The Role of Inflammation in Atrial Fibrillation following Open Heart Surgery
|
|
- Rosamund Sims
- 6 years ago
- Views:
Transcription
1 The Journal of International Medical Research 2008; 36: The Role of Inflammation in Atrial Fibrillation following Open Heart Surgery S CANBAZ 1, H ERBAS 2, S HUSEYIN 1 AND E DURAN 2 1 Department of Cardiovascular Surgery, and 2 Department of Biochemistry, Medical Faculty, Trakya University, Edirne, Turkey This study investigated the role of systemic inflammation in the development of atrial fibrillation (AF) after coronary artery bypass grafting (CABG). CABG was performed using cardiopulmonary bypass in 77 patients. Pre-operative AF was present in six patients (7.8%) and postoperative AF developed in 13 (18.3%) of the 71 patients with pre-operative sinus rhythm. Post-operative mediastinal drainage was significantly increased in patients with post-operative AF compared with those with sinus rhythm. Plasma E- selectin, P-selectin and vascular cell adhesion molecule levels were not significantly different between patients with pre- and post-operative sinus rhythm, those with pre-operative sinus rhythm and post-operative AF, and those with pre- and post-operative AF. There were significant differences between preand post-operative C-reactive protein, interleukin (IL)-6 and IL-10 levels within all three groups, but no differences in these parameters between the groups. Thus, in all groups there were significant alterations in mediators indicative of systemic inflammation following CABG, but comparisons between the groups revealed no differences predictive of AF. KEY WORDS: ATRIAL FIBRILLATION; CORONARY ARTERY BYPASS GRAFTING; CARDIOPULMONARY BYPASS; INFLAMMATION; E-SELECTIN; P-SELECTIN; C-REACTIVE PROTEIN; VASCULAR CELL ADHESION MOLECULE; INTERLEUKIN-6; INTERLEUKIN-10 Introduction Following open heart surgery, coronary artery bypass grafting (CABG) and valvular surgery, cardiac rhythm disturbances such as atrial fibrillation (AF) occur in 20 40% of patients. 1 3 Such complications extend the length of hospital stay required and the medications and treatment needed increase the costs. Atrial thrombi are frequently formed in cases of AF and those that break off from the atrium can cause acute occlusion of various arteries, especially when the cardiac rhythm is altered. Thus, AF is associated with an increase both in morbidity and mortality. Atrial fibrillation frequently develops on the second or third post-operative days. 4,5 Although it has been investigated in many studies, the precise aetiology of AF has not yet been established. Suggested aetiological factors include advanced age, excessive postoperative mediastinal bleeding, severity of coronary disease, atrial ischaemia, preoperative β-blocker usage, chronic obstructive pulmonary disease (COPD) and renal failure. 1 9 In addition, cardiac, pericardial and mediastinal inflammation has been implicated in post-operative AF following 1070
2 cardiopulmonary bypass (CPB). 6,10,11 It is well known that there is an increase in systemic inflammation during and after open heart surgery when CPB is used. 1,6 Preliminary studies have indicated that this is associated with changes in plasma levels of several adhesion molecules and selectins Various adhesion molecules, selectins and cytokines, including E-selectin, P-selectin, interleukin (IL)-6, IL-10, vascular cell adhesion molecule (VCAM) and C- reactive protein (CRP), are strong indicators of systemic inflammation. The purpose of this study was, therefore, to investigate the role of increased inflammation in the aetiology of post-operative AF by measuring the plasma levels of these endogenous agents and cytokines before and on the third day after CABG. Patients and methods PATIENTS Consecutive CABG patients from the Department of Cardiovascular Surgery, Medical Faculty, Trakya University were enrolled in this prospective study. Patients were excluded if they underwent procedures in addition to CABG and valve surgery, such as beating heart surgery, or if they had liver or kidney failure, emergency status or a European System for Cardiac Operative Risk Evaluation (EuroSCORE) of For the purposes of analysis, patients were divided into three groups: those with pre- and postoperative sinus rhythm (sinus rhythm group); those with pre-operative sinus rhythm and post-operative AF (postoperative AF group); and those with pre- and post-operative AF (AF group). All patients gave written informed consent. The study protocol was designed in accordance with the Declaration of Helsinki and was approved by the Ethics Committee of Trakya University. TREATMENT AND EVALUATION In addition to routine pre-operative evaluation, echocardiography was performed on all patients. All patients received cold cardioplegic solution with K + antegrade during hypothermic CPB. Surgery involved diverting the left internal mammary artery to form a bypass graft to the left anterior descending artery and/or using saphenous vein grafts for anastomoses to other coronary vessels. Post-operatively, patients who had no complications were cared for in the intensive care unit (ICU) for 2 days. Criteria for discharge from the ICU to the ward included withdrawal of all vasoactive and inotropic infusions, extubation without pulmonary support, and no evidence of major organ failure. Whilst in the ICU, patients were monitored using a six-channel, five-lead standard D-II derivation electrocardiogram (ECG). Pulse rate, arterial tension and body temperature were assessed every 2 h for the first 2 days in the ward and subsequently every 4 h. Every morning, a 12-lead ECG was performed in both the ICU and the ward. If arrhythmia was suspected, a standard ECG was also performed. Routine amiodarone treatment was administered to patients with AF. This comprised an initial 2 h amiodarone infusion (300 mg in 5% dextrose solution) and then a maintenance dose for 3 days (450 mg/day infusion [total dose 1350 mg]), followed by oral amiodarone. The oral dose was tapered as follows: 1200 mg oral amiodarone for the first 3 days; 600 mg for the next 2 weeks; and 200 mg for the next 3 months. All patients received several doses of β-blockers pre-operatively, and acetylsalicylic acid and β-blockers were given on the first post-operative day. Age, gender, body surface area, the presence of diabetes, hypertension, COPD or pre-operative arrhythmia, ejection fraction, 1071
