Article
Cardiac & Cardiovascular Systems
Jingshuai Gong, Yangyan Wei, Qian Zhang, Jiwen Tang, Qing Chang
Summary: Using nomograms, it is possible to predict atrial fibrillation after coronary artery bypass grafting, identify high-risk patients, and provide preoperative protective therapy.
BMC CARDIOVASCULAR DISORDERS
(2022)
Article
Cardiac & Cardiovascular Systems
Amar Taha, Susanne J. Nielsen, Stefan Franzen, Mary Rezk, Anders Ahlsson, Leif Friberg, Staffan Bjorck, Anders Jeppsson, Lennart Bergfeldt
Summary: The CHA(2)DS(2)-VASc scoring system is effective in estimating the 1-year ischemic stroke risk in patients with new-onset postoperative atrial fibrillation after coronary artery bypass grafting. Patients with a CHA(2)DS(2)-VASc score of 1, 2, or 3 have a 1-year ischemic stroke rate of 0.3%, 0.7%, and 1.5% respectively, while patients with a score ≥4 have a stroke rate exceeding 2.3%.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Medicine, General & Internal
Yuksel Peker, Henrik Holtstrand-Hjalm, Yeliz Celik, Helena Glantz, Erik Thunstrom
Summary: Postoperative atrial fibrillation (POAF) is common in patients with coronary artery disease (CAD) after coronary artery bypass grafting (CABG). This study found that severe obstructive sleep apnea (OSA) is significantly associated with POAF in CAD patients undergoing CABG.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Anna Smukowska-Gorynia, Bartlomiej Perek, Marek Jemielity, Anna Olasinska-Wisniewska, Justyna Marcinkowska, Sebastian Stefaniak, Artur Cieslewicz, Sylwia Iwanczyk, Maciej Lesiak, Tatiana Mularek-Kubzdela
Summary: The study suggests that elevated neopterin concentration before coronary artery bypass grafting (CABG) may serve as a predictive biomarker of postoperative atrial fibrillation (POAF).
KARDIOLOGIA POLSKA
(2022)
Article
Respiratory System
Heemoon Lee, Hee Jung Kim, Jae Suk Yoo, Dong Jin Kim, Sang Youn Yeom, Kwang Ree Cho
Summary: Amiodarone-based rapid pharmacological cardioversion of POAF resulted in a high sinus rhythm conversion rate (97.9%). Late adverse cardiovascular events, including stroke, were low even without anticoagulation. Factors such as age, unstable angina, prior interventions, and left atrial diameter were independent risk factors for POAF.
JOURNAL OF THORACIC DISEASE
(2021)
Article
Cardiac & Cardiovascular Systems
Claudia A. J. van der Heijden, Patrique Segers, Anna Masud, Vanessa Weberndorfer, Sevasti-Marisevi Chaldoupi, Justin G. L. M. Luermans, Geertruida P. Bijvoet, Bas L. J. H. Kietselaer, Sander M. J. van Kuijk, Paul J. C. Barenbrug, Jos G. Maessen, Elham Bidar, Bart Maesen
Summary: In this study, we retrospectively analyzed a consecutive cohort of patients who underwent unilateral thoracoscopic AF ablation and concomitant off-pump MIDCAB surgery. The results demonstrated that this approach is safe and effective for patients with AF and a critical LAD stenosis.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Nursing
Hong-Jae Choi, Eun Ji Seo, Jae-Sung Choi, Se Jin Oh, Youn-Jung Son
Summary: The study found a high incidence rate of new-onset atrial fibrillation after coronary artery bypass grafting, with advanced age, history of stroke, depression, chronic obstructive pulmonary disease, and intraoperative use of intra-aortic balloon pump identified as risk factors. Healthcare professionals should focus on assessing these risk factors in older adults with comorbidities during the perioperative period to promote quality nursing care. Prospective studies are needed to identify mechanisms connecting perioperative risk factors for atrial fibrillation after cardiac surgery.
