Factores determinantes en la aparición de fibrilación auricular post-cirugía de revascularización miocárdica. Un estudio prospectivo
dc.catalogador | pau | |
dc.contributor.author | Baeza Vergara, Ricardo Gabriel | |
dc.contributor.author | Garayar Pulgar, Bernardita | |
dc.contributor.author | Morán Velásquez, Sergio | |
dc.contributor.author | Zalaquett Sepúlveda, Ricardo | |
dc.contributor.author | Irarrázaval Llona, Manuel José | |
dc.contributor.author | Becker Rencoret, Pedro Antonio | |
dc.contributor.author | Viviani García, Paola | |
dc.contributor.author | Ferrada, Marcela | |
dc.contributor.author | Corbalán Herreros, Ramón | |
dc.date.accessioned | 2023-07-21T17:46:07Z | |
dc.date.available | 2023-07-21T17:46:07Z | |
dc.date.issued | 2007 | |
dc.description.abstract | Background: 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.objetodigital | 2024-03-26 | |
dc.format.extent | 8 páginas | |
dc.fuente.origen | ORCID | |
dc.identifier.doi | 10.4067/S0034-98872007000800002 | |
dc.identifier.issn | 0034-9887 | |
dc.identifier.uri | http://dx.doi.org/10.4067/S0034-98872007000800002 | |
dc.identifier.uri | http://www.scopus.com/inward/record.url?eid=2-s2.0-36248941164&partnerID=MN8TOARS | |
dc.identifier.uri | https://repositorio.uc.cl/handle/11534/74241 | |
dc.information.autoruc | Escuela de Medicina; Baeza Vergara, Ricardo Gabriel; S/I; 85018 | |
dc.information.autoruc | Escuela de Medicina; Garayar Pulgar, Bernardita; S/I; 65074 | |
dc.information.autoruc | Escuela de Medicina; Morán Velásquez, Sergio; S/I; 98562 | |
dc.information.autoruc | Escuela de Medicina; Zalaquett Sepúlveda, Ricardo; S/I; 100042 | |
dc.information.autoruc | Escuela de Medicina; Irarrázaval Llona, Manuel José; S/I; 98706 | |
dc.information.autoruc | Escuela de Medicina; Becker Rencoret, Pedro Antonio; S/I; 77763 | |
dc.information.autoruc | Escuela de Medicina; Viviani García, Paola; S/I; 729 | |
dc.information.autoruc | Escuela de Medicina; Ferrada, Marcela; S/I; 89500 | |
dc.information.autoruc | Escuela de Medicina; Corbalán Herreros, Ramón; 0000-0002-4675-6191; 98700 | |
dc.issue.numero | 8 | |
dc.language.iso | es | |
dc.nota.acceso | Contenido completo | |
dc.pagina.final | 974 | |
dc.pagina.inicio | 967 | |
dc.revista | Revista Medica de Chile | es_ES |
dc.rights | acceso abierto | |
dc.subject | Atrial fibrillation | |
dc.subject | Coronary vessels | |
dc.subject | Risk factors | |
dc.title | Factores determinantes en la aparición de fibrilación auricular post-cirugía de revascularización miocárdica. Un estudio prospectivo | |
dc.title.alternative | Risk factors for postoperative atrial fibrillation after coronary artery bypass grafting. A prospective analysis | es_ES |
dc.type | artículo | |
dc.volumen | 135 | |
sipa.codpersvinculados | 85018 | |
sipa.codpersvinculados | 65074 | |
sipa.codpersvinculados | 98562 | |
sipa.codpersvinculados | 100042 | |
sipa.codpersvinculados | 98706 | |
sipa.codpersvinculados | 77763 | |
sipa.codpersvinculados | 729 | |
sipa.codpersvinculados | 89500 | |
sipa.codpersvinculados | 98700 |