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Predictors of post coronary artery bypass grafting atrial fibrillation

查看全文 作  者:Tongtong Shen Qijun Shan Biao Yuan Bing Yang Chun Chen Dongjie Xu Minglong Chen Jiangang Zou Kejiang [1]Cao 高影响力作者 机构地区:[1]Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China高影响力机构 出  处:《Journal of Nanjing Medical University》索引2007年第21卷第3期,共4页高影响力期刊 基  金: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
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