Rodulfo GM, de Dios LJA, Torralbas RFE, Castellanos TJR

Language: Spanish
References: 16
Page: 928-933
PDF size: 254.96 Kb.

ABSTRACT

A descriptive and cross-sectional study was carried out in 73 patients with newonset atrial fibrillation in the first 72 hours of the postoperative period of coronary bypass surgery, surgically treated at the Cardiovascular Surgery Department of "Saturnino Lora Torres" Provincial Teaching Clinical Surgical Hospital in Santiago de Cuba, from January 2010 to the same month of 2013. In the series those older than 60 years were the most affected (71.2%), with an increase in frequency as age advanced. Males (74.3%) and smoking habit (86.0%) prevailed. Among the most remarkable factors were history of hypertension, left ventricular ejection fraction below 55.0%, incomplete revascularization and use of the bypass support. Although this arrhythmia was related to other postoperative complications, low cardiac output and strokes prevailed in this study.

REFERENCES

1. Cereceda M, Solanes F, Suárez L, Vildoso JP, Tamblay JA, Zamorano J. Fibrilación auricular en el posoperatorio de cirugía cardíaca: factores de riesgo y morbimortalidad. Rev Hosp Clin Univ Chile. 2008;19:189–93.

2. Luna Ortiz P, Martínez Rosas M. Fibrilación auricular después de cirugía cardíaca. Rev Mex Anest. 2012;35(1). 53-66.

3. Hohnloser SH. Can we predict atrial fibrillation after coronary surgery and why should we? Eur Heart J. 1998;19:684-5.

4. McKeown PP. Introduction. American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest. 2005;128(2 suppl):6S-8S.

5. Mariscalco G, Engström KG. Postoperative atrial fibrillation is associated with late mortality alter coronary surgery, but not alter valvular surgery. Ann Thorac Surg. 2009;88:1871-6.

6. Shirzad M, Karimi A, Tazik M, Aramin H, Ahmadi SH, Davoodi S, et al. Factores determinantes de fibrilación auricular postoperatoria y el uso de recursos en cirugía cardiaca. Rev Esp Cardiol. 2010;63(9):1054-60.

7. Mathew JP, Parks R, Sabino JS, Friedman AS, Koch C, Mangano DT, et al. Atrial fibrillation following coronary artery bypass graft surgery: predictors, outcomes, and resource utilization. MultiCenter Study of Perioperative Ischemia Research Group. JAMA. 1996;276(4):300-6.

8. Hogue CW Jr, Creswell LL, Guttermen DD, Fleisher LA, American College of Chest Physicians. Epidemiology, mechanisms, and risks: American College of Chest Physicians guidelines for the prevention and management of postoperative atrial fibrillation after cardiac surgery. Chest. 2005;128(2 suppl):9S-16S

9. Kannel WB, Abbott RD, Savage DD, McNamara PM. Coronary heart disease and atrial fibrillation: the Framingham Study. Am Heart J. 1983;106(2):389-96.

10. Márquez Contreras E, Coca A, De la Figuera von Wichmann M, Antonio Divisón J, Llisterri JL, Sobrino J, et al. Perfil de riesgo cardiovascular de los pacientes con hipertensión arterial no controlada. Estudio Control-Project. Med Clin (Barc) 2007;128:86-91.

11. Aranki SF, Shaw DP, Adams DH, Rizzo RJ, Couper GS, VanderVliet M, et al. Predictors of atrial fibrillation after coronary artery surgery. Current trends and impact on hospital resources. Circulation. 1996;94:390-7.

12. Lescano A. Fibrilación Auricular en el postoperatorio de cirugía cardiovascular. Rev. CONAREC. 2009;24:411–4.

13. Iribarren JL, Jiménez JJ, Barragán A, Brouard M, Lacalzada J, Lorente L, et al. Disfunción auricular izquierda y fibrilación auricular de reciente comienzo en cirugía cardíaca. Rev Esp Cardiol 2009;62(7):774-80.

14. Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA. Appropriateness criteria for coronary revascularization: A report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, and the American Society of Nuclear Cardiology: Endorsed by the American Society of Echocardiography, the Heart Failure Society of America, and the Society of Cardiovascular Computed Tomography. Circulation. 2009;119(9):1330-52.

15. Rodríguez K, Heredia M, Machín JC. Circulación extracorpórea en cirugía cardiovascular. En: Guevara LA. Cirugía cardiovascular. La Habana: Editorial Científico–Técnica;2009. p. 53–93.

16. Loef BG, Epema AH, Navis G, Ebels T, Stegeman CA. Postoperative renal dysfunction and preoperative left ventricular dysfunction predispose patients to increased long-term mortality after coronary artery bypass graft surgery. Br J Anaesth. 2009;102(6):749–55.