tracy R.P., Van Wagoner D.R., Psaty B.M., Lauer M.S., Chung M.K. Inflammation as a risk factor for atrial fibrillation. Circulation. 2003 Dec 16;108(24):3006-10. doi: 10.1161/01.CIR.0000103131.70301.4F.
9. Kim M.N., Lee J.J., Kim S.A., Kim Y.H., Choi J.I., Park S.M., Park S.W., Kim Y.H., Shim W.J. The difference of predictors for recurrence after catheter ablation of nonparoxysmal atrial fibrillation according to follow-up period. Int Heart J. 2014;55(4):312-8. doi: 10.1536/ihj.13-370.
10. Revishvili A.Sh. Nardaya Sh.G., Rzayev F.G., Mustapaeva Z.V., Katanova E.S. Electrophysiological and clinical predictors of effectiveness of radiofrequency ablation in the pulmonary veins and left atrium in patients with persistent form of atrial fibrillation. Annals of Arrhythmology. 2014;11(1):46-53. doi: 10.15275/annaritmol.2014.1.6 (In Russian)
Review
For citations:
Lebedev D.I., Evtushenko A.V., Khorlampenko A.A. Factors for the development of atrial fibrillation after open heart surgery. Complex Issues of Cardiovascular Diseases. 2021;10(2):40-44. (In Russ.) https://doi.org/10.17802/2306-1278-2021-10-2S-40-44
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