Impact of coronary collateral circulation and severity of coronary artery disease in the development of postoperative atrial fibrillation

Abstract

CCC and severity of CAD did not have a significant effect on the occurrence of postoperative AF, suggesting an ineffective role of myocardial ischaemia in the development of this condition.

Atrial Fibrillation on Intensive Care Unit Admission Independently Increases the Risk of Weaning Failure in Nonheart Failure Mechanically Ventilated Patients in a Medical Intensive Care Unit

“…AF, one of the most frequent arrhythmias in clinical practice, is known to adversely affect various hospital outcomes in critically ill patients. 5 – 11 , 24 – 27 This study focused on the non-HF mechanically ventilated patients of medical ICU and found that AF on ICU admission was independently associated with prolonged total ventilator use, increased length of ICU stay, increased length of hospital stay, and increased ICU mortality, as compared with non-AF patients. Importantly, AF on ICU admission independently increased the risk of weaning failure and significantly contributed to a higher rate of ventilator dependence as compared with those patients without AF on ICU admission.…”

“…Previous studies have reported that AF worsens hospital outcomes in critically ill patients, including a higher rate of MV support, a longer length of ICU stay, a longer length of hospital stay, increased cardiovascular mortality, and increased noncardiovascular mortality. 5 – 11 , 24 – 27 However, the influence of AF on hospital outcomes in mechanically ventilated ICU patients without HF remains largely unclear. In this patient population, we found that AF on ICU admission was significantly associated with increased morbidity because of its relation to more septicemia cases, as well as a high rate of renal dysfunction.…”

Efficacy of Tolvaptan in Patients with Volume Overload after Cardiac Surgery

“…The incidence of AF in the general population is approximately 1.8% [Almassi 1997], whereas the incidence after cardiac surgery is higher, with the average incidence being reported as approximately 30% [Hakala 2003]. Various pathophysiological mechanisms such as atrial factors, postoperative inflammation, autonomic imbalance, perioperative ischemia, and the presence of electrolyte imbalance are thought to have an important role in the occurrence of postoperative AF [Sahin 2014]. In this study, the incidence of postoperative AF after TLV administration was only 11%.…”

The influence of preoperative pharmacotherapy on the appearance of postoperative atrial fibrillation in patients undergoing isolated coronary artery bypass grafting

“…With appearance in the early postoperative period following CABG and a peak incidence between second or third postoperative day, PO-AF is associated with hemodynamic instability, increased morbidity and mortality. 1,2 The pathophysiology of POAF is not clearly understood, and its mechanism differs from atrial fibrillation in general population in several points. Various pathophysiological mechanisms, such as atrial factors, postoperative inflammation, pericarditis, electrical remodelling, autonomic imbalance, increased vagal tone, atrial incision and perioperative ischaemia, have been proposed to have an important role in the occurrence of POAF.…”

“…The underlying ischaemic mechanism has been discussed in various reports comparing on-pump versus off-pump CABG surgery. 1 In recent years, off-pump coronary artery bypass grafting has emerged as an alternative method for UDRUŽENJE KARDIOLOGA SRBIJE CARDIOLOGY SOCIETY OF SERBIA statins). To date, however, no single agent or combination of agens have completely eliminated POAF.…”