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Predictors of atrial fibrillation in patients undergoing surgery for ischemic heart disease
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Thoracic Surgery. Östergötlands Läns Landsting, Heart Centre, Department of Thoracic and Vascular Surgery.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Anaesthesiology. Östergötlands Läns Landsting, Heart Centre, Department of Thoracic and Vascular Surgery.
2000 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 34, no 5, 516-521 p.Article in journal (Refereed) Published
Abstract [en]

Objectives. Atrial fibrillation (AF) remains a common problem after cardiac surgery. AF increases the risk for stroke and is associated with increased length of hospitalization. The aim of this study was to analyze risk factors for postoperative AF in a uniformly managed cohort of patients. Design. The records of 775 consecutive patients undergoing coronary artery bypass grafting (CABG) or CABG + valve procedures were examined. Forward stepwise multiple logistic regression analysis was used for statistical evaluation. Results. Mean age was 64.6+/- 8.7 years. The incidence of AF was 29.1% in patients undergoing isolated CABG and 48.6% after CABG + valve procedures. Multivariate analysis identified advanced age (p = 0.000003), low postoperative mixed venous oxygen saturation (p = 0.0018), hypertension (p = 0.0059), preoperative history of AF (p = 0.023) and the need for mechanical circulatory support (p = 0.030) as predictors for postoperative of AF. Conclusions. In agreement with previous studies, advanced age was the most important predictor of AF. Hypertension, history of AF and signs of circulatory failure were also predictive of AF. Preventive measures against AF should preferably be tested in high-risk populations, such as elderly patients.

Place, publisher, year, edition, pages
2000. Vol. 34, no 5, 516-521 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-26950DOI: 10.1080/140174300750064701Local ID: 11582OAI: oai:DiVA.org:liu-26950DiVA: diva2:247501
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2017-12-13

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Svedjeholm, Rolf

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