3 drug usage, number of arterial grafts performed, CPB time, aortic cross-clamp time, post-operative mediastinal drainage, and the number of days in the ICU were recorded for each patient. MEASUREMENT OF SYSTEMIC INFLAMMATION Blood samples were taken 1 day before the operation and on the third post-operative day; specimens were immediately placed in glass tubes without anticoagulants or preservatives. The serum was separated by centrifugation, placed in plastic tubes and frozen at 80 C until analysed. Concentrations of E-selectin, P-selectin, IL-6, IL-10, VCAM and CRP were measured using standard enzyme-linked immunosorbent assays. STATISTICAL ANALYSIS All results were analysed by SPSS software (SPSS Inc., Chicago, IL, USA) using the Wilcoxon signed-rank test. A P-value < 0.05 was considered to be statistically significant. Results A total of 77 consecutive CABG patients were enrolled into the study. Of these, 58 (75.3%) had pre- and post-operative sinus rhythm, 13 (16.9%) had pre-operative sinus rhythm and post-operative AF, and six (7.8%) had pre-operative AF that continued into the post-operative period. Treatment with intravenous and oral amiodarone restored normal sinus rhythm in all 13 of the 71 patients (18.3%) who developed postoperative AF. Demographic and pre-operative data and operative parameters for each of the three groups of patients are given in Tables 1 and 2. There were no statistically significant differences between the groups in terms of age, gender, body surface area, presence of hypertension or COPD, β-blocker usage or left ventricular ejection fraction. With regards to operative parameters, there were no significant differences between the groups in the number of distal anastomoses, total CPB time or aortic cross-clamp time. There was, however, significantly more mediastinal drainage, indicating greater post-operative blood loss, in the postoperative AF group compared with the other two groups (P < 0.05). TABLE 1: Demographic and pre-operative characteristics of patients undergoing coronary artery bypass grafting Sinus rhythm Post-operative group AF group AF group (n = 58) (n = 13) (n = 6) Age (mean ± SD) (years) 57 ± ± 9 63 ± 13 Gender (n) Male Female Body surface area (mean ± SD) (m 2 ) 1.8 ± ± ± 0.2 Hypertension 41% 46% 50% COPD 8% 15% 16% β-blocker usage 100% 100% 100% Left ventricular ejection fraction (mean ± SD) 54 ± 11% 49 ± 8% 46 ± 9% COPD, chronic obstructive pulmonary disease. 1072
4 TABLE 2: Operative parameters in patients undergoing coronary artery bypass grafting Sinus rhythm Post-operative group AF group AF group (n = 58) (n = 13) (n = 6) Number of distal anastomoses 2.9 ± ± ± 0.7 Cardiopulmonary bypass time (min) 100 ± ± ± 14 Aortic cross-clamp time (min) 55 ± ± 2 53 ± 6 Mediastinal drainage (ml) 723 ± ± 642* 698 ± 457 Values given are means ± SD. *P < 0.05 compared with the sinus rhythm and AF groups. Pre- and post-operative plasma levels of E- selectin, P-selectin, IL-6, IL-10, VCAM and CRP are shown in Table 3. Although the pre- and post-operative plasma E-selectin levels were not significantly different in the sinus rhythm and AF groups, the post-operative E-selectin level was significantly lower than the preoperative level in the post-operative AF group (P < 0.05). Pre- and post-operative plasma P- selectin levels did not differ significantly in any of the groups. Post-operative plasma IL-6 levels were, however, more than three-fold higher than pre-operative levels in all three groups (P < 0.05 P < 0.01). Similarly, plasma IL-10 levels were also significantly increased post-operatively in all three groups (P < 0.05 P < 0.01). Pre- and post-operative VCAM levels differed significantly in the sinus rhythm group, but not in the other two groups (P < 0.05). Post-operative CRP values were significantly higher than pre-operative levels in all three groups (P < 0.01). There were no significant differences in the levels of any of the above-mentioned parameters between the groups, apart from the pre-operative IL-10 level, which was significantly lower in the AF group than in the other two groups (P < 0.05). TABLE 3: Pre- (pre-op.) and post-operative (post-op.) plasma E-selectin, P-selectin, interleukin-6 (IL-6), interleukin-10 (IL-10), vascular cell adhesion molecule (VCAM) and C-reactive protein (CRP) levels in patients undergoing coronary artery bypass grafting Sinus rhythm group Post-operative AF group AF group (n = 58) (n = 13) (n = 6) Pre-op. Post-op. Pre-op. Post-op. Pre-op. Post-op. E-selectin (ng/ml) 70 ± 9 67 ± ± 7* 62 ± ± ± 36 P-selectin (ng/ml) 82 ± ± 5 74 ± ± ± ± 30 IL-6 (pg/ml) 9 ± 11* 27 ± ± 19* 38 ± 36 7 ± 3** 26 ± 7 IL-10 (ng/dl) 5 ± 8** 12 ± 15 6 ± 8** 19 ± 13 3 ± 1* 8 ± 6 VCAM (ng/ml) 797 ± 293* 924 ± ± ± ± ± 783 CRP (mg/l) 17 ± 14** 45 ± ± 17** 53 ± ± 9** 47 ± 17 Values given are means ± SD. *P < 0.05 and **P < 0.01 compared with the post-operative value. P < 0.05 compared with the sinus rhythm group and the post-operative AF group. 1073
5 Discussion Post-operative AF is a frequent complication of cardiac operations. 1 5 It requires careful management in order to minimize problems such as a prolonged stay in the ICU, morbidity and resource consumption. Many prospective and retrospective studies suggest that several different risk factors affect the development of AF. 3 6,9 Advanced age, surgical trauma, mediastinal bleeding and the use of β-blocking agents are currently accepted as associated factors. In a retrospective study performed a few years ago, we found that patients with postoperative AF were older and had more postoperative mediastinal bleeding than sinus rhythm patients. 5 In the present study, despite the groups being age-matched, significantly more post-operative mediastinal drainage still occurred in patients with post-operative AF than in the other two groups. It is well known that CPB causes intensive complement activation and disseminated systemic inflammation during the postoperative period. 10,11 Endogenous cytokines have an essential role in this inflammatory response and CRP is a widely known marker of body inflammation that has been used for many years in the diagnosis of infection. An increase in CRP after cardiac surgery is well documented. 14 In the present study postoperative plasma CRP levels showed a statistically significant increase compared with pre-operative values in all three groups. This is important because it indicates that CPB is associated with significant inflammation. The increased CRP level occurred in all three groups, however differences between the groups were not significant. It has been shown that CRP increases in patients with paroxysmal AF; 12,13 however, in the present study, analysis of the CRP levels in the AF and sinus rhythm groups did not suggest an aetiology for the development of post-operative AF. In addition, no relationship was found between the development of AF and plasma CRP levels following open heart surgery in women. 