Incidence and Demographic Characteristics of Patients with Post Cardiac Surgery Arrhythmias: A Single Center Retrospective Study

Adel Khalifa Hamad, Tarique Shahzad Chachar, Ali J Al Hashli, Babur Ikram, Khalifa Abdulrahman Yousif, Manar Al Suwaidi, Habib Al Tareif, Zaid Arekat, Abdulwahab Al Khalifa
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引用次数: 0

Abstract

Arrhythmias are a common complication following cardiac surgery, and can significantly affect patients’ outcomes. In some cases, post-operative arrhythmias may lead to hemodynamic instability, congestive heart failure, or even sudden cardiac death. Various types of cardiac surgery result in varying rates of post-operative arrhythmias, with more complex procedures causing higher rates. Risk factors for post-operative arrhythmias include advanced age, pre-existing cardiovascular disease, electrolyte imbalances, and the type of cardiac surgery. In this study, we aim to determine the incidence and demographic characteristics of patients who underwent cardiac surgery from November 15, 2020, till November 30, 2021, in a tertiary center in the Kingdom of Bahrain. All adult patients (18 years or older) who were booked for cardiac surgery during the study period were included. Patients with pre-existing documented arrhythmias were excluded from the study. Data was collected from patients’ clinical notes including demographic information (age, sex, and nationality), medical history, comorbidities, type of cardiac surgery, laboratory investigations, and mortality. Descriptive statistics was used to analyze the data, including frequency distributions, means, and standard deviations. Data was collected from patients’ clinical notes including demographic information (age, sex, and nationality), medical history, comorbidities, type of cardiac surgery, laboratory investigations, length of hospital stay, and mortality. Data was collected from patients’ clinical notes including demographic information (age, sex, and nationality), medical history, comorbidities, type of cardiac surgery, laboratory investigations, length of hospital stay, and mortality. A total of 161 patients were enrolled in the study with a mean age of 56.75 ± 1.68 years. Among the total enrolled population, 68.32% were male and 31.68% were female. The majority of patients (61.49%) had undergone urgent surgery. Approximately, half (49.07%) of the patients had coronary artery bypass surgery. Premature ventricular complexes (PVC), atrial fibrillation (AF), junctional rhythm, heart block, and atrial flutter were reported in 30.43%, 29.19%, 11.18%, 9.31%, and 8.07% of patient populations respectively. Pleural effusion (50.31%) and bleeding (19.25%) were common post-surgery complications observed among the patients. The mean oxygen saturation (sO2) of the patients on the day of arrhythmia was 95.67 ± 2.05%. Epinephrine/norepinephrine (71.43%) was the most used inotropic agent used after cardiac surgery. Cardiac surgery is associated with various arrhythmias. The two most common arrhythmias observed in patients after cardiac surgery are premature ventricular contractions and atrial fibrillation.
心脏手术后心律失常患者的发病率和人口统计学特征:单中心回顾性研究
心律失常是心脏手术后常见的并发症,会严重影响患者的预后。在某些情况下,术后心律失常可能导致血液动力学不稳定、充血性心力衰竭,甚至心脏性猝死。各种类型的心脏手术导致的术后心律失常发生率各不相同,越复杂的手术导致的心律失常发生率越高。术后心律失常的风险因素包括高龄、原有心血管疾病、电解质失衡和心脏手术类型。在这项研究中,我们旨在确定巴林王国一家三级医疗中心 2020 年 11 月 15 日至 2021 年 11 月 30 日期间接受心脏手术的患者的发病率和人口统计学特征。研究对象不包括已有心律失常记录的患者。研究人员从患者的临床记录中收集数据,包括人口统计学信息(年龄、性别和国籍)、病史、合并症、心脏手术类型、实验室检查和死亡率。数据分析采用描述性统计方法,包括频率分布、平均值和标准差。从患者的临床记录中收集数据,包括人口统计学信息(年龄、性别和国籍)、病史、合并症、心脏手术类型、实验室检查、住院时间和死亡率。研究从患者的临床记录中收集数据,包括人口统计学信息(年龄、性别和国籍)、病史、合并症、心脏手术类型、实验室检查、住院时间和死亡率。在所有登记的患者中,68.32%为男性,31.68%为女性。大多数患者(61.49%)接受过紧急手术。大约一半(49.07%)的患者接受过冠状动脉搭桥手术。室性早搏(PVC)、心房颤动(AF)、交界性心律、心脏传导阻滞和心房扑动分别占患者总数的 30.43%、29.19%、11.18%、9.31% 和 8.07%。胸腔积液(50.31%)和出血(19.25%)是常见的术后并发症。心律失常当天患者的平均血氧饱和度(sO2)为 95.67 ± 2.05%。肾上腺素/去甲肾上腺素(71.43%)是心脏手术后使用最多的肌力药物。心脏手术后患者最常见的两种心律失常是室性早搏和心房颤动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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