Factores determinantes en la aparición de fibrilación auricular post-cirugía de revascularización miocárdica. Un estudio prospectivo

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dc.catalogadorpau
dc.contributor.authorBaeza Vergara, Ricardo Gabriel
dc.contributor.authorGarayar Pulgar, Bernardita
dc.contributor.authorMorán Velásquez, Sergio
dc.contributor.authorZalaquett Sepúlveda, Ricardo
dc.contributor.authorIrarrázaval Llona, Manuel José
dc.contributor.authorBecker Rencoret, Pedro Antonio
dc.contributor.authorViviani García, Paola
dc.contributor.authorFerrada, Marcela
dc.contributor.authorCorbalán Herreros, Ramón
dc.date.accessioned2023-07-21T17:46:07Z
dc.date.available2023-07-21T17:46:07Z
dc.date.issued2007
dc.description.abstractBackground: Atrial fibrillation (AF) is a relevant complication after coronary artery bypass grafting (CABG). However there is controversy regarding possible contributing factors. Aim: To study the incidence of AF, its risk factors and its repercussion on hospital stay and charges, in patients undergoing CABG. Material and methods: We prospectively collected information from all patients undergoing CABG in our institution, including demographic, surgical and laboratory variables. Exclusion criteria were chronic AF, recent onset AF and patients who needed additional surgical procedures. The primary endpoint was the incidence of AF during the hospital stay. Secondary endpoints were hospital length of stay and hospital charges. Results: We included 250 patients aged 62±9 years (199 males) in the analysis. Incidence of AF was 22% (54 patients). Multivariable analysis showed that age (Odds Ratio (OR) =1.10), previous CABG (OR =9.39), previous use of ACE inhibitors (OR =3.28) and aortic clamp >57 minutes (OR =3.97) were significantly associated with an increased risk of postoperative AF. Previous use of beta-blockers was associated with risk reduction (OR =0.43). Patients who developed AF had a longer hospital stay (p <0.001) and higher hospital charges (p =0.003). Conclusion: AF is a frequent complication in patients undergoing CABG. Risk factors are age, time of aortic clamp, previous CABG and ACE inhibitors. Beta-blockers may prevent its occurrence. Furthermore, AF has a negative impact on both hospital stay and hospital charges
dc.fechaingreso.objetodigital2024-03-26
dc.format.extent8 páginas
dc.fuente.origenORCID
dc.identifier.doi10.4067/S0034-98872007000800002
dc.identifier.issn0034-9887
dc.identifier.urihttp://dx.doi.org/10.4067/S0034-98872007000800002
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-36248941164&partnerID=MN8TOARS
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/74241
dc.information.autorucEscuela de Medicina; Baeza Vergara, Ricardo Gabriel; S/I; 85018
dc.information.autorucEscuela de Medicina; Garayar Pulgar, Bernardita; S/I; 65074
dc.information.autorucEscuela de Medicina; Morán Velásquez, Sergio; S/I; 98562
dc.information.autorucEscuela de Medicina; Zalaquett Sepúlveda, Ricardo; S/I; 100042
dc.information.autorucEscuela de Medicina; Irarrázaval Llona, Manuel José; S/I; 98706
dc.information.autorucEscuela de Medicina; Becker Rencoret, Pedro Antonio; S/I; 77763
dc.information.autorucEscuela de Medicina; Viviani García, Paola; S/I; 729
dc.information.autorucEscuela de Medicina; Ferrada, Marcela; S/I; 89500
dc.information.autorucEscuela de Medicina; Corbalán Herreros, Ramón; 0000-0002-4675-6191; 98700
dc.issue.numero8
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final974
dc.pagina.inicio967
dc.revistaRevista Medica de Chilees_ES
dc.rightsacceso abierto
dc.subjectAtrial fibrillation
dc.subjectCoronary vessels
dc.subjectRisk factors
dc.titleFactores determinantes en la aparición de fibrilación auricular post-cirugía de revascularización miocárdica. Un estudio prospectivoes_ES
dc.titleFactores determinantes en la aparición de fibrilación auricular post-cirugía de revascularización miocárdica. Un estudio prospectivo
dc.title.alternativeRisk factors for postoperative atrial fibrillation after coronary artery bypass grafting. A prospective analysises_ES
dc.typeartículo
dc.volumen135
sipa.codpersvinculados85018
sipa.codpersvinculados65074
sipa.codpersvinculados98562
sipa.codpersvinculados100042
sipa.codpersvinculados98706
sipa.codpersvinculados77763
sipa.codpersvinculados729
sipa.codpersvinculados89500
sipa.codpersvinculados98700
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