14 E-selectin secretion from plasma endothelial cells and P-selectin secretion from thrombocytes have been frequently reported to be strong indicators of inflammation. 10,11,15,17 The marked alteration in plasma selectin level during CPB is similar to that observed in acute organ dysfunction, atherosclerosis, coronary artery disease, unstable angina pectoris and ischaemic stroke In the present study, the SD for measurement of E- and P-selectin varied widely and this may have contributed to no statistically significant differences between the pre- and post-operative plasma P-selectin levels being detected in any of the three groups, particularly as the mean postoperative P-selectin level in the AF group was quite a lot higher than the pre-operative level. Levels of post-operative plasma E- selectin decreased from pre-operative values, however a statistically significant reduction could be detected only in the post-operative AF group. The mean post-operative E- selectin level in the AF group was also quite a lot lower than the pre-operative level, though not statistically significant. Plasma VCAM is an important indicator of endothelial cell activation and vessel wall inflammation While there was a significant increase between the pre- and post-operative levels of VCAM in the sinus rhythm group in the present study, this was not seen in the other groups and there were no differences between the groups. This suggests that there is no relationship between the development of AF and plasma VCAM level. Perhaps the most important findings of the present study were the changes in 1074
6 plasma IL-6 and IL-10 levels, which significantly increased post-operatively in all groups. This indicates that a disseminated systemic inflammatory response develops in all patients who have undergone open heart surgery, independently of AF. A rapid increase in IL levels early in the postoperative period with a decrease later has previously been reported. 27 In the present study the blood samples were obtained on the third post-operative day, but it is reasonable to suppose that the IL levels were also elevated earlier than this postoperatively. In summary, the present study showed that various pro-inflammatory products, plasma acute phase reactants, inflammatory cytokines and end-products of the vascular inflammatory response were changed following CPB and open heart surgery, which is consistent with the literature. These changes, however, were found not to be related to the presence of AF and we therefore conclude that these markers are not useful indicators of AF development. Post-operative disseminated systemic inflammation was seen in all patients, so the extent to which inflammation has a role in the development of AF following CABG cannot be determined and further investigation is required. Nevertheless, this prospective controlled clinical study is an important step in researching the role of inflammation in the aetiology of AF following CABG. Acknowledgement This study was supported by the Trakya University Research Fund (TUBAP-515; S Canbaz principal investigator). Conflicts of interest The authors had no conflicts of interest to declare in relation to this article. Received for publication 13 April 2008 Accepted subject to revision 16 April 2008 Revised accepted 7 August 2008 Copyright 2008 Field House Publishing LLP References 1 Hogue CW Jr, Hyder ML: Atrial fibrillation after cardiac operation: risks, mechanisms, and treatment. Ann Thorac Surg 2000; 69: Ducceschi V, D Andrea A, Liccardo B, et al: Perioperative clinical predictors of atrial fibrillation occurrence following coronary artery surgery. Eur J Cardiothorac Surg 1999; 16: Waldo AL: Atrial fibrillation following open heart surgery: mechanism and treatment. In: Atrial Fibrillation: Mechanism and Therapeutic Strategies (Olsson SB, Allessia MA, Campbell RWF, eds). New York: Future Publishing Company, 1994; p Maisel WH, Rawn JD, Stevenson WG: Atrial fibrillation after cardiac surgery. Ann Intern Med 2001; 135: Canbaz S, Ege T, Sunar H, et al: Predictors of atrial fibrillation after coronary artery surgery: a retrospective study. Turkish J Thorac Cardiovasc Surg 2000; 8: Czerny M, Baumer H, Kilo J, et al: Inflammatory response and myocardial injury following coronary artery bypass grafting with or without cardiopulmonary bypass. Eur J Cardiothorac Surg 2000; 17: Chung MK: Cardiac surgery: postoperative arrhythmias. Crit Care Med 2000; 28: Kalman JM, Munawar M, Howes LG, et al: Atrial fibrillation after coronary artery bypass grafting is associated with sympathetic activation. Ann Thorac Surg 1995; 60: Kuralay E, Ozal E, Demirkili U, et al: Effect of posterior pericardiotomy on postoperative supraventricular arrhythmias and late pericardial effusion (posterior pericardiotomy). J Thorac Cardiovasc Surg 1999; 118: Asimakopoulos G, Taylor KM: Effects of cardiopulmonary bypass on leukocyte and endothelial adhesion molecules. Ann Thorac Surg 1998; 66: Toft P, Christiansen K, Tønnesen E, et al: Effect of methylprednisolone on the oxidative burst activity, adhesion molecules and clinical outcome following open heart surgery. Scand Cardiovasc J 1997; 31:
7 12 Dernellis J, Panaretou M: C-reactive protein and paroxysmal atrial fibrillation: evidence of the implication of an inflammatory process in paroxysmal atrial fibrillation. Acta Cardiol 2001; 56: Chung MK, Martin DO, Sprecher D, et al: C- reactive protein elevation in patients with atrial arrhythmias: inflammatory mechanisms and persistence of atrial fibrillation. Circulation 2001; 104: Hogue CW Jr, Palin CA, Kailasam R, et al: C- reactive protein levels and atrial fibrillation after cardiac surgery in women. Ann Thorac Surg 2006; 82: Ruchaud-Sparagano MH, Drost EM, Donnelly SC, et al: Potential pro-inflammatory effects of soluble E-selectin upon neutrophil function. Eur J Immunol 1998; 28: Nashef SAM, Roques F, Michel P, et al: European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999;16: Daxecker H, Raab M, Markovic S, et al: Endothelial adhesion molecule expression in an in vitro model of inflammation. Clin Chim Acta 2002; 325: Reinhart K, Bayer O, Brunkhorst F, et al: Markers of endothelial damage in organ dysfunction and sepsis. Crit Care Med 2002; 30(suppl): S302 S Alvaro-González LC, Freijo-Guerrero MM, Sádaba-Garay F: Inflammatory mechanisms, arteriosclerosis and ischemic stroke: clinical data and perspectives. Rev Neurol 2002; 35: [in Spanish, English abstract]. 