Abstract
Introduction: Traditionally, atrial fibrillation is considered a comorbid factor for coronary artery bypass surgery as well as other surgeries, however, current literature is still limited. In this study, the effects of preoperative atrial fibrillation on coronary artery bypass grafting were investigated.
Patients and Methods: Following the hospital’s clinical trials ethics committee approval, data from 151 patients who underwent isolated coronary artery bypass surgery were collected with the assistance of the hospital’s electronic records system. The follow-up duration was 12 months. Statistically significant P value cut-off taken as 0.05.
Results: The mean age was 61.5 and 26.6% (n= 40) of the patients were female. Preoperative atrial fibrillation (Afib) prevalence was 13.3% (n= 20). No significant differences were observed in patient demographics, metabolic, systemic, and cardiovascular conditions between the group with preoperative atrial fibrillation and the control group (p> 0.05). However, the previous myocardial infarction rate was found higher (38.9 vs. 70.0, p= 0.009), and carotid artery stenosis disease prevalence was found lower (18.2 vs. 0.0, p= 0.038), also mean glomerular filtration rate (GFR) was found lower (85.9 vs. 69.7, p= 0.002) in the patients with Afib. Intraoperative parameters were not statistically different among the group (p> 0.05). Despite the preoperative dysthymia history, myocardial infarction prevalence, and poor kidney function; there was no difference in terms of postoperative acute kidney injury rates, stroke rates, perioperative complication rates, and thirty-day and 12-month survival (p> 0.05). However, the re-revascularization requirement was higher in patients in the Afib group.
Conclusion: Atrial fibrillation is a prevalent comorbidity in coronary artery bypass grafting patients. However, it was not found as a factor that related to mortality or morbidity and coronary surgery seems feasible in this patient group.
References
- 1. Kornej J, Börschel CS, Benjamin EJ, Schnabel RB. Epidemiology of atrial fibrillation in the 21st century. Circulation Res 2020;127(1):4-20. [Crossref]
- 2. Kim HH, Kim JH, Lee S, Joo HC, Youn YN, Yoo KJ, et al. Long-term outcomes of preoperative atrial fibrillation in cardiac surgery. J Chest Surg 2022;55(5):378-87. [Crossref]
- 3. Saxena A, Kapoor J, Dinh DT, Smith JA, Shardey GC, Newcomb AE. Preoperative atrial fibrillation is an independent predictor of worse early and late outcomes after isolated coronary artery bypass graft surgery. J Cardiol 2015;65(3):224-9. [Crossref]
- 4. Khiabani AJ, Adademir T, Schuessler RB, Melby SJ, Moon MR, Damiano RJ Jr. Management of atrial fibrillation in patients undergoing coronary artery bypass grafting: Review of the literature. Innovations 2018;13(6):383-90. [Crossref]
- 5. Malaisrie SC, McCarthy PM, Kruse J, Matsouaka R, Andrei AC, GrauSepulveda MV, et al. Burden of preoperative atrial fibrillation in patients undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg 2018;155(6):2358-67. [Crossref]
- 6. Saxena A, Virk SA, Bowman S, Chan L, Jeremy R, Bannon PG. Preoperative atrial fibrillation portends poor outcomes after coronary bypass graft surgery: A systematic review and meta-analysis. J Thoracic Cardiovasc Surg 2018;155(4):1524-33. [Crossref]
- 7. Ad N, Barnett SD, Haan CK, O’Brien SM, Milford-Beland S, Speir AM. Does preoperative atrial fibrillation increase the risk for mortality and morbidity after coronary artery bypass grafting? J Thoracic Cardiovasc Surg 2009;137(4):901-6. [Crossref]
- 8. Al-Sarraf N, Thalib L, Hughes A, Tolan M, Young V, McGovern E. Effect of preoperative atrial fibrillation on postoperative outcome following cardiac surgery. Cardiol Res Pract 2012;2012:272384. [Crossref]
- 9. Fudulu DP, Dimagli A, Sinha S, Ackah J, Narayan P, Chan J, et al. Impact of preoperative atrial fibrillation on in-hospital outcomes of coronary artery bypass grafting. Semin Thorac Cardiovasc Surg 2023;35(2):261-6. [Crossref]
- 10. Pasierski M, Czarnecka K, Staromłyński J, Litwinowicz R, Filip G, Kowalówka A, et al. Total arterial revascularization coronary artery bypass surgery in patients with atrial fibrillation. Kardiologia Polska 2022;80(11):1119-26. [Crossref]
