Risk Factors for Postoperative Atrial Fibrillation in Myocardial Revascularization Surgery: A 15-Year Experience

dc.contributor.authorBonilla Bonilla, Diana Marcela
dc.contributor.authorOsorio Toro, Luis Miguel
dc.contributor.authorDaza Arana, Jorge Enrique
dc.contributor.authorQuintana Ospina, Jhon H.
dc.contributor.authorÁvila Valencia, Juan Carlos
dc.contributor.authorLozada Ramos, Heiler
dc.date.accessioned2025-07-08T22:32:48Z
dc.date.available2025-07-08T22:32:48Z
dc.date.issued2024
dc.description.abstractBackground: Myocardial revascularization surgery (MRV) is a revascularization therapy for coronary artery disease aimed at improving survival conditions. Elderly patients with increased comorbidities undergoing MRV face challenges in preventing postoperative complications, including atrial fibrillation (AF), a common arrhythmia occurring in 40% of cases or even in 80% of cases if the procedure is combined with valve surgery. This study aimed to determine the risk factors associated with the appearance of postoperative AF (POAF) in patients undergoing isolated MRV. Methods: This is an epidemiological, retrospective, and analytical case–control study (90 cases and 360 controls). Results: Mortality within the group of patients who presented with POAF in the study population was 15.5%, and 9.44% in the control group. Logistic regression showed an association of AF with the presurgical variables age >60 years and urgent/emergency surgery and the postsurgical variables cardiogenic shock, blood transfusion, pulmonary edema, pleural effusion, orotracheal reintubation, and mechanical ventilation time. Conclusions: Strategies should be proposed for the timely identification of risk factors and postoperative complications related to AF onset to avoid the increased morbidity and mortality associated with this type of arrhythmia during the postoperative period.
dc.identifier.citationBonilla-Bonilla, D. M., Osorio-Toro, L. M., Daza-Arana, J. E., Quintana-Ospina, J. H., Ávila-Valencia, J. C., & Lozada-Ramos, H. (2024). Risk Factors for Postoperative Atrial Fibrillation in Myocardial Revascularization Surgery: A 15-Year Experience. Journal of Clinical Medicine, 13(17), 5171. https://doi.org/10.3390/jcm13175171
dc.identifier.issn20770383
dc.identifier.urihttps://repositorio.usc.edu.co/handle/20.500.12421/7300
dc.language.isoen
dc.publisherMDPI
dc.subjectmyocardial revascularization surgery
dc.subjectpostoperative atrial fibrillation
dc.subjectrisk factors
dc.titleRisk Factors for Postoperative Atrial Fibrillation in Myocardial Revascularization Surgery: A 15-Year Experience
dc.typeArticle

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