JOURNAL OF ADVANCED NURSING
(2022)
Review
Cardiac & Cardiovascular Systems
Eun Ji Seo, Joonhwa Hong, Hyeon-Ju Lee, Youn-Jung Son
Summary: This systematic review evaluated the perioperative predictors of new-onset POAF after isolated CABG, identifying various risk factors that could be used for monitoring and early intervention to reduce negative clinical outcomes. The study included nine high-quality articles, with findings suggesting that factors such as old age, renal failure, and heart failure are associated with an increased risk of new-onset POAF after CABG.
BMC CARDIOVASCULAR DISORDERS
(2021)
Article
Medical Laboratory Technology
Yisi Liu, Fangqin Wu, Ying Wu, Malcolm Elliott, Wei Zhou, Ying Deng, Dianxu Ren, Haibo Zhao
Summary: Clinical observation and ex vivo studies have shown a strong association between inflammation and POAF. IL-6 plays a mechanistic role in sPOAF by inducing early fibrosis in the left atrium, leading to an increased susceptibility to POAF. Identifying IL-6 in pericardial drainage could serve as a potential noninvasive biomarker for predicting POAF.
TRANSLATIONAL RESEARCH
(2021)
Article
Cardiac & Cardiovascular Systems
Xin-Ya Li, Hai-Tao Hou, Huan-Xin Chen, Xiao-Cheng Liu, Jun Wang, Qin Yang, Guo-Wei He
Summary: This study identified differential proteins and metabolites in the plasma of patients prone to postoperative atrial fibrillation (POAF) after coronary artery bypass grafting (CABG). Specific proteins and metabolic pathways related to POAF were found, suggesting potential biomarkers for predicting POAF.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Yangyan Wei, Qian Zhang, Honghui Chi, Ziyao Wang, Qing Chang
Summary: Previous studies lack clinical evidence on the inhibitory effect of recombinant human brain natriuretic peptide (rh-BNP) on postoperative atrial fibrillation (POAF). This retrospective cohort study aimed to assess the impact of rh-BNP on POAF after isolated coronary artery bypass grafting. The results showed that rh-BNP significantly reduced the occurrence of POAF without increasing the risk of ventricular arrhythmia, hypotension, and death. rh-BNP could be considered as a potential safe medication for preventing POAF.
JOURNAL OF CARDIOVASCULAR PHARMACOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Donald S. Likosky, Raymond J. Strobel, Xiaoting Wu, Robert S. Kramer, Baron L. Hamman, James K. Brevig, Michael P. Thompson, Amir A. Ghaferi, Min Zhang, Eric J. Lehr
Summary: This study evaluated whether interhospital variation in mortality rates for coronary artery bypass grafting was driven by complications and failure to rescue. The study found a positive correlation between hospital failure to rescue rates and complications, suggesting that early recognition and management of complications are important factors in improving the success of coronary artery bypass grafting.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Jason D. Matos, Susan McIlvaine, Maria Grau-Sepulveda, Oliver K. Jawitz, J. Matthew Brennan, Kamal R. Khabbaz, Frank W. Sellke, Robert Yeh, Peter Zimetbaum
Summary: This study found that anticoagulation use at discharge for patients undergoing first-time isolated coronary artery bypass graft surgery and developing new atrial fibrillation is associated with increased risk of bleeding without reducing risk of stroke within 30 days.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Medicine, General & Internal
Kangjun Fan, Liang Chen, Fei Liu, Xiaohang Ding, Pengyun Yan, Mingxin Gao, Wenyuan Yu, Hongli Liu, Yang Yu
Summary: This study aimed to select variables associated with new-onset postoperative atrial fibrillation (POAF) following isolated coronary artery bypass grafting (CABG) and develop a risk prediction nomogram. The nomogram, composed of eight prognostic variables, showed substantial discriminative ability and well-fitted calibration curves in both derivation and validation cohorts. Compared with established prediction models, the nomogram exhibited superior discrimination performance. The novel nomogram has potential clinical value in predicting the risk of POAF following isolated CABG.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Shaobo Pan, Yalin Wang, Yanjia Gu, Weidong Li, Hongfei Xu
Summary: For patients with previous CABG, minimally invasive right thoracotomy under perfused ventricular fibrillation with hypothermia is safe and reliable and can prevent potential damage to the ascending aorta and graft.
JOURNAL OF CARDIOTHORACIC SURGERY
(2023)