20 Sablotzki A, Dehne MG, Mann V, et al: Plasma levels of selectins and interleukins in cardiovascular surgery using cardiopulmonary bypass. Thorac Cardiovasc Surg 1999; 47: Hayashi Y, Sawa Y, Nishimura M, et al: P- selectin participates in cardiopulmonary bypass-induced inflammatory response in association with nitric oxide and peroxynitrite production. J Thorac Cardiovasc Surg 2000; 120: Wildhirt SM, Schulze C, Schulz C, et al: Reduction of systemic and cardiac adhesion molecule expression after off-pump versus conventional coronary artery bypass grafting. Shock 2001; 16(suppl 1): Atalar E, Aytemir K, Haznedaroğlu I, et al: Increased plasma levels of soluble selectins in patients with unstable angina. Int J Cardiol 2000; 78: Fries JW, Williams AJ, Atkins RC, et al: Expression of VCAM-1 and E-selectin in an in vivo model of endothelial activation. Am J Pathol 1993; 143: Andresen TK, Svennevig JL, Videm V: Soluble VCAM-1 is a very early marker of endothelial cell activation in cardiopulmonary bypass. Perfusion 2002; 17: Blake GJ, Ridker PM: Novel clinical markers of vascular wall inflammation. Circ Res 2001; 89: Kubala L, Cíz M, Vondrácek J, et al: Perioperative and postoperative course of cytokines and the metabolic activity of neutrophils in human cardiac operations and heart transplantation. J Thorac Cardiovasc Surg 2002; 124: Author s address for correspondence Dr Suat Canbaz Department of Cardiovascular Surgery, Medical Faculty, Trakya University, Edirne, TR 22030, Turkey. s: scanbaz2001@yahoo.com scanbaz@trakya.edu.tr 1076
University of Florida Department of Surgery. CardioThoracic Surgery VA Learning Objectives
University of Florida Department of Surgery CardioThoracic Surgery VA Learning Objectives This service performs coronary revascularization, valve replacement and lung cancer resections. There are 2 faculty
More informationAtrial Fibrillation Predicts Worse Long Time Prognosis after CABG A 6-Year Survival Analysis
Open Journal of Thoracic Surgery, 2012, 2, 18-22 http://dx.doi.org/10.4236/ojts.2012.22006 Published Online June 2012 (http://www.scirp.org/journal/ojts) Atrial Fibrillation Predicts Worse Long Time Prognosis
More informationAssessing Cardiac Risk in Noncardiac Surgery. Murali Sivarajan, M.D. Professor University of Washington Seattle, Washington
Assessing Cardiac Risk in Noncardiac Surgery Murali Sivarajan, M.D. Professor University of Washington Seattle, Washington Disclosure None. I have no conflicts of interest, financial or otherwise. CME
More informationShervin Ziabakhsh Tabary., Asian Journal of Pharmaceutical Technology & Innovation, 02 (05); 2014; 01-08
Shervin Ziabakhsh Tabary., Asian Journal of Pharmaceutical Technology & Innovation, 02 (05); 2014; 01-08 Asian Journal of Pharmaceutical Technology & Innovation ISSN: 2347-8810 Received on: 18-02-2014
More informationCardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition
Cardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition Table of Contents Volume 1 Chapter 1: Cardiovascular Anatomy and Physiology Basic Cardiac
More informationUniversity of Bristol - Explore Bristol Research
Rogers, C., Capoun, R., Scott, L., Taylor, J., Angelini, G., Narayan, P.,... Ascione, R. (2017). Shortening cardioplegic arrest time in patients undergoing combined coronary and valve surgery: results
More informationOff-Pump Cardiac Surgery is not Dead
Off-Pump Cardiac Surgery is not Dead Gonzalo J. Carrizo, M.D. Fellow Cardiothoracic Surgery Division Cardiothoracic Surgery Department of Surgery University of Colorado Hopeman Lectureship September 10,2007
More information2.02 Understand the functions and disorders of the circulatory system
2.02 Understand the functions and disorders of the circulatory system 2.02 Understand the functions and disorders of the circulatory system Essential questions: What are the functions of blood? What are
More informationA case-control study of readmission to the intensive care unit after cardiac surgery
DOI: 0.2659/MSM.88384 Received: 202.04.24 Accepted: 203.0.25 Published: 203.02.28 A case-control study of readmission to the intensive care unit after cardiac surgery Authors Contribution: Study Design
More informationCORONARY ARTERY BYPASS GRAFT (CABG) MEASURES GROUP OVERVIEW
CONARY ARTERY BYPASS GRAFT (CABG) MEASURES GROUP OVERVIEW 2015 PQRS OPTIONS F MEASURES GROUPS: 2015 PQRS MEASURES IN CONARY ARTERY BYPASS GRAFT (CABG) MEASURES GROUP: #43 Coronary Artery Bypass Graft (CABG):
More informationSUPPLEMENTAL MATERIAL
SUPPLEMENTAL MATERIAL Table S1: Number and percentage of patients by age category Distribution of age Age
More informationCommon Codes for ICD-10
Common Codes for ICD-10 Specialty: Cardiology *Always utilize more specific codes first. ABNORMALITIES OF HEART RHYTHM ICD-9-CM Codes: 427.81, 427.89, 785.0, 785.1, 785.3 R00.0 Tachycardia, unspecified
More informationPostoperative atrial fibrillation predicts long-term survival after aortic-valve surgery but not after mitral-valve surgery: a retrospective study
Open Access To cite: Girerd N, Magne J, Pibarot P, et al. Postoperative atrial fibrillation predicts long-term survival after aortic-valve surgery but not after mitral-valve surgery: a retrospective study.
More informationAnalysis of Mortality Within the First Six Months After Coronary Reoperation
Analysis of Mortality Within the First Six Months After Coronary Reoperation Frans M. van Eck, MD, Luc Noyez, MD, PhD, Freek W. A. Verheugt, MD, PhD, and Rene M. H. J. Brouwer, MD, PhD Departments of Thoracic
More informationTHE EFFECT OF AMIODARONE VERSUS PROPANOLOL FOR PROPHY- LAXIS OF ATRIAL FIBRILLATION AFTER CABG IN LOW EF PATIENTS
THE EFFECT OF AMIODARONE VERSUS PROPANOLOL FOR PROPHY- LAXIS OF ATRIAL FIBRILLATION AFTER CABG IN LOW EF PATIENTS Hamid Bigdelian (), Mojgan Gharipour (2), Gholamreza Behdad (), Abolghasem Mirdehghan (),
More informationAtrial fibrillation (AF) is the most frequently encountered postoperative. Fibrillation in patients subjected to coronary artery bypass grafting CSP
Wu et al Cardiopulmonary Support and Physiology Fibrillation in patients subjected to coronary artery bypass grafting Zhong-Kai Wu, MD, PhD a Tiina Iivainen, MD, PhD b Erkki Pehkonen, MD, PhD a Jari Laurikka,
More informationReoperative Coronary Artery Bypass Grafting: Analysis of Early And Late Outcomes
Original Article Reoperative Coronary Artery Bypass Grafting: Analysis of Early And Late Outcomes AR Jodati, MA Yousefnia From Department of Cardiothoracic Surgery, Madani Heart Hospital, Tabriz University
