Analysis of postoperative atrial fibrillation and its associated factors in Morrow procedures with cardiopulmonary bypass

BMC Cardiovascular Disorders, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 31, 2025

Abstract Background The factors influencing the onset of new atrial fibrillation following Morrow procedure due to cardiopulmonary bypass (CPB) are unclear. This study investigated CPB-related associated with postoperative (POAF) in patients undergoing minimally invasive ventricular septal myectomy (Morrow procedure) optimize CPB strategies, reduce incidence POAF, and enhance recovery. Methods A retrospective clinical data analysis was conducted on 139 who underwent procedures from January December 2023. were divided into two groups based whether they developed new-onset after surgery, a comparative performed. Multivariate regression used assess potentially POAF during CPB. Results Fifty (36%) POAF. Comparisons between group non-POAF revealed significant differences preoperative hypertension (38.0% vs. 14.6%, p = 0.002), ischaemic cardiomyopathy (40.0% 20.2%, 0.012), history heart failure (44.0% 22.5%, 0.008), age (55.16 ± 14.11 46.28 14.55, 0.001), systemic immune-inflammation index (SII) (418.26 243.97 330.24 152.89, 0.019), left volume (LAVI) (36.79 12.08 32.24 10.78, 0.024), time (129.80 39.58 116.96 28.80, 0.027), weaning (25.68 22.56 19.49 6.78, 0.018), rate re-CPB (14.0% 3.4%, 0.020), ultrafast-track cardiac anesthesia (UFTCA) (78.0% 98.9%, 0.000), ΔSII (2874.58 2865.98 1981.85 1519.89, 0.006) ( P < 0.05). All discharged, but ICU (2.07 2.91 1.38 0.78, 0.046) hospital stays (11.84 7.50 9.13 2.62, 0.002) significantly prolonged. results multivariate logistic indicated that occurrence independently (OR 1.047, 95% CI: 1.015–1.080), ΔSII(OR 13.317, 3.103–57.154) UFTCA(OR 0.054, 0.006–0.493) Additionally, increased value SII (t 2.493, 0.014) age(t=-2.270, 0.025). Conclusion UFTCA is protective factor against Age risk for procedure. ΔSII. Implementing shortening expected lower shorten stays, Clinical trial number Not applicable.

Language: Английский

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The role of ionised magnesium compound in cardiac surgery

Journal of Composites and Compounds, Journal Year: 2025, Volume and Issue: 7(22)

Published: Feb. 26, 2025

Language: Английский

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Risk of new postoperative atrial fibrillation after cardiac surgery

Coronary Artery Disease, Journal Year: 2025, Volume and Issue: 36(3), P. 263 - 263

Published: March 26, 2025

aDepartment of Cardiovascular Surgery, University Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, bDepartment Anatomy, Kocaeli School Medicine, Kocaeli, Turkey Received 10 November 2024 Accepted 24 2024. Correspondence to Mesut Engin, MD, Department Mimar Sinan Town, Emniyet Street, Yildirim/Bursa, 16310, Turkey, Tel: +90 2242955000; fax: 2242756767; e-mail: [email protected]

Language: Английский

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Can partial cardiac denervation reduce postoperative atrial fibrillation following CABG?

Indian Journal of Thoracic and Cardiovascular Surgery, Journal Year: 2025, Volume and Issue: 41(4), P. 493 - 497

Published: March 5, 2025

Language: Английский

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Pan-Immune-Inflammation Value: A Novel Biomarker for Predicting Postoperative Atrial Fibrillation in Young Patients Undergoing Off-Pump CABG

Journal of Cardiothoracic and Vascular Anesthesia, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

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Postoperative atrial fibrillation after aortic valve replacement in patients with aortic valve regurgitation

Cardiac Surgery and Interventional Cardiology, Journal Year: 2025, Volume and Issue: 14(1), P. 14 - 22

Published: March 29, 2025

The aim – to determine the frequency of postoperative atrial fibrillation (POAF) and risk factors for its development in patients with aortic regurgitation who underwent valve replacement.Materials methods. study included 86 replacement. Patients were divided into 2 groups: Group I 32 people developed POAF, II 54 without arrhythmia. Demographic, preoperative general clinical, instrumental, electrophysiological indicators, as well intraoperative early parameters these groups compared. Results. І had significantly more hypertension, chronic kidney disease, smoking, use median sternotomy. By means ROC analysis, such predictors POAF determined: left diameter, volume, volume index (LAVI), LV end-diastolic diameter (LV EDD), EDV), (EDVI), thyroid-stimulating hormone (TSH) glomerular filtration rate (GFR), duration cardiopulmonary bypass, cross-clamp time sternotomy.Conclusions. incidence replacement was 37.2 %. Significant were: > 45.5 mm, 92.5 cm3, LAVI 44.4 mL/m2, EDD 63.5 EDV 214.5 mL, EDVI 106.2 TSH 4.75 mU/L GFR < 99.8 mL/min, bypass 69.5 min, 50.5 operation 155

Language: Английский

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Acute Ischemic and Hemorrhagic Cerebrovascular Strokes After Cardiac Surgery: Incidence, Predictors, and Outcomes

Critical Care Research and Practice, Journal Year: 2025, Volume and Issue: 2025(1)

