Atrial fibrillation after coronary artery bypass grafting without cardiopulmonary bypass.
Janusz Siebert,Jan Rogowski,Dariusz Jagielak,Lech Anisimowicz,Romuald Lango,Mirosława Narkiewicz +5 more
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TLDR
Atrial fibrillation is a common complication after procedures of myocardial revascularization, performed with or without cardiopulmonary bypass and the occurrence is not dependent on the type of operation.Abstract:
Objective Atrial fibrillation is the most common complication after heart surgery. It rarely has a fatal outcome but causes patient instability, prolongs hospital stay, or even is the reason for perioperative infarction. Although conventional coronary artery bypass grafting (CABG) with cardiopulmonary bypass has excellent short-term and long-term results, the number of coronary operations on a beating heart without cardiopulmonary bypass is still growing. To reduce surgical trauma, off-pump coronary artery bypass grafting via sternotomy (OPCABG) or minimally invasive direct vision coronary artery bypass grafting (MIDCABG) via small thoracotomy are performed. The aim of this study was to estimate the frequency of atrial fibrillation in patients after myocardial revascularization without cardiopulmonary bypass. Methods A retrospective analysis of 48 patients undergoing myocardial revascularization without cardiopulmonary bypass was performed. Twenty-four patients underwent OPCABG and 24 were operated using the MIDCABG technique. The incidence of cardiac arrhythmias was analyzed since operation to the fourth postoperative day. Each patient had continuous ECG monitoring with option of arrhythmia analysis during ICU stay. After discharge from ICU 24-h ECG monitor studies were carried out. Surface 12-lead ECG was accomplished once a day, and additionally each time symptoms of cardiac arrhythmia occurred. Risk factors of atrial fibrillation were estimated. Results Atrial fibrillation occurred in 25% of patients after MIDCABG, in 29% after OPCABG, and in 18% after CABG with cardiopulmonary bypass. This difference has no statistical significance. Risk factors and incidence of postoperative complications were comparable in all groups. Conclusions Atrial fibrillation is a common complication after procedures of myocardial revascularization, performed with or without cardiopulmonary bypass. The occurrence is not dependent on the type of operation.read more
Citations
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Inflammation of Atrium After Cardiac Surgery Is Associated With Inhomogeneity of Atrial Conduction and Atrial Fibrillation
Yosuke Ishii,Richard B. Schuessler,Sydney L. Gaynor,K. A. Yamada,Annabel S. Fu,John P. Boineau,Ralph J. Damiano +6 more
TL;DR: The degree ofatrial inflammation was associated with a proportional increase in the inhomogeneity of atrial conduction and AF duration and antiinflammatory therapy has the potential to decrease the incidence of AF after cardiac surgery.
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Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association
Kristin E. Sandau,Marjorie Funk,Andrew D. Auerbach,Gregory W. Barsness,Kay Blum,Maria Cvach,Rachel Lampert,Jeanine L May,George McDaniel,Marco V Perez,Sue Sendelbach,Claire E. Sommargren,Paul J. Wang +12 more
TL;DR: This scientific statement provides an interprofessional, comprehensive review of evidence and recommendations for indications, duration, and implementation of continuous electro cardiographic monitoring of hospitalized patients.
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Determinants and consequences of atrial fibrosis in patients undergoing open heart surgery.
Andreas Goette,Gina Juenemann,Brigitte Peters,Helmut U. Klein,Albert Roessner,Christof Huth,Christoph Röcken +6 more
TL;DR: The results support the importance of P-wave duration as a predictor of post-operative AF, and explain the increased prevalence of AF in elderly patients after OHS.
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Reduced Mortality and Strokes With Off-Pump Coronary Artery Bypass Grafting Surgery in Octogenarians
Roland G. Demaria,Michel Carrier,Simon Fortier,Raymond Martineau,Annick Fortier,Raymond Cartier,Michel Pellerin,Yves Hébert,Denis Bouchard,Pierre Pagé,Louis P. Perrault +10 more
TL;DR: This retrospective study suggests a benefit of OPCAB in terms of operative mortality and stroke for octogenarian patients when compared with CPB in the authors' institution.
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Off-pump coronary artery bypass with complete avoidance of aortic manipulation
K.i-Bong Kim,Chang Hyun Kang,Woo-I.k Chang,Cheong Lim,Jin Hee Kim,Byung Moon Ham,Yong Lak Kim +6 more
TL;DR: The results demonstrate that OPCAB with complete avoidance of aortic manipulation may further reduce the incidence of peri operative morbidities such as stroke, atrial fibrillation, acute renal failure, and perioperative myocardial infarction.
References
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Predictors of Atrial Fibrillation After Coronary Artery Surgery Current Trends and Impact on Hospital Resources
Sary F. Aranki,David P. Shaw,David H. Adams,Robert J. Rizzo,Gregory S. Couper,Martha VanderVliet,John J. Collins,Lawrence H. Cohn,Helen R. Burstin +8 more
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Atrial Fibrillation After Cardiac Surgery: A Major Morbid Event?
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Minimally Invasive Direct Coronary Artery Bypass Grafting: Two-Year Clinical Experience
TL;DR: The minimally invasive coronary artery bypass grafting operation is safe and effective and regional cardiac wall mechanical immobilization enhances the early graft patency and must be considered an essential part of this operation.
Journal ArticleDOI
Midterm results after minimally invasive coronary surgery (last operation)
Antonio M. Calafiore,Gabriele Di Giammarco,Giovanni Teodori,Sabina Gallina,N Maddestra,L. Paloscia,Giovanni Scipioni,Teresa Iovino,Marco Contini,Giuseppe Vitolla +9 more
TL;DR: Left anterior small thoracotomy gives acceptable midterm results andidence of patent and nonrestrictive anastomoses was satisfactory, especially in the most recent part of the experience, when the learning curve ended.
Journal ArticleDOI
Less invasive arterial CABG on a beating heart
TL;DR: Minimally invasive direct coronary artery bypass grafting is safe and effective with good early and midterm clinical results, especially with left internal mammary artery-to-left anterior descending coronary artery grafting via minithoracotomy.