More informationOPCAB IS NOT BETTER THAN CONVENTIONAL CABG
OPCAB IS NOT BETTER THAN CONVENTIONAL CABG Harold L. Lazar, M.D. Harold L. Lazar, M.D. Professor of Cardiothoracic Surgery Boston Medical Center and the Boston University School of Medicine Boston, MA
More informationESC Congress 2011 SIMULTANEOUS HYBRID REVASCULARIZATION OF CAROTID AND CORONARY DISEASE INITIAL RESULTS OF A NEW THERAPEUTIC APPROACH
ESC Congress 2011 SIMULTANEOUS HYBRID REVASCULARIZATION OF CAROTID AND CORONARY DISEASE IN PATIENTS WITH ACUTE CORONARY SYNDROME: INITIAL RESULTS OF A NEW THERAPEUTIC APPROACH AUTHORS: Marta Ponte 1, RICARDO
More informationThe Influence of Previous Percutaneous Coronary Intervention in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting
Original Article The Influence of Previous Percutaneous Coronary Intervention in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting Toshihiro Fukui, MD, Susumu Manabe, MD, Tomoki Shimokawa, MD,
More informationFEV1 predicts length of stay and in-hospital mortality in patients undergoing cardiac surgery
EUROPEAN SOCIETY OF CARDIOLOGY CONGRESS 2010 FEV1 predicts length of stay and in-hospital mortality in patients undergoing cardiac surgery Nicholas L Mills, David A McAllister, Sarah Wild, John D MacLay,
More information(Ann Thorac Surg 2008;85:845 53)
I Made Adi Parmana The utility of intraoperative TEE has become increasingly more evident as anesthesiologists, cardiologists, and surgeons continue to appreciate its potential application as an invaluable
More informationOmega-3 Fatty Acids for Prevention of Post-Operative Atrial Fibrillation
Omega-3 Fatty Acids for Prevention of Post-Operative Atrial Fibrillation Roberto Marchioli, MD, on behalf of the OPERA Investigators American Heart Association, Los Angeles November 5, 2012 Published online
More informationMyocardial enzyme release after standard coronary artery bypass grafting
Cardiopulmonary Support and Physiology Schachner et al Myocardial enzyme release in totally endoscopic coronary artery bypass grafting on the arrested heart Thomas Schachner, MD, a Nikolaos Bonaros, MD,
More informationClinical material and methods. Copyright by ICR Publishers 2007
16847_JHVD_Biancari_3197_(116-121)_r1:Layout 1 21/3/07 17:07 Page 116 Predicting Immediate and Late Outcome after Surgery for Mitral Valve Regurgitation with EuroSCORE Jouni Heikkinen, Fausto Biancari,
More informationImportance of the third arterial graft in multiple arterial grafting strategies
Research Highlight Importance of the third arterial graft in multiple arterial grafting strategies David Glineur Department of Cardiovascular Surgery, Cliniques St Luc, Bouge and the Department of Cardiovascular
More informationChairman and O. Wayne Isom Professor Department of Cardiothoracic Surgery Weill Cornell Medicine
Leonard N. Girardi, M.D. Chairman and O. Wayne Isom Professor Department of Cardiothoracic Surgery Weill Cornell Medicine New York, New York Houston Aortic Symposium Houston, Texas February 23, 2017 weill.cornell.edu
More informationEACTS Adult Cardiac Database
EACTS Adult Cardiac Database Quality Improvement Programme List of changes to Version 2.0, 13 th Dec 2018, compared to version 1.0, 1 st May 2014. INTRODUCTORY NOTES This document s purpose is to list
More informationIntraoperative application of Cytosorb in cardiac surgery
Intraoperative application of Cytosorb in cardiac surgery Dr. Carolyn Weber Heart Center of the University of Cologne Dept. of Cardiothoracic Surgery Cologne, Germany SIRS & Cardiopulmonary Bypass (CPB)
More informationAlfa Ferry FRCS Cardiac Surgeon OPERATIVE MANAGEMENT IN CORONARY ARTERY DISEASE
Alfa Ferry FRCS Cardiac Surgeon OPERATIVE MANAGEMENT IN CORONARY ARTERY DISEASE Management in CHD Medical (medikamentosa) Intervensi 1. Percutaneous ( PTCA & stenting ) 2. Surgical ( CABG, CABG & mitral
More informationAnn Thorac Cardiovasc Surg 2015; 21: Online April 18, 2014 doi: /atcs.oa Original Article
Ann Thorac Cardiovasc Surg 2015; 21: 53 58 Online April 18, 2014 doi: 10.5761/atcs.oa.13-00364 Original Article The Impact of Preoperative and Postoperative Pulmonary Hypertension on Long-Term Surgical
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Kang D-H, Kim Y-J, Kim S-H, et al. Early surgery versus conventional
More informationUse of Magnesium Sulphate in the Prophylaxis of Atrial Fibrillation Post Cardiac Surgery, is it Effective?
Use of Magnesium Sulphate in the Prophylaxis of Atrial Fibrillation Post Cardiac Surgery, is it Effective? Zeyad Alshawabkah MD*, Bahi Hiasat MD*, Mohammad Al Fayez MD*, Razi AbiAnzeh MD*, Wasfi Alabadi
More informationDoes Patient-Prosthesis Mismatch Affect Long-term Results after Mitral Valve Replacement?
Original Article Does Patient-Prosthesis Mismatch Affect Long-term Results after Mitral Valve Replacement? Hiroaki Sakamoto, MD, PhD, and Yasunori Watanabe, MD, PhD Background: Recently, some articles
More informationKinsing Ko, Thom de Kroon, Najim Kaoui, Bart van Putte, Nabil Saouti. St. Antonius Hospital, Nieuwegein, The Netherlands
Minimal Invasive Mitral Valve Surgery After Previous Sternotomy Without Aortic Clamping: Short- and Long Term Results of a Single Surgeon Single Institution Kinsing Ko, Thom de Kroon, Najim Kaoui, Bart
More informationIs bypass surgery needed for elderly patients with LMT disease? From the surgical point of view
CCT 2003 (Kobe) Is bypass surgery needed for elderly patients with LMT disease? From the surgical point of view Hitoshi Yaku, MD, PhD Department of Cardiovascular Surgery Kyoto Prefectural University of
More informationInteresting Cases - A Case Report: Renal Cell Carcinoma With Tumor Mass In IVC And Heart. O Wenker, L Chaloupka, R Joswiak, D Thakar, C Wood, G Walsh
ISPUB.COM The Internet Journal of Thoracic and Cardiovascular Surgery Volume 3 Number 2 Interesting Cases - A Case Report: Renal Cell Carcinoma With Tumor Mass In IVC And Heart O Wenker, L Chaloupka, R
More informationCoronary Artery Bypass Graft: Monitoring Patients and Detecting Complications
Coronary Artery Bypass Graft: Monitoring Patients and Detecting Complications Madhav Swaminathan, MD, FASE Professor of Anesthesiology Division of Cardiothoracic Anesthesia & Critical Care Duke University
More informationRemodeling of the Remnant Aorta after Acute Type A Aortic Dissection Surgery
Remodeling of the Remnant Aorta after Acute Type A Aortic Dissection Surgery Are Young Patients More Likely to Develop Adverse Aortic Remodeling of the Remnant Aorta Over Time? Suk Jung Choo¹, Jihoon Kim¹,
More informationComplicanze aritmiche in riabilitazione dopo CCH.