Published: Jan. 1, 2025

Background: Many studies have attempted to determine the incidence, predictors, and outcomes of cerebrovascular stroke after cardiac surgery, with different, sometimes contradictory, results because differences in population risk profiles, study design, surgical details. Methods: We retrospectively reviewed records all adult patients who underwent surgery between January 2018 2023. Univariate, multivariable, survival analyses were performed identify predictors ischemic hemorrhagic strokes. Results: Of 1334 studied, 70 (5.2%) had stroke, 23 (1.7%) intracranial hemorrhage (ICH), 9 (0.7%) combined The developed strokes longer cardiopulmonary bypass (CPB) time (165.5 [126, 234] versus 136 [104, 171] min, p < 0.001) aortic cross-clamping (112 [79, 163] 89 [75, 121.5] 0.001), higher rates intra-aortic balloon pump (IABP) use (13.3% vs. 4.4%, veno-arterial extracorporeal membrane oxygenation (24.8% 12.37%, mediastinal exploration for bleeding (22.9% 8.9%, 0.0011). showed increased hospital mortality (37.1% 5.6%, new need dialysis (29.5% 10.7%, rate tracheostomy 1.2%, intensive care unit (ICU) stay (12 [7, 28] 3 [2, 8] days, post-ICU (16 39] 5 [3, 10] 0.001). Follow-up 36.4 (21.67, 50.7) months revealed an insignificant difference, but there was recurrent Cox-proportional hazards regression acute (HR: 5.075, 95% CI: 3.28-7.851, ICH 12.288, 7.576-19.93, Logistic multivariable that age, hyperlactatemia, redo cardiotomy, history old CPB time, perioperative IABP stroke. Young ICH, hypoalbuminemia postoperative ICH. Postoperative atrial fibrillation, chronic kidney disease, blood lactate level 24 h age independent mortality. Conclusions: Ischemic are serious complications increase prolong hospitalization surgery. Atrial fibrillation not a significant predictor Careful attention should be given maintaining hemodynamic stability minimizing especially cardiotomy.

Language: Английский

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Frequency and predictors of postoperative atrial fibrillation development after aortic valve replacement in patients with aortic stenosis

EMERGENCY MEDICINE, Journal Year: 2025, Volume and Issue: 21(3), P. 249 - 257

Published: May 6, 2025

Background. Aortic stenosis is the most frequent form of heart valve pathology, prevalence which increases with age. Calcification bicuspid aortic and degenerative changes tricuspid are common causes surgical intervention. Currently, there no effective pharmacological treatment for this so replacement gold standard. Despite introduction new methods treatment, improvements in myocardial protection techniques anesthetic support, more than half patients undergoing develop postoperative atrial fibrillation (POAF) associated increased morbidity, mortality, extended hospita­lization, higher healthcare costs. Today, issue not insufficiently explored, particular, frequency POAF varies different types intervention, predictors its occurrence differ regurgitation, because dilated cavities have radically pathophysiology intracardiac hemodynamics. Objective: to determine risk factors development who underwent replacement. Materials methods. The study included 196 stenosis, 112 men 84 women aged 36 83 (average 63.77 ± 8.59) years, They were divided into 2 groups: group I — 82 people developed POAF, II 114 without rhythm problems. A comparison demographic, preoperative general clinical, instrumental electrophysiological indicators, as well intraoperative early parameters was carried out. Results. (41.8 %) Group significantly often had coronary disease, stage III chronic kidney history COVID-19, moderate mitral regurgitation valve. With help receiver operating characteristic (ROC) analysis, cut-off points following indicators predicting calculated: area (area under ROC curve (AUROC) 0.388; 95% confidence interval (CI) 0.290–0.485) at < 0.75 cm2, left volume (AUROC 0.653; CI 0.575–0.73) index 0.651; 0.572–0.731) > 85.5 ml 45.07 ml/m2, accordingly, platelet 0.389; 0.306–0.471), blood glucose 0.657; 0.541–0.772), thyroid-stimulating hormone 0.725; 0.632–0.818), creatinine level 0.738; 0.663–0.813; р 0.001) glomerular filtration rate 0.35; 0.272–0.428) 210.5 × 10⁹/l, 6.05 mmol/l, 5.15 mU/l, mmol/l 51.9 ml/min, accordingly. use median sternotomy a method access found be reliable (odds ratio 1.91; 1.05–3.48). Conclusions. 41.8 %. Significant valve, decreased platelets 109/l, through sternotomy. identified allow prognostic model risks, an strategy disorder prevention cohort.

Language: Английский

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Postoperative arrhythmias in geriatric lung cancer patients undergoing thoracoscopic surgery: an exploration of prevalence and influencing factors

Perioperative Medicine, Journal Year: 2025, Volume and Issue: 14(1)

Published: May 9, 2025

Arrhythmias are a frequent complication in the postoperative period following surgical procedures. This study aims to investigate incidence and contributing factors of arrhythmias elderly patients with lung cancer who have undergone thoracoscopic surgery, thereby providing scientific evidence support clinical treatment nursing care. retrospective cohort included diagnosed underwent at our hospital between June 1, 2022, October 31, 2024. Patients were categorized into two groups based on development surgery: arrhythmia group non-arrhythmia group. A comparative analysis data was conducted these groups. total 208 enrolled, an 19.71% (41/208). Logistic regression identified age ≥ 70 years (OR = 2.586, 95% CI: 1.805-3.221), hypertension 2.761, 2.103-3.588), history smoking 2.070, 1.741-2.446), TNM stage II 3.181, 2.842-3.690), pulmonary infection 2.122, 1.836-2.690), constipation 2.495, 1.988-3.072) as independent risk for (all p < 0.05). The surgery is relatively high. Targeted interventions addressing essential mitigate arrhythmias.

Language: Английский

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Cardiologia Teoria e Prática - Edição XVIII

Published: Dec. 18, 2024

Este livro traz trabalhos sobre um dos sistemas vitais para nossa vida, responsável pelas principais incidências de mortalidade e morbidades, o sistema cardiovascular. Ele possui coração como ator principal, caracterizado por batidas frequências

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