Abstract
Background: Atrial fibrillation (AF) remains the most common cardiac arrhythmia encountered after coronary artery bypass grafting (CABG) and leads to a significant source of morbidity and mortality after the surgery. Due to its involving less manipulation of the atria, off-pump CABG was thought to have a lower incidence of postoperative AF compared with on-pump CABG. Methods: Two hundred and twenty-five patients (154 male) underwent CABG. Preoperative permanent AF patients were excluded (n = 12). Group 1 consisted of 78 patients (53 male, 68.6 ± 11.9 years old; 25 female, 70.7 ± 7.9 years old) who received off-pump CABG, and group 2 included 135 patients (93 male, 72.1 ± 10.1 years old; 42 female, 72.3 ± 7.9 years old) who underwent on-pump CABG with cardiopulmonary bypass (CPB) during the same study period. The incidence and predictors of postoperative AF were analyzed. Results: AF developed in 60 cases (28.2%) after CABG. There were higher incidence of myocardial infarction, history of paroxysmal atrial fibrillation, NYHA Fc ≧ 2, β-blocker use, and longer intubation in the on-pump group compared with the off-pump group. However, there was no significant difference relating to the incidence of AF between off-pump (23.1%) and on-pump (31.1%) groups. The predictors of AF were old age (> 65 years, OR: 5.008, 95% CI: 1.4-17.9, p = 0.013), history of paroxysmal AF (OR: 7.851, 95% CI: 2.4-25.6, p = 0.001) and prolonged postoperative intubation days (> 3 days, OR: 5.303, 95% CI: 2.2-13.1, p <0.001). Conclusion: In this retrospective study, off-pump CABG surgery did not decrease the incidence of postoperative AF.
| Original language | English |
|---|---|
| Pages (from-to) | 205-211 |
| Number of pages | 7 |
| Journal | Acta Cardiologica Sinica |
| Volume | 22 |
| Issue number | 4 |
| Publication status | Published - Dec 2006 |
| Externally published | Yes |
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Keywords
- Atrial fibrillation
- Coronary artery bypass grafting
- Electrophysiology
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Can off-pump coronary artery bypass graft surgery decrease the incidence of postoperative atrial fibrillation? / Lin, Wei Shiang; Liou, Jun Ting; Yang, Shih Ping; Tsai, Chien Sung; Chung, Min Huey; Chu, Kai M.
In: Acta Cardiologica Sinica, Vol. 22, No. 4, 12.2006, p. 205-211.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Can off-pump coronary artery bypass graft surgery decrease the incidence of postoperative atrial fibrillation?
AU - Lin, Wei Shiang
AU - Liou, Jun Ting
AU - Yang, Shih Ping
AU - Tsai, Chien Sung
AU - Chung, Min Huey
AU - Chu, Kai M.
PY - 2006/12
Y1 - 2006/12
N2 - Background: Atrial fibrillation (AF) remains the most common cardiac arrhythmia encountered after coronary artery bypass grafting (CABG) and leads to a significant source of morbidity and mortality after the surgery. Due to its involving less manipulation of the atria, off-pump CABG was thought to have a lower incidence of postoperative AF compared with on-pump CABG. Methods: Two hundred and twenty-five patients (154 male) underwent CABG. Preoperative permanent AF patients were excluded (n = 12). Group 1 consisted of 78 patients (53 male, 68.6 ± 11.9 years old; 25 female, 70.7 ± 7.9 years old) who received off-pump CABG, and group 2 included 135 patients (93 male, 72.1 ± 10.1 years old; 42 female, 72.3 ± 7.9 years old) who underwent on-pump CABG with cardiopulmonary bypass (CPB) during the same study period. The incidence and predictors of postoperative AF were analyzed. Results: AF developed in 60 cases (28.2%) after CABG. There were higher incidence of myocardial infarction, history of paroxysmal atrial fibrillation, NYHA Fc ≧ 2, β-blocker use, and longer intubation in the on-pump group compared with the off-pump group. However, there was no significant difference relating to the incidence of AF between off-pump (23.1%) and on-pump (31.1%) groups. The predictors of AF were old age (> 65 years, OR: 5.008, 95% CI: 1.4-17.9, p = 0.013), history of paroxysmal AF (OR: 7.851, 95% CI: 2.4-25.6, p = 0.001) and prolonged postoperative intubation days (> 3 days, OR: 5.303, 95% CI: 2.2-13.1, p <0.001). Conclusion: In this retrospective study, off-pump CABG surgery did not decrease the incidence of postoperative AF.
AB - Background: Atrial fibrillation (AF) remains the most common cardiac arrhythmia encountered after coronary artery bypass grafting (CABG) and leads to a significant source of morbidity and mortality after the surgery. Due to its involving less manipulation of the atria, off-pump CABG was thought to have a lower incidence of postoperative AF compared with on-pump CABG. Methods: Two hundred and twenty-five patients (154 male) underwent CABG. Preoperative permanent AF patients were excluded (n = 12). Group 1 consisted of 78 patients (53 male, 68.6 ± 11.9 years old; 25 female, 70.7 ± 7.9 years old) who received off-pump CABG, and group 2 included 135 patients (93 male, 72.1 ± 10.1 years old; 42 female, 72.3 ± 7.9 years old) who underwent on-pump CABG with cardiopulmonary bypass (CPB) during the same study period. The incidence and predictors of postoperative AF were analyzed. Results: AF developed in 60 cases (28.2%) after CABG. There were higher incidence of myocardial infarction, history of paroxysmal atrial fibrillation, NYHA Fc ≧ 2, β-blocker use, and longer intubation in the on-pump group compared with the off-pump group. However, there was no significant difference relating to the incidence of AF between off-pump (23.1%) and on-pump (31.1%) groups. The predictors of AF were old age (> 65 years, OR: 5.008, 95% CI: 1.4-17.9, p = 0.013), history of paroxysmal AF (OR: 7.851, 95% CI: 2.4-25.6, p = 0.001) and prolonged postoperative intubation days (> 3 days, OR: 5.303, 95% CI: 2.2-13.1, p <0.001). Conclusion: In this retrospective study, off-pump CABG surgery did not decrease the incidence of postoperative AF.
KW - Atrial fibrillation
KW - Coronary artery bypass grafting
KW - Electrophysiology
UR - http://www.scopus.com/inward/record.url?scp=33847031764&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33847031764&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:33847031764
VL - 22
SP - 205
EP - 211
JO - Acta Cardiologica Sinica
JF - Acta Cardiologica Sinica
SN - 1011-6842
IS - 4
ER -