- 11. Ngaage DL, Schaff HV, Mullany CJ, Sundt TM, Dearani JA, Barnes S, et al. Does preoperative atrial fibrillation influence early and late outcomes of coronary artery bypass grafting? J Thoracic Cardiovasc Surg 2007;133(1):182-9. [Crossref]
- 12. Anghel D, Anghel R, Corciova F, Enache M, Tinica G. Preoperative arrhythmias such as atrial fibrillation: Cardiovascular surgery risk factor. Biomed Res Int 2014;2014:584918. [Crossref]
- 13. Banach M, Mariscalco G, Ugurlucan M, Mikhailidis DP, Barylski M, Rysz J. The significance of preoperative atrial fibrillation in patients undergoing cardiac surgery: Preoperative atrial fibrillation-still underestimated opponent. Europace 2008;10(11):1266-70. [Crossref]
- 14. Borys M, Żurek S, Kurowicki A, Horeczy B, Bielina B, Sejboth J, et al. Implementation of Enhanced Recovery After Surgery (ERAS) protocol in off-pump coronary artery bypass graft surgery. A prospective cohort feasibility study. Anaesthesiol Intensive Ther 2020;52(1):10-4. [Crossref]
Abstract
References
- 1. Kornej J, Börschel CS, Benjamin EJ, Schnabel RB. Epidemiology of atrial fibrillation in the 21st century. Circulation Res 2020;127(1):4-20. [Crossref]
- 2. Kim HH, Kim JH, Lee S, Joo HC, Youn YN, Yoo KJ, et al. Long-term outcomes of preoperative atrial fibrillation in cardiac surgery. J Chest Surg 2022;55(5):378-87. [Crossref]
- 3. Saxena A, Kapoor J, Dinh DT, Smith JA, Shardey GC, Newcomb AE. Preoperative atrial fibrillation is an independent predictor of worse early and late outcomes after isolated coronary artery bypass graft surgery. J Cardiol 2015;65(3):224-9. [Crossref]
- 4. Khiabani AJ, Adademir T, Schuessler RB, Melby SJ, Moon MR, Damiano RJ Jr. Management of atrial fibrillation in patients undergoing coronary artery bypass grafting: Review of the literature. Innovations 2018;13(6):383-90. [Crossref]
- 5. Malaisrie SC, McCarthy PM, Kruse J, Matsouaka R, Andrei AC, GrauSepulveda MV, et al. Burden of preoperative atrial fibrillation in patients undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg 2018;155(6):2358-67. [Crossref]
- 6. Saxena A, Virk SA, Bowman S, Chan L, Jeremy R, Bannon PG. Preoperative atrial fibrillation portends poor outcomes after coronary bypass graft surgery: A systematic review and meta-analysis. J Thoracic Cardiovasc Surg 2018;155(4):1524-33. [Crossref]
- 7. Ad N, Barnett SD, Haan CK, O’Brien SM, Milford-Beland S, Speir AM. Does preoperative atrial fibrillation increase the risk for mortality and morbidity after coronary artery bypass grafting? J Thoracic Cardiovasc Surg 2009;137(4):901-6. [Crossref]
- 8. Al-Sarraf N, Thalib L, Hughes A, Tolan M, Young V, McGovern E. Effect of preoperative atrial fibrillation on postoperative outcome following cardiac surgery. Cardiol Res Pract 2012;2012:272384. [Crossref]
- 9. Fudulu DP, Dimagli A, Sinha S, Ackah J, Narayan P, Chan J, et al. Impact of preoperative atrial fibrillation on in-hospital outcomes of coronary artery bypass grafting. Semin Thorac Cardiovasc Surg 2023;35(2):261-6. [Crossref]
- 10. Pasierski M, Czarnecka K, Staromłyński J, Litwinowicz R, Filip G, Kowalówka A, et al. Total arterial revascularization coronary artery bypass surgery in patients with atrial fibrillation. Kardiologia Polska 2022;80(11):1119-26. [Crossref]
- 11. Ngaage DL, Schaff HV, Mullany CJ, Sundt TM, Dearani JA, Barnes S, et al. Does preoperative atrial fibrillation influence early and late outcomes of coronary artery bypass grafting? J Thoracic Cardiovasc Surg 2007;133(1):182-9. [Crossref]
- 12. Anghel D, Anghel R, Corciova F, Enache M, Tinica G. Preoperative arrhythmias such as atrial fibrillation: Cardiovascular surgery risk factor. Biomed Res Int 2014;2014:584918. [Crossref]
- 13. Banach M, Mariscalco G, Ugurlucan M, Mikhailidis DP, Barylski M, Rysz J. The significance of preoperative atrial fibrillation in patients undergoing cardiac surgery: Preoperative atrial fibrillation-still underestimated opponent. Europace 2008;10(11):1266-70. [Crossref]
- 14. Borys M, Żurek S, Kurowicki A, Horeczy B, Bielina B, Sejboth J, et al. Implementation of Enhanced Recovery After Surgery (ERAS) protocol in off-pump coronary artery bypass graft surgery. A prospective cohort feasibility study. Anaesthesiol Intensive Ther 2020;52(1):10-4. [Crossref]
Details
| Primary Language | English |
|---|---|
| Subjects | Cardiology |
| Journal Section | Original Investigations |
| Authors | |
| Publication Date | July 12, 2023 |
| Published in Issue | Year 2023 Volume: 26 Issue: 2 |