Complicanze aritmiche in riabilitazione dopo CCH www.fisiokinesiterapia.biz Post-Operative Atrial Fibrillation The rate of AF after cardiac surgery in the 1970s was about 10%, and is now consistently at
More informationThe incidence and risk factors of arrhythmias in the early period after cardiac surgery in pediatric patients
The Turkish Journal of Pediatrics 2008; 50: 549-553 Original The incidence and risk factors of arrhythmias in the early period after cardiac surgery in pediatric patients Selman Vefa Yıldırım 1, Kürşad
More informationPostoperative Atrial Fibrillation after Coronary Artery Bypass Grafting
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1391 Postoperative Atrial Fibrillation after Coronary Artery Bypass Grafting Risk factors and clinical outcome EMMA
More informationCost-effectiveness of minimally invasive coronary artery bypass surgery Arom K V, Emery R W, Flavin T F, Petersen R J
Cost-effectiveness of minimally invasive coronary artery bypass surgery Arom K V, Emery R W, Flavin T F, Petersen R J Record Status This is a critical abstract of an economic evaluation that meets the
More informationThe operative mortality rate after redo valvular operations
Clinical Outcomes of Redo Valvular Operations: A 20-Year Experience Naoto Fukunaga, MD, Yukikatsu Okada, MD, Yasunobu Konishi, MD, Takashi Murashita, MD, Mitsuru Yuzaki, MD, Yu Shomura, MD, Hiroshi Fujiwara,
More informationProf. Patrizio LANCELLOTTI, MD, PhD Heart Valve Clinic, University of Liège, CHU Sart Tilman, Liège, BELGIUM
The Patient with Aortic Stenosis and Mitral Regurgitation Prof. Patrizio LANCELLOTTI, MD, PhD Heart Valve Clinic, University of Liège, CHU Sart Tilman, Liège, BELGIUM Aortic Stenosis + Mitral Regurgitation?
More informationEmergency surgery in acute coronary syndrome
Emergency surgery in acute coronary syndrome Teerawoot Jantarawan Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
More informationSetting The setting was a hospital. The economic study was carried out in Australia.
Coronary artery bypass grafting (CABG) after initially successful percutaneous transluminal coronary angioplasty (PTCA): a review of 17 years experience Barakate M S, Hemli J M, Hughes C F, Bannon P G,
More informationRight Coronary Artery Stenosis: An Independent Predictor of Atrial Fibrillation After Coronary Artery Bypass Surgery
198 JACC Vol. 25, No. l January 1995:198-202 Right Coronary Artery Stenosis: An Independent Predictor of Atrial Fibrillation After Coronary Artery Bypass Surgery LISA A. MENDES, MD, GILBERT P. CONNELLY,
More informationDiagnostic, Technical and Medical
Diagnostic, Technical and Medical Approaches to Reduce CABG Related Stroke Pieter Kappetein, Michael Mack, M.D. Dept Thoracic Surgery, Rotterdam, The Netherlands Baylor Healthcare System Dallas, TX Background
More informationCardiology/Cardiothoracic
Cardiology/Cardiothoracic ICD-9-CM to ICD-10-CM Code Mapper 800-334-5724 www.contexomedia.com 2013 ICD-9-CM 272.0 Pure hypercholesterolemia 272.2 Mixed hyperlipidemia 272.4 Other and hyperlipidemia 278.00
More informationCopyright by ICR Publishers 2005
Does EuroSCORE Predict Length of Stay and Specific Postoperative Complications after Heart Valve Surgery? Ioannis K. Toumpoulis 1,2, Constantine E. Anagnostopoulos 1,2 1 Columbia University College of
More informationΒΙΟΔΕΙΚΤΕΣ ΣΤΗΝ ΚΑΡΔΙΑΚΗ ΑΝΕΠΑΡΚΕΙΑ. ΔΗΜΗΤΡΙΟΣ ΤΟΥΣΟΥΛΗΣ Καθηγητής Καρδιολογίας
ΕΘΝΙΚΟ ΚΑΙ ΚΑΠΟΔΙΣΤΡΙΑΚΟ ΠΑΝΕΠΙΣΤΗΜΙΟ ΑΘΗΝΩΝ ΙΑΤΡΙΚΗ ΣΧΟΛΗ Ά ΚΑΡΔΙΟΛΟΓΙΚΗ ΚΛΙΝΙΚΗ Διευθυντής: Καθηγητής Δημήτριος Τούσουλης ΒΙΟΔΕΙΚΤΕΣ ΣΤΗΝ ΚΑΡΔΙΑΚΗ ΑΝΕΠΑΡΚΕΙΑ ΔΗΜΗΤΡΙΟΣ ΤΟΥΣΟΥΛΗΣ Καθηγητής Καρδιολογίας
More informationManagement of Postoperative Atrial Fibrillation
Management of Postoperative Atrial Fibrillation Stephen D. Cassivi, MD MSc FRCSC FACS Professor of Surgery Vice Chair Department of Surgery cassivi.stephen@mayo.edu Financial Relationship / Conflict of
More informationThe European System for Cardiac Operative Risk. Validation of EuroSCORE II in Patients Undergoing Coronary Artery Bypass Surgery
Validation of EuroSCORE II in Patients Undergoing Coronary Artery Bypass Surgery Fausto Biancari, MD, PhD, Francesco Vasques, MS, Reija Mikkola, MS, Marta Martin, MS, Jarmo Lahtinen, MD, PhD, and Jouni
More informationAtrial fibrillation (AF) is a disorder seen
This Just In... An Update on Arrhythmia What do recent studies reveal about arrhythmia? In this article, the authors provide an update on atrial fibrillation and ventricular arrhythmia. Beth L. Abramson,
More information2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Bypass Graft (CABG) (for patients aged 18 years and older)
2016 Physician Quality Reporting System Data Collection Form: Coronary Artery Bypass Graft (CABG) (for patients aged 18 years and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse
More informationSurgical Management of TOF in Adults. Dr Flora Tsang Associate Consultant Department of Cardiothoracic Surgery Queen Mary Hospital
Surgical Management of TOF in Adults Dr Flora Tsang Associate Consultant Department of Cardiothoracic Surgery Queen Mary Hospital Tetralogy of Fallot (TOF) in Adults Most common cyanotic congenital heart
More informationARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM. General Instructions: ID NUMBER: FORM NAME: H F A DATE: 10/13/2017 VERSION: CONTACT YEAR NUMBER:
ARIC HEART FAILURE HOSPITAL RECORD ABSTRACTION FORM General Instructions: The Heart Failure Hospital Record Abstraction Form is completed for all heart failure-eligible cohort hospitalizations. Refer to
More informationSelected age-associated changes in the cardiovascular system
Selected age-associated changes in the cardiovascular system Tamara Harris, M.D., M.S. Chief, Interdisciplinary Studies of Aging Acting Co-Chief, Laboratory of Epidemiology and Population Sciences Intramural
More informationClinical Problem. Management. Discussion
Optimum management of atrial fibrillation in the Intensive Care Unit Clinical Problem A 61 year old man, PD, presented to the Intensive Care Unit (ICU) after angiography and intra arterial thrombolysis
More informationUseful? Definition of High-risk? Pre-OP/Intra-OP/Post-OP? Complication vs Benefit? Mortality? Morbidity?
