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Predictors of post coronary artery bypass grafting atrial fibrillation
作者姓名:Tongtong Shen  Qijun Shan  Biao Yuan  Bing Yang  Chun Chen  Dongjie Xu  Minglong Chen  Jiangang Zou  Kejiang Cao
作者单位:Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
基金项目:This study was supported by 135 foundation of Jiangsu province
摘    要:Objective: To investigate the incidence and relative risk factors of post coronary artery bypass grafting(post-CABG) atrial fibrillation (AF). Methods: 312 patients with CABG were reviewed and divided into an AF group and a non-AF group. Statistical analysis was used to compare the data between the two groups and screen for risk factors of post-CABG AF. Results: 103/312(33.01%) patients developed post-CABG AF. Univariate analysis showed that patients in AF group compared with those in non-AF group were more likely to have advanced age (≥ 70 years), early postoperative withdrawal of β-blockers, hypertension, left atrial enlargement ( ≥40 mm), a history of AF, prolonged p-wave duration ( ≥ 120 ms) and increased number of grafts (≥3). Multivariate logistic regression analysis showed that advanced age (≥70 years), early postoperative withdrawal of β-blockers, hypertension, left atrial enlargement (≥40 mm) and a history of AF were highly related to post-CABG AF. Conclusion: The incidence of AF in patients following CABG was 33.01% in this study. Advanced age, early postoperative withdrawal of β-blockers,hypertension, left atrial enlargement and a history of AF were independent risk factors of post-CABG AF.

关 键 词:冠状动脉旁路移植  心室纤颤  发病率  危险因素  预测指标
收稿时间:2007-03-15

Predictors of post coronary artery bypass grafting atrial fibrillation
Tongtong Shen,Qijun Shan,Biao Yuan,Bing Yang,Chun Chen,Dongjie Xu,Minglong Chen,Jiangang Zou,Kejiang Cao.Predictors of post coronary artery bypass grafting atrial fibrillation[J].Acta Universitatis Medicinalis Nanjing,2007,21(3):139-142.
Authors:Tongtong Shen  Qijun Shan  Biao Yuan  Bing Yang  Chun Chen  Dongjie Xu  Minglong Chen  Jiangang Zou and Kejiang Cao
Institution:Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
Abstract:Objective: To investigate the incidence and relative risk factors of post coronary artery bypass grafting(post-CABG) atrial fibrillation (AF). Methods: 312 patients with CABG were reviewed and divided into an AF group and a non-AF group. Statistical analysis was used to compare the data between the two groups and screen for risk factors of post-CABG AF. Results: 103/312(33.01%) patients developed post-CABG AF. Univariate analysis showed that patients in AF group compared with those in non-AF group were more likely to have advanced age (≥ 70 years), early postoperative withdrawal of β-blockers, hypertension, left atrial enlargement ( ≥40 mm), a history of AF, prolonged p-wave duration ( ≥ 120 ms) and increased number of grafts (≥3). Multivariate logistic regression analysis showed that advanced age (≥70 years), early postoperative withdrawal of β-blockers, hypertension, left atrial enlargement (≥40 mm) and a history of AF were highly related to post-CABG AF. Conclusion: The incidence of AF in patients following CABG was 33.01% in this study. Advanced age, early postoperative withdrawal of β-blockers,hypertension, left atrial enlargement and a history of AF were independent risk factors of post-CABG AF.
Keywords:coronary artery bypass grafting  atrial fibrillation  risk factors  atrial fibrillation  bypass grafting  coronary artery  independent  study  related  Multivariate  logistic  regression analysis  increased  number  prolonged  duration  history  left  enlargement  hypertension  blockers  early  postoperative
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