Posztoperatív pitvarfibrillàció okai, gyakorisága, megelözése és kezelése szívsebészeti betegeknél.

Translated title of the contribution: Atrial fibrillation after open-heart surgery--incidence, prevention and treatment

H. Vágó, B. Merkely, Z. Szabolcs, E. Moravcsik, L. Gellér, T. Szabó, E. Turbók, I. Matkó, E. Bodor

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Atrial fibrillation is a common problem in the postoperative period following open-heart surgery. The pathogenesis of postoperative atrial fibrillation is likely to be multifactorial, however increased sympathetic activation may play a significant role. The aim of the study was to detect the incidence and possible reasons of atrial fibrillation in the first three postoperative days after open-heart surgery. Atrial fibrillation was detected in a total of 48 patients (mean age 64.8 +/- 8.8 years) of the 302 consecutive patients included in the study. The incidence of atrial fibrillation was 15.9%. In the history of patients with atrial fibrillation paroxysmal or persistent atrial fibrillation occurred in 18 cases. Acute ischaemia, hypopotassemia, high dose catecholamines contributed to the development of arrhythmias in 6, 4 and 4 cases, respectively. Lack of perioperative beta-blocker treatment was seen in 35 cases. Postoperative bleeding and reoperation occurred prior to the onset of atrial fibrillation in 9 instances. The applied antiarrhythmic therapy was metoprolol, amiodarone, propafenon and electrical cardioversion in 33, 21, 4 and 2 cases, respectively. Incidence of atrial fibrillation was found significantly lower in patients receiving beta-blocker premedication (13/181 [7.18%] versus 35/121 [28.9%]). There was no correlation between the incidence of atrial fibrillation and the length of the surgery, aortic-cross clamp time and the number of bypass grafts. Absence of preoperative beta-blocker treatment, previous atrial fibrillation and combined surgery were found to be strong predictors of atrial fibrillation. There was weaker association with increased age. On the basis of the outcome of our study beta-blocker premedication is suggested in most patients undergoing open-heart surgery.

Original languageHungarian
Pages (from-to)2241-2244
Number of pages4
JournalOrvosi Hetilap
Volume141
Issue number41
Publication statusPublished - Oct 8 2000

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Atrial Fibrillation
Thoracic Surgery
Incidence
Therapeutics
Premedication
Electric Countershock
Metoprolol
Hypokalemia
Amiodarone
Reoperation
Postoperative Period
Catecholamines
Cardiac Arrhythmias
Ischemia
History
Outcome Assessment (Health Care)
Hemorrhage
Transplants

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Posztoperatív pitvarfibrillàció okai, gyakorisága, megelözése és kezelése szívsebészeti betegeknél. / Vágó, H.; Merkely, B.; Szabolcs, Z.; Moravcsik, E.; Gellér, L.; Szabó, T.; Turbók, E.; Matkó, I.; Bodor, E.

In: Orvosi Hetilap, Vol. 141, No. 41, 08.10.2000, p. 2241-2244.

Research output: Contribution to journalArticle

Vágó, H, Merkely, B, Szabolcs, Z, Moravcsik, E, Gellér, L, Szabó, T, Turbók, E, Matkó, I & Bodor, E 2000, 'Posztoperatív pitvarfibrillàció okai, gyakorisága, megelözése és kezelése szívsebészeti betegeknél.', Orvosi Hetilap, vol. 141, no. 41, pp. 2241-2244.
Vágó, H. ; Merkely, B. ; Szabolcs, Z. ; Moravcsik, E. ; Gellér, L. ; Szabó, T. ; Turbók, E. ; Matkó, I. ; Bodor, E. / Posztoperatív pitvarfibrillàció okai, gyakorisága, megelözése és kezelése szívsebészeti betegeknél. In: Orvosi Hetilap. 2000 ; Vol. 141, No. 41. pp. 2241-2244.
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AU - Vágó, H.

AU - Merkely, B.

AU - Szabolcs, Z.

AU - Moravcsik, E.

AU - Gellér, L.

AU - Szabó, T.

AU - Turbók, E.

AU - Matkó, I.

AU - Bodor, E.

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