[1]韦亚林 陈福芳 陈文胜 关新强 张燕春 毛勇 周亚雄 罗伟 吴向阳**.非体外循环冠状动脉旁路移植术后新发心房颤动预后因素分析[J].中国微创外科杂志,2019,01(10):865-869.
　Wei Yalin,Chen Fufang,Chen Wensheng,et al.Prognostic Factors Analysis for New-onset Atrial Fibrillation After Off-pump Coronary Artery Bypass Grafting[J].Chinese Journal of Minimally Invasive Surgery,2019,01(10):865-869.
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非体外循环冠状动脉旁路移植术后新发心房颤动预后因素分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年10期
页码:
865-869
栏目:
临床论著
出版日期:
2019-10-25

文章信息/Info

Title:
Prognostic Factors Analysis for New-onset Atrial Fibrillation After Off-pump Coronary Artery Bypass Grafting
作者:
韦亚林 陈福芳 陈文胜 关新强 张燕春 毛勇 周亚雄 罗伟 吴向阳**
（兰州大学第二医院心脏外科，兰州730000）
Author(s):
Wei Yalin;  Chen Fufang;  Chen Wensheng;  et al.
Department of Cardiac Surgery, Lanzhou University Second Hospital, Lanzhou 730000, China
关键词:
非体外循环冠状动脉旁路移植术; 新发房颤; 预后因素
Keywords:
Off-pump coronary artery bypass grafting; New-onset atrial fibrillation; Prognostic factor
文献标志码:
A
摘要:
目的探讨非体外循环冠状动脉旁路移植(off-pump coronary artery bypass grafting，OPCAB)术后新发心房颤动（房颤）的预后因素。方法回顾性分析2012年1月～2018年12月我院234例OPCAB临床资料，术后出现新发房颤36例（房颤组），未出现房颤198例（非房颤组），通过单因素和多因素logistic回归分析术后新发房颤的预后因素。结果单因素分析结果显示，术后新发房颤可能的预后因素有年龄、高血压、频发房性期前收缩（房早）或房性心动过速（房速）、合并心脏其他畸形、收缩压，术前肌酐、尿酸、射血分数(EF)、左房前后径和肺动脉压力，术后血钾和肌酸激酶同工酶（CK-MB）（P<0.05）。多因素logistic回归分析显示术前合并高血压（OR=6.109，P=0.019），频发房早或房速（OR=9.915，P=0.017），肌酐增高（男性>106 μmol/L，女性>97 μmol/L）（OR=18.798，P=0.019），左房前后径增大（男性>38.7 mm，女性>36.8 mm）（OR=17.894，P=0.000）和EF减低（EF<55%）（OR=11.505，P=0.004）是OPCAB术后新发房颤的预后因素。结论术前合并高血压、频发房早或房速、肌酐增高、左房增大和EF减低是OPCAB术后新发房颤的预后因素。
Abstract:
ObjectiveTo investigate prognostic factors of new-onset atrial fibrillation (AF) after off-pump coronary artery bypass grafting (OPCAB).MethodsThere were 36 patients with new-onset AF (AF group) and 198 patients with non-AF (non-AF group) who underwent OPCAB in our hospital from January 2012 to December 2018. The diagnostic factors of new-onset AF after OPCAB were analyzed by univariate and multinariate logistic regression analysis.ResultsThe univariate factor analysis showed that prognostic factors associated with postoperative new-onset atrial fibrillation were age, hypertension, frequent premature atrial beating and atrial tachycardia, other cardiac malformations, systolic blood pressure, preoperative creatinine, uric acid, ejection fraction (EF), left atrial anteroposterior diameter, and pulmonary artery pressure, postoperative serum potassium and creatine kinase-MB (CK-MB) (P<0.05). Multinariate analysis showed that hypertension (OR=6.109, P=0.019), frequent atrial premature beating or atrial tachycardia (OR=9.915, P=0.017), elevated levels of preoperative creatinine (for male more than 106 μmol/L, and for female more than 97 μmol/L) (OR=18.798, P=0.019), preoperative left atrial anteroposterior diameter dilation (for male more than 38.7 mm, and for female more than 36.8 mm) (OR=17.894, P=0.000) and decreased preoperative EF (EF<55%) (OR=11.505, P=0.004) were suspected prognostic factors for predicting new-onset AF after OPCAB.ConclusionPreoperative hypertension, frequent atrial premature beating and atrial tachycardia, increased creatinine, left atrial enlargement, and EF reduction were prognostic factors for new-onset AF after OPCAB.

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备注/Memo

备注/Memo:
基金项目：甘肃省卫生健康委员会基本科研项目（GSWST2012-02）；兰州大学第二医院院内博士科研基金项目（ynbskyjj2015-2-6）**通讯作者，E-mail：wuxyok@163.com
更新日期/Last Update: 2020-01-09