Association between renal function, diastolic dysfunction, and postoperative atrial fibrillation following cardiac surgery

Su Kiat Chua, Kou Gi Shyu, Ming Jen Lu, Huei Fong Hung, Jun Jack Cheng, Shih Huang Lee, Chia Hsun Lin, Hung Hsing Chao, Huey Ming Lo

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16 Citations (Scopus)

Abstract

Background: Renal dysfunction is associated with a higher rate of atrial fibrillation in clinical practice. This study investigated the associations between renal function, left ventricular (LV) diastolic dysfunction, and postoperative atrial fibrillation (POAF). Methods and Results: A total of 265 consecutive patients who underwent cardiac surgery were prospectively enrolled in the study. Echocardiography was performed before cardiac surgery. The patients were divided into 3 groups based on estimated glomerular filtration rate (eGFR) (group 1, ≥90 ml · min-1 · 1.73 m-2; group 2, 60-90 ml · min-1 · 1.73 m-2; and group 3, -1 · 1.73 m-2). POAF occurred in 83 of 265 patients (31.3%). The rate of new-onset POAF increased from 15.2% (12/79) in group 1 to 27.8% (27/97) in group 2 and 49.4% (44/89) in group 3 (P15 - also increased (group 1, 19.0%; group 2, 38.1%; and group 3, 48.3%; P

Original languageEnglish
Pages (from-to)2303-2310
Number of pages8
JournalCirculation Journal
Volume77
Issue number9
DOIs
Publication statusPublished - 2013

Keywords

  • Atrial fibrillation
  • Coronary artery bypass graft
  • Renal function

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Chua, S. K., Shyu, K. G., Lu, M. J., Hung, H. F., Cheng, J. J., Lee, S. H., Lin, C. H., Chao, H. H., & Lo, H. M. (2013). Association between renal function, diastolic dysfunction, and postoperative atrial fibrillation following cardiac surgery. Circulation Journal, 77(9), 2303-2310. https://doi.org/10.1253/circj.CJ-13-0273