Importance of Postoperative Atrial Fibrillation Development in Heart Surgery: Intra-Hospital Outcomes in Santa Catarina Tertiary Cardiology Center

Journal of Cardiac Arrhythmias Pub Date : 2019-10-21 DOI:10.24207/jca.v32n2.004_in

Ricardo Pereira da Silva, Larissa Freitas Nunes Goldoni, Kárila Scarduelli Luciano, Ana Carolina Gern Junqueira, Ana Carolina Caldara Barreto, Rafael de March Ronsoni

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Abstract

Objective: To determine the incidence of postoperative atrial fibrillation (PAF) of cardiac surgery, its impact on morbimortality and duration of hospital stay in a tertiary cardiology center of the state of Santa Catarina, Brazil. Methods: Cohort study with 134 adult patients submitted to cardiac surgery. Results: the incidence was 32.8%. After multivariate analysis, patients who did not receive beta-blockers were associated with PAF with a relative risk odds ratio (RR) 10.73 (p <0.001). The highest rate of cardiovascular events (cerebrovascular accident, mortality, and acute coronary syndrome) was 25% in the PAF group. 10% (RR 3.21; p = 0.035) which, consequently, generated longer hospitalization time in these patients (19.1 vs. 12.5; p = 0.01). Conclusion: the incidence of PAF was high, caused a significant increase in morbimortality and duration of hospital stay, and consolidated the role of beta-blocker therapy in its prevention, and may serve as a basis for future prevention policies.

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心脏外科术后心房颤动发展的重要性：圣卡塔琳娜三级心脏病中心的院内结果

目的：在巴西圣卡塔琳娜州的一家三级心脏病中心，确定心脏手术后心房颤动（PAF）的发病率及其对发病率和住院时间的影响。方法：对134名接受心脏手术的成年患者进行队列研究。结果：发病率为32.8%。经过多因素分析，未接受β-受体阻滞剂治疗的患者与PAF相关，相对风险比值比（RR）为10.73（p＜0.001）。PAF组心血管事件（脑血管意外、死亡率和急性冠状动脉综合征）的最高发生率为25%。10%（RR 3.21；p=0.035），因此导致这些患者的住院时间更长（19.1比12.5；p=0.01）。结论：PAF的发病率很高，导致发病率和住院时间显著增加，巩固了β受体阻滞剂治疗在预防中的作用，并可作为未来预防政策的基础。

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Journal of Cardiac Arrhythmias

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审稿时长

6 weeks