Background. Postoperative atrial fibrillation (POAF) is a common complication in patients undergoing coronary artery bypass grafting (CABG), which significantly affects recovery and increases the risk of adverse outcomes. The factors contributing to POAF development remain an area of ongoing research, with many studies investigating clinical, anamnestic, and procedural predictors. Materials and methods. This study evaluated 208 patients with coronary artery disease who were scheduled for off-pump coronary artery bypass grafting (OPCABG). The average age of participants was 56.6 ± 18.4 years, including 29 women and 179 men. Holter ECG monitoring was performed on all patients 5 days and 24 hours before surgery to assess preoperative cardiac rhythms. Results. Postoperative atrial fibrillation occurred in 41 patients (19.7%). Hypertension, obesity, and diabetes mellitus (DM) were found to be significantly more prevalent in the POAF group compared to the non-POAF group (p<0.001). Additionally, clinical parameters, including Holter ECG monitoring, revealed that myocardial fibrosis plays a major role in the development of POAF, particularly in patients with these comorbid conditions. Conclusion. The study indicates that postoperative atrial fibrillation occurs in 19% of OPCABG patients, with key risk factors such as hypertension, obesity, and diabetes mellitus contributing significantly to its development. The findings underscore the importance of early detection and management of these factors to reduce the incidence of POAF.
| Mualliflar | Жаббаров, О, Муллабаева , Г, Шарипов , И, Фозилов , Х, Xabbarov , Ogabek, Mullabaeva , Guzal, Sharipov , Islam, Fozilov, Xurshid, Zhabbarov , Ogabek, Mullabaeva , Guzal, Sharipov , Islam, Fozilov, Khurshid |
|---|---|
| Jurnal | O‘zbekiston кardiologiyasi |
| Nashr sanasi | 2024-06-30 |
| Jild | 1 |
| Son | 2 |
| Betlar | 88-95 |
| Til | Rus |
| DOI | 10.70626/cardiouz-2024-1-00011 |
DOI: 10.70626/cardiouz-2024-1-00011 · Maqolaning asl sahifasi
Off-Pump Coronary Artery Bypass Grafting (OPCABG), Postoperative atrial fibrillation (POAF), Holter Electrocardiography monitoring(HM ECG), diabetes mellitus (DM), Аортокоронарное шунтирование на работающем сердце (АКШ off-pump), послеоперационной фибрилляция предсердий, холтеровское мониторирование ЭКГ (ХМ ЭКГ), сфхфрный диабет(СД), Off-Pump Koronar Arteriyani Bypass Qilish (OPCABG), Postoperativ atrial fibrillyatsiya (POAF), Holter Elektrokardiografiya monitoringi (HM EKG), qandli diabet (DM)
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