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• W2157364749 abstract "Background: Atrial fibrillation (AF) remains the most common cardiac arrhythmia encountered after coronary artery bypass grafting (CABG) and leads to a significant source of morbidity and mortality after the surgery. Due to its involving less manipulation of the atria, off-pump CABG was thought to have a lower incidence of postoperative AF compared with on-pump CABG. Methods: Two hundred and twenty-five patients (154 male) underwent CABG. Preoperative permanent AF patients were excluded (n=12). Group 1 consisted of 78 patients (53 male, 68.6±11.9 years old; 25 female, 70.7±7.9 years old) who received off-pump CABG, and group 2 included 135 patients (93 male, 72.1±10.1 years old; 42 female, 72.3±7.9 years old) who underwent on-pump CABG with cardiopulmonary bypass (CPB) during the same study period. The incidence and predictors of postoperative AF were analyzed. Results: AF developed in 60 cases (28.2%) after CABG. There were higher incidence of myocardial infarction, history of paroxysmal atrial fibrillation, NYHA Fc≧2, β-blocker use, and longer intubation in the on-pump group compared with the off-pump group. However, there was no significant difference relating to the incidence of AF between off-pump (23.1%) and on-pump (31.1%) groups. The predictors of AF were old age (＞65 years, OR: 5.008, 95% CI: 1.4-17.9, p=0.013), history of paroxysmal AF (OR: 7.851, 95%CI: 2.4-25.6, p=0.001) and prolonged postoperative intubation days (＞3 days, OR: 5.303, 95%CI: 2.2-13.1, p＜0.001). Conclusion: In this retrospective study, off-pump CABG surgery did not decrease the incidence of postoperative AF." @default.
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• W2157364749 date "2006-12-01" @default.
• W2157364749 modified "2023-09-23" @default.
• W2157364749 title "Can Off-Pump Coronary Artery Bypass Graft Surgery Decrease the Incidence of Postoperative Atrial Fibrillation?" @default.
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