Ability of B-Type Natriuretic Peptide in Predicting Postoperative Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Grafting

Ata, Yusuf; Türk, Tamer; Ay, Derih; Eris, Cuneyt; Demir, Mihriban; Arı, Hasan; Ata, Filiz; Yavuz, Şenol; Özyazicioğlu, Ahmet

doi:10.1532/hsf98.20091014

Cited by 20 publications

(9 citation statements)

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“…Advanced patient age has been repeatedly reported as an independent predictor of AF after CABG ( 1 , 2 , 17 , 18 ). Previously, many studies of postoperative AF have been done and described that predictors of postoperative AF were older age, previous history of AF, male gender, decreased left ventricular ejection fraction, valvular heart surgery, left atrial enlargement, chronic obstructive pulmonary disease, chronic renal failure, and diabetes mellitus ( 1 , 3 , 14 , 16 ).…”

Section: Discussionmentioning

confidence: 94%

Efficiency of postoperative statin treatment for preventing new-onset postoperative atrial fibrillation in patients undergoing isolated coronary artery bypass grafting: A prospective randomized study

Aydın¹,

Yılmaz²,

Düzyol³

et al. 2015

Anatol J Cardiol

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Objective:Recent studies have demonstrated that preoperative statin therapy reduces the incidence of postoperative atrial fibrillation (AF). The objective of this study was to assess the efficacy of statin therapy started in the early postoperative period for the prevention from new-onset AF after isolated coronary artery bypass grafting (CABG).Methods:This prospective and randomized study consisted of 60 consecutive patients who underwent elective isolated CABG. Patients were divided into two groups to examine the influence of statins: those with postoperative statin therapy (statin group, n=30) and those without it (non-statin group, n=30). Patient data were collected and analyzed prospectively. In the statin group, each extubated patient was given 40 mg of atorvastatin per day, starting from an average of 6 hours after the operation.Results:The overall incidence of postoperative AF was 30%. Postoperative AF occurred in 5 patients (16.7%) in the statin group. This was significantly lower compared with 13 patients (43.3%) in the non-statin group (p=0.049). According to the multivariate analysis, postoperative atorvastatin reduced the risk of postoperative AF by 49% [odds ratio (OR) 0.512, 95% confidence interval (CI) 0.005 to 0.517, p=0.012]. Also, age was an independent predictor of postoperative AF (OR 1.299, 95% CI 1.115 to 1.514, p=0.001).Conclusion:Postoperative statin therapy seems to reduce new-onset AF after isolated CABG in our study.

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Section: Discussionmentioning

confidence: 94%

Efficiency of postoperative statin treatment for preventing new-onset postoperative atrial fibrillation in patients undergoing isolated coronary artery bypass grafting: A prospective randomized study

Aydın¹,

Yılmaz²,

Düzyol³

et al. 2015

Anatol J Cardiol

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“…In patients undergoing pre-operative assessment, elevated baseline levels of BNP and NT-proBNP have been associated with increased risk of AF following coronary artery bypass grafting [ [23][24], cardiac surgery [ 25 ] and thoracic surgery [ 26 ]. Horie et al also found BNP predicted the development of chronic AF after pacemaker insertion in patients with sick sinus syndrome [ 27 ].…”

Section: Association Between Natriuretic Peptides and Atrial Fibrillationmentioning

confidence: 99%

Predictive Role of BNP/NT-proBNP in Non-Heart Failure Patients Undergoing Catheter Ablation for Atrial Fibrillation: An Updated Systematic Review

Papageorgiou

Providência

Falconer

et al. 2020

CMC

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: Atrial fibrillation (AF) is a growing public health issue, associated with significant morbidity and mortality. In addition to pharmacological therapy, catheter ablation is an effective strategy in restoring and maintaining sinus rhythm. However, ablation is not without risk, and AF recurs in a significant proportion of patients. Non-invasive, easily accessible markers or indices that could stratify patients depending on the likelihood of a successful outcome following ablation would allow us to select the most appropriate patients for the procedure, reducing the AF recurrence rate and exposure to potentially life-threatening risks. There has been much attention paid to brain natriuretic peptide (BNP) and N-terminal prohormone of brain natriuretic peptide (NT-proBNP) as possible predictive markers of successful ablation. Several studies have demonstrated an association between higher pre-ablation levels of these peptides, and a greater likelihood of AF recurrence. Therefore, there may be a role for measuring brain natriuretic peptides levels when selecting patients for catheter ablation.

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“…Due to the anatomical localization of cardiac injuries, the most affected chamber is right ventricle, and than left ventricle is the second one [8]. Brathwaite et al [9] reported that left atrial injury occurs in the 25% of the cases with cardiac rupture, and atrial appendage and pulmonary vein-atrial junction are the most affected sides.…”

Section: Discussionmentioning

confidence: 99%

Left atrial appendage tear due to blunt chest trauma: off-pump repair

Tayfur¹,

Yalçın²,

Yazman³

et al. 2016

Eur Res J

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Left atrial appendage tear due to blunt trauma is a very rare clinical entity with high mortality rates. Traumatized patients may have no symptoms, or be in a cardiogenic shock state. For diagnosis, it is crucial to determine hemopericardium by echocardiography. Herein, we report a 28-year-old male patient who developed left atrial appendage tear following a fall from a higher distance. He underwent successful off-pump repair of the tear through a median sternotomy.Eur Res J 2016;2(3):225-227

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Ability of B-Type Natriuretic Peptide in Predicting Postoperative Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Grafting

Abstract: Elevated preoperative BNP levels and advanced age together are significant predictors for the development of postoperative AF in patients undergoing isolated CABG with CPB.

Cited by 20 publications

References 0 publications

Efficiency of postoperative statin treatment for preventing new-onset postoperative atrial fibrillation in patients undergoing isolated coronary artery bypass grafting: A prospective randomized study

Efficiency of postoperative statin treatment for preventing new-onset postoperative atrial fibrillation in patients undergoing isolated coronary artery bypass grafting: A prospective randomized study

Predictive Role of BNP/NT-proBNP in Non-Heart Failure Patients Undergoing Catheter Ablation for Atrial Fibrillation: An Updated Systematic Review

Left atrial appendage tear due to blunt chest trauma: off-pump repair

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