Preoperative intraaortic balloon counterpulsation in high-risk CABG Stefan Klotz, M.D. Preoperative IABP in high-risk CABG Questions?? Useful? Definition of High-risk? Pre-OP/Intra-OP/Post-OP? Complication
More informationMinimally Invasive Stand Alone Cox-Maze Procedure For Patients With Non-Paroxysmal Atrial Fibrillation
Minimally Invasive Stand Alone Cox-Maze Procedure For Patients With Non-Paroxysmal Atrial Fibrillation Niv Ad, MD Chief, Cardiac Surgery Inova Heart and Vascular Institute Disclosures Niv Ad: Medtronic
More informationCABG in the Post-Aprotinin Era: Are We Doing Better? Ziv Beckerman, David Kadosh, Zvi Peled, Keren Bitton-Worms, Oved Cohen and Gil Bolotin
CABG in the Post-Aprotinin Era: Are We Doing Better? Ziv Beckerman, David Kadosh, Zvi Peled, Keren Bitton-Worms, Oved Cohen and Gil Bolotin DISCLOSURES None Objective(s): Our department routinely used
More informationAdult Cardiac Surgery
Adult Cardiac Surgery Mahmoud ABU-ABEELEH Associate Professor Department of Surgery Division of Cardiothoracic Surgery School of Medicine University Of Jordan Adult Cardiac Surgery: Ischemic Heart Disease
More informationTSDA ACGME Milestones
TSDA ACGME Milestones Short MW and Edwards JA. Assessing resident milestones using a CASPE March 2012 Short MW and Edwards JA. Assessing resident milestones using a CASPE March 2012 Short
More informationRetrospective Study Of Redo Cardiac Surgery In A Single Centre. R Karthekeyan, K Selvaraju, L Ramanathan, M Rakesh, S Rao, M Vakamudi, K Balakrishnan
ISPUB.COM The Internet Journal of Anesthesiology Volume 12 Number 2 Retrospective Study Of Redo Cardiac Surgery In A Single Centre R Karthekeyan, K Selvaraju, L Ramanathan, M Rakesh, S Rao, M Vakamudi,
More informationDR ALEXIA STAVRATI CARDIOLOGIST, DIRECTOR OF CARDIOLOGY DEPT, "G. PAPANIKOLAOU" GH, THESSALONIKI
The Impact of AF on Natural History of CAD DR ALEXIA STAVRATI CARDIOLOGIST, DIRECTOR OF CARDIOLOGY DEPT, "G. PAPANIKOLAOU" GH, THESSALONIKI CAD MOST COMMON CARDIOVASCULAR DISEASE MOST COMMON CAUSE OF DEATH
More informationAtrial Fibrillation and the NOAC s. John Raymond MS, PA-C, MHP February 10, 2018
Atrial Fibrillation and the NOAC s John Raymond MS, PA-C, MHP February 10, 2018 Pathogenesis EPIDEMIOLOGY Arrhythmia-related hospitalisations in the US Ventricular fibrillation 2% Atrial fibrillation 34%
More informationAtrial fibrillation (AF) is a common arrhythmia in patients undergoing
original article Impact of atrial fibrillation on long-term survival after cardiac valve surgery with or without coronary artery bypass Nasir Shariff MD FRCP 1,2, Vadim Levin MD 1, Abdul Bari Akbar MBBS
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Ablation, radiofrequency, anesthetic considerations for, 479 489 Acute aortic syndrome, thoracic endovascular repair of, 457 462 aortic
More informationDoes ambroxol confer a protective effect on the lungs in patients undergoing cardiac surgery or having lung resection?
Interactive CardioVascular and Thoracic Surgery 18 (2014) 830 834 doi:10.1093/icvts/ivu061 Advance Access publication 12 March 2014 BEST EVIDENCE TOPIC THORACIC Does ambroxol confer a protective effect
More informationThe Response to Antiarrhythmia Therapy with Amiodarone in Diabetic Patients Undergoing Coronary Artery Bypass Grafting
ISPUB.COM The Internet Journal of Cardiology Volume 1 Number 2 The Response to Antiarrhythmia Therapy with Amiodarone in Diabetic Patients Undergoing Coronary Artery Bypass Grafting M Tamim, N Erdil, U
More informationCORONARY ARTERY BYPASS GRAFT
CORONARY ARTERY BYPASS GRAFT Coronary artery disease develops because of hardening of the arteries (arteriosclerosis) that supply blood to the heart muscle. In the diagnosis of coronary artery disease,
More informationPrognostic Value of Left Ventricular Myocardial Performance Index in Patients Undergoing Coronary Artery Bypass Graft Surgery
Arch Iranian Med 2008; 11 (5): 497 501 Original Article Prognostic Value of Left Ventricular Myocardial Performance Index in Patients Undergoing Coronary Artery Bypass Graft Surgery Daryoosh Javidi MD
More informationThe MAIN-COMPARE Study
Long-Term Outcomes of Coronary Stent Implantation versus Bypass Surgery for the Treatment of Unprotected Left Main Coronary Artery Disease Revascularization for Unprotected Left MAIN Coronary Artery Stenosis:
More informationIschemic Ventricular Septal Rupture
Ischemic Ventricular Septal Rupture Optimal Management Strategies Juan P. Umaña, M.D. Chief Medical Officer FCI Institute of Cardiology Disclosures Abbott Mitraclip Royalties Johnson & Johnson Proctor
More informationManaging Hypertension in the Perioperative Arena
Managing Hypertension in the Perioperative Arena Optimizing Perioperative Management Strategies for Hypertension in the Cardiac Surgical Patient Objectives: Treatment of hypertensive emergencies. ALBERT
More informationIndex. cardiology.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A AADs. See Antiarrhythmic drugs (AADs) ACE inhibitors. See Angiotensin-converting enzyme (ACE) inhibitors ACP in transseptal approach to
More informationValue of serum magnesium estimation in diagnosing myocardial infarction and predicting dysrhythmias after coronary artery bypass grafting
Thorax 1983;38:946-95 Value of serum magnesium estimation in diagnosing myocardial infarction and predicting dysrhythmias after coronary artery bypass grafting RICHARD W BUNTON From the Department of Cardiothoracic
More informationPreoperative Serum Bicarbonate Levels Predict Acute Kidney Iinjry after Cardiac Surgery
International Journal of ChemTech Research CODEN (USA): IJCRGG, ISSN: 0974-4290, ISSN(Online):2455-9555 Vol.11 No.06, pp 203-208, 2018 Preoperative Serum Bicarbonate Levels Predict Acute Kidney Iinjry
More informationTransient Atrial Fibrillation and Risk of Stroke after Acute Myocardial Infarction
Transient Atrial Fibrillation and Risk of Stroke after Acute Myocardial Infarction Doron Aronson MD, Gregory Telman MD, Fadel BahouthMD, Jonathan Lessick MD, DSc and Rema Bishara MD Department of Cardiology
More informationOn-Pump vs. Off-Pump CABG: The Controversy Continues. Miguel Sousa Uva Immediate Past President European Association for Cardiothoracic Surgery
On-Pump vs. Off-Pump CABG: The Controversy Continues Miguel Sousa Uva Immediate Past President European Association for Cardiothoracic Surgery On-pump vs. Off-Pump CABG: The Controversy Continues Conflict
More informationWho Gets Atrial Fibrilla9on..?
Birmingham October 20 th 2013 AFA Pa9ents Day Symptoma9c Atrial Fibrilla9on What therapies are available? GENERAL BACKGROUND Andrew Grace Papworth Hospital and University of Cambridge Consultant: Medtronic
More informationEdgar Hernández-Leiva 1*, Rodolfo Dennis 2, Daniel Isaza 3 and Juan Pablo Umaña 4
Hernández-Leiva et al. Journal of Cardiothoracic Surgery 2013, 8:170 RESEARCH ARTICLE Open Access Hemoglobin and B-type natriuretic peptide preoperative values but not inflammatory markers, are associated
More informationPCI in Patients with Transplant Coronary Artery Disease. Michael S. Lee, MD, FACC, FSCAI Assistant Professor UCLA School of Medicine
PCI in Patients with Transplant Coronary Artery Disease Michael S. Lee, MD, FACC, FSCAI Assistant Professor UCLA School of Medicine Faculty Disclosure Honararia for Boston Scientific, BMS, Daiichi Sankyo,
More informationTransfusion & Mortality. Philippe Van der Linden MD, PhD
Transfusion & Mortality Philippe Van der Linden MD, PhD Conflict of Interest Disclosure In the past 5 years, I have received honoraria or travel support for consulting or lecturing from the following companies:
More informationIndex. Note: Page numbers of article titles are in boldface type
Index Note: Page numbers of article titles are in boldface type A Acute coronary syndrome, perioperative oxygen in, 599 600 Acute lung injury (ALI). See Lung injury and Acute respiratory distress syndrome.
More informationConventional CABG Or On Pump Beating Heart: A Difference In Myocardial Injury?
Conventional CABG Or On Pump Beating Heart: A Difference In Myocardial Injury? Kornelis J. Koopmans Medical Center Leeuwarden Leeuwarden, The Netherlands I have no disclosures Disclosures Different techniques
More informationPredictors of atrial fibrillation in patients following isolated surgical revascularization. A metaanalysis of 9 studies with patients
Clinical research Predictors of atrial fibrillation in patients following isolated surgical revascularization. Maciej Banach 1, Małgorzata Misztal 2, Aleksander Goch 1, Jacek Rysz 3, Jan H. Goch 1 1Department
More informationThe Incidence and Predictors of Postoperative Atrial Fibrillation After Noncardiothoracic Surgery
ORIGINAL ARTICLE DOI 10.4070 / kcj.2009.39.3.100 Print ISSN 1738-5520 / On-line ISSN 1738-5555 Copyright c 2009 The Korean Society of Cardiology The Incidence and Predictors of Postoperative Atrial Fibrillation
More informationPRE Operative Care of the High Risk Surgical Patient. Dr A T Dewhurst Consultant Anaesthetist St George s Hospital London
PRE Operative Care of the High Risk Surgical Patient Dr A T Dewhurst Consultant Anaesthetist St George s Hospital London Perioperative Optimization Shoemaker oxygen delivery goal directed therapy ITS NOT
More informationControversies with regard to 'upstream therapy of atrial fibrillation
Controversies with regard to 'upstream therapy of atrial fibrillation Barbara Casadei Department of Cardiovascular Medicine John Radcliffe Hospital University of Oxford No conflict of interest to declare
More informationResults and Treatment Strategy for Patients Undergoing Emergent Coronary Artery Bypass Grafting
Original Article Results and Treatment Strategy for Patients Undergoing Emergent Coronary Artery Bypass Grafting Stefan Christiansen, MD, and Rüdiger Autschbach, MD Background: Emergent coronary artery
More informationProcess Measure: Screening for Adult Obstructive Sleep Apnea
Process Measure: Screening for Adult Obstructive Sleep Apnea Measure Description Description Type of Measure All patients aged 18 years and older at high risk for obstructive sleep apnea (OSA) with documentation
More informationCatheter Ablation: Atrial fibrillation (AF) is the most common. Another Option for AF FAQ. Who performs ablation for treatment of AF?
: Another Option for AF Atrial fibrillation (AF) is a highly common cardiac arrhythmia and a major risk factor for stroke. In this article, Dr. Khan and Dr. Skanes detail how catheter ablation significantly
More informationOPCABG for Full Myocardial Revascularisation How we do it
OPCABG for Full Myocardial Revascularisation How we do it 28 th SHA Conferance Dr.Farouk Oueida Head of Cardiac Surgery Dept. SBCC-Dammam KSA The Less Invasive CABG Full Revascularisation Full Sternotomy
More informationSevere Coronary Vasospasm Complicated with Ventricular Tachycardia
Severe Coronary Vasospasm Complicated with Ventricular Tachycardia Göksel Acar, Serdar Fidan, Servet İzci and Anıl Avcı Kartal Koşuyolu High Specialty Education and Research Hospital, Cardiology Department,
More informationMinimally invasive aortic valve replacement in high risk patient groups
Review Article Minimally invasive aortic valve replacement in high risk patient groups Daniel Fudulu, Harriet Lewis, Umberto Benedetto, Massimo Caputo, Gianni Angelini, Hunaid A. Vohra Department of Cardiac
More informationComparison between inter atrial and trans-septal approach in mitral valve surgery
International Journal of Advances in Medicine Altaani HA et al. Int J Adv Med. 2016 May;3(2):229-233 http://www.ijmedicine.com pissn 2349-3925 eissn 2349-3933 Research Article DOI: http://dx.doi.org/10.18203/2349-3933.ijam20160467
More informationSupplementary Online Content
1 Supplementary Online Content Friedman DJ, Piccini JP, Wang T, et al. Association between left atrial appendage occlusion and readmission for thromboembolism among patients with atrial fibrillation undergoing
More information