The Effects of Serum CRP Level on Postoperative Atrial Fibrilation Occurrence in Patients who had Coronary Bypass Surgery

Gür, Ali Kemal; Aykaç, Mehmet Coşkun; Şişli, Emrah

doi:10.5505/ejm.2018.92053

“…(2018) in Turkey concluded that inflammatory factors, especially increased CRP levels, were strongly associated with AF in cardiac patients [22]. Therefore, it appears that by following patients with AF and performing serial tests related to inflammatory factors, especially repeated evaluation of CRP levels in these patients, the cause and effect role between inflammatory factors and AF could be reported more accurately.…”

Section: Discussionmentioning

confidence: 99%

Association Between Permanent Non-Valvular Atrial Fibrillation with Microalbuminuria and C-Reactive Protein

Eskandarian

¹

,

Niknahad

²

,

Ghorbani

³

et al. 2021

GMJ

0

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Background: An understanding of atrial fibrillation (AF) mechanisms, as the most common cardiac arrhythmia, is essential for primary and secondary prevention. Some studies indicated an association between microalbuminuria and C-reactive protein (CRP) protein, with the incidence and prevalence of AF. This study aimed to investigate the relationship between permanent non-valvular AF with microalbuminuria and reactive protein C. Materials and Methods: In this case-control study, 40 permanent non-valvular AF patients and 40 non-AF patients (control group) were studied. Demographic data and measurements of albumin, urine creatinine, CRP, and microalbuminuria were recorded and compared between the two groups. Results: In patients with permanent non-valvular atrial fibrillation, CRP level (P<0.001) and microalbuminuria (P=0.012) were significantly higher than the control group. Also, in patients with permanent non-valvular AF, the CRP positive (P = 0.014) and microalbuminuria (P = 0.003) were significantly higher than controls. The results showed that elevated chance of permanent non-valvular AF with abnormal CRP was 4.25 (odds ratio [OR]= 4.25, 95% confidence interval [CI]: 1.18-1.28; P= 0.026), and with microalbuminuria was 6.54 (OR= 6.54, 95% CI: 1.65-25.89; P=0.007). Conclusion: An elevated CRP level and microalbuminuria were significantly associated with permanent non-valvular atrial fibrillation. A longitudinal study is necessary.[GMJ.2021;10:e2106] DOI:10.31661/gmj.v10i0.2106

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“…(2018) in Turkey concluded that inflammatory factors, especially increased CRP levels, were strongly associated with AF in cardiac patients [22].…”

Section: Discussionmentioning

confidence: 99%

Association Between Permanent Non-Valvular Atrial Fibrillation with Microalbuminuria and C-Reactive Protein

Darban,

Eskandarian,

Niknahad

et al. 2021

GMJ

0

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Background: An understanding of atrial fibrillation (AF) mechanisms, as the most common cardiac arrhythmia, is essential for primary and secondary prevention. Some studies indicated an association between microalbuminuria and C-reactive protein (CRP) protein, with the incidence and prevalence of AF. This study aimed to investigate the relationship between permanent non-valvular AF with microalbuminuria and reactive protein C. Materials and Methods: In this case-control study, 40 permanent non-valvular AF patients and 40 non-AF patients (control group) were studied. Demographic data and measurements of albumin, urine creatinine, CRP, and microalbuminuria were recorded and compared between the two groups. Results: In patients with permanent non-valvular atrial fibrillation, CRP level (P<0.001) and microalbuminuria (P=0.012) were significantly higher than the control group. Also, in patients with permanent non-valvular AF, the CRP positive (P = 0.014) and microalbuminuria (P = 0.003) were significantly higher than controls. The results showed that elevated chance of permanent non-valvular AF with abnormal CRP was 4.25 (odds ratio [OR]= 4.25, 95% confidence interval [CI]: 1.18-1.28; P= 0.026), and with microalbuminuria was 6.54 (OR= 6.54, 95% CI: 1.65-25.89; P=0.007). Conclusion: An elevated CRP level and microalbuminuria were significantly associated with permanent non-valvular atrial fibrillation. A longitudinal study is necessary. [GMJ.2021;10:e2106]

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“…A number of factors may play a role in the development of AF. During and following surgery, many factors such as blood and blood product use (22), infection, advanced age, obesity, low oxygen level, long operation time, prolonged intubation time and elevated C-reactive protein (CRP) have been associated (23). Some studies have suggested that the incidence of atrial fibrillation following cardiac surgery is higher in smokers than in non-smoking patients.…”

Section: Discussionmentioning

confidence: 99%

Results of Coronary Artery Bypass Grafting Surgery in Female Smokers and Female Patients who make Tandoori who had Chronic Obstructive Pulmonary Disease

Gür¹,

Şahinalp²,

Unal³

2020

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Among the risk factors for coronary artery disease, the most important is smoking. Another major risk factor for coronary artery disease is the smoke from tandoor ovens, to which many rural women are exposed over a period of years. Of 856 patients who underwent elective CABG surgery in our clinic between January 2011 and January 2017, 345 female patients were investigated retrospectively. The patients were divided into two groups: Group 1 (smokers, n=47) and Group 2 (tandoor bakers, n=91). The mean age was 59.4 ± 5.2 years for Group 1 and 62.3 ± 4.2 years in Group 2. The mean duration of extubation of the patients in intensive care unit was 5.4 ± 2.1 in Group 1, and 8.2 ± 2.4 hours in Group 2 (p <0.001). The average length of stay in the intensive care unit was 2.1 ± 1.5 days for Group 1 and 4.4 ± 2.2 days for Group 2 (p <.05). Chronic obstructive pulmonary disease is an independent risk factor for CABG. Aside from smoking, which frequently results in COPD, pulmonary functions are exacerbated in people (usually women) who bake using tandoor ovens. In these patients, the duration of postoperative intubation, length of stay in the intensive care unit and in the hospital are extended, and the need for Continuous Positive Airway Pressure (CPAP) machines in the intensive care unit increases. Therefore, women who use tandoor ovens should be considered high risk patients for CABG surgery, and these patients should be managed and followed up with caution.

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The Effects of Serum CRP Level on Postoperative Atrial Fibrilation Occurrence in Patients who had Coronary Bypass Surgery

Cited by 3 publications

References 16 publications

Association Between Permanent Non-Valvular Atrial Fibrillation with Microalbuminuria and C-Reactive Protein

Association Between Permanent Non-Valvular Atrial Fibrillation with Microalbuminuria and C-Reactive Protein

Association Between Permanent Non-Valvular Atrial Fibrillation with Microalbuminuria and C-Reactive Protein

Results of Coronary Artery Bypass Grafting Surgery in Female Smokers and Female Patients who make Tandoori who had Chronic Obstructive Pulmonary Disease

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