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Year : 2019  |  Volume : 63  |  Issue : 6  |  Page : 512  

Incidence and risk factors for development of atrial fibrillation after cardiac surgery under cardiopulmonary bypass


Topiwala National Medical College and B.Y. L. Nair Ch. Hospital, Mumbai Central, Mumbai, Maharashtra, India

Date of Web Publication11-Jun-2019

Correspondence Address:
Dr. Sona Dave
Topiwala National Medical College and B.Y. L. Nair Ch. Hospital, Mumbai Central, Mumbai - 400 008, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_426_19

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How to cite this article:
Dave S. Incidence and risk factors for development of atrial fibrillation after cardiac surgery under cardiopulmonary bypass. Indian J Anaesth 2019;63:512

How to cite this URL:
Dave S. Incidence and risk factors for development of atrial fibrillation after cardiac surgery under cardiopulmonary bypass. Indian J Anaesth [serial online] 2019 [cited 2019 Aug 20];63:512. Available from: http://www.ijaweb.org/text.asp?2019/63/6/512/259944



Sir,

Thank you for taking interest in the article and sending comments across. Post operative atrial fibrillation (POAF) is the most common perioperative arrhythmia which may develop as a result of adrenergic stimulation or systemic inflammation in the perioperative period in the presence of susceptible myocardium or electrolyte abnormalities. Though postoperative inflammation is a major cause of POAF.[1] since we had not tested any of the markers for inflammation, it had not been included in the study.

Hidayet et al. in their study stated that three-dimensional (3D) echocardiography can be used as a noninvasive method to show subclinical atrial volume and mechanical dysfunction in patients undergoing coronary artery bypass graft. Also, blood levels of NT-pro ANP in POAF group are increased in patients developing POAF.[2] Neither 3D echos nor NT-pro ANP are done for our patients. They would have been useful predictive tools for development of POAF.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Weymann A, Popov AF, Sabashnikov A, Ali-Hasan-Al-Saegh S, Ryazanov M, Tse G, et al. Baseline and postoperative levels of C-reactive protein and interleukins as inflammatory predictors of atrial fibrillation following cardiac surgery: A systematic review and meta-analysis. Kardiol Pol 2018;76:440-1.  Back to cited text no. 1
    
2.
Hidayet Ş, Yaǧmur J, Bayramoǧlu A, