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PREDICTORS OF ATRIAL FIBRILLATION AFTER CABG ASSESSED BY TRANSTHORACIC ECHOCARDIOGRAPHY

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Cardiology

Abstract

Background: Atrial fibrillation is a common complication after coronary artery bypass grafting (CABG) surgery, although it is a benign arrhythmia it may contribute to morbidity, mortality and prolonged hospital stay. Objective: To evaluate the echocardiographic predictors of atrial fibrillation (AF) after coronary artery bypass grafting. Patients and methods: Our study was done on 100 patients who underwent CABG at National Heart Institute and Al-Azhar University hospitals from June 2020 to December 2020. Personal and medical histories were reviewed. Preoperative data included age, gender, and history of diabetes mellitus, history of hypertension and history of smoking. Intraoperative data included duration of bypass and cross clamping and number of grafts. Postoperative data included use of inotropic agents, revision of ECG during hospital stay, identification of atrial fibrillation and method of termination. Echocardiography was done during their hospital stay for assessment of the following: ejection fraction, TPASE, LV internal dimensions, LV septal and posterior wall thickness, left atrium diameter and LA Volume index, TR velocity and presence of MR. Also Pulsed wave and tissue Doppler of mitral annuli was performed to assess E/A ration, septal e', lateral e', septal E/e' and lateral E/e' and calculation of average E/e' was done. Results: Old age and history of hypertension were predictors of atrial fibrillation after CABG surgery. AF developed more frequent in patients who had used an inotropic agent after surgery and in patients with lower ejection fraction, lower TAPSE, dilated LV internal dimensions, increased LV wall thickness, and dilated left atrium and high LAVI. Our findings indicated that development of postoperative atrial fibrillation (POAF) was more frequent with higher average E/e', septal E/e', lateral E/e' velocities and lower septal e' velocity. Conclusion: Patients who had postoperative impaired LV and RV functions and increased LAVI and LA diameter experienced more frequent POAF than others. Also, higher average E/e', septal E/e', lateral E/e' and lower e' velocities were associated with higher incidence of POAF.

DOI

10.21608/amj.2022.212619

Keywords

Atrial Fibrillation, POAF, CABG, Transthoracic echocardiography

Authors

First Name

Ahmed

Last Name

Abd El-Mageed Ryad Farag

MiddleName

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Affiliation

Department of Cardiology, Faculty of Medicine Al-Azhar University

Email

ryadelfarra@gmail.com

City

-

Orcid

-

First Name

Yasser

Last Name

Radwan Mohammed Radwan

MiddleName

-

Affiliation

Department of Cardiology, Faculty of Medicine Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Mohammed Salah El-Din Ahmed

MiddleName

-

Affiliation

Department of Cardiology, Faculty of Medicine Al-Azhar University

Email

-

City

-

Orcid

-

Volume

51

Article Issue

1

Related Issue

29633

Issue Date

2022-01-01

Receive Date

2022-01-04

Publish Date

2022-01-01

Page Start

333

Page End

348

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_212619.html

Detail API

https://amj.journals.ekb.eg/service?article_code=212619

Order

29

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

PREDICTORS OF ATRIAL FIBRILLATION AFTER CABG ASSESSED BY TRANSTHORACIC ECHOCARDIOGRAPHY

Details

Type

Article

Created At

22 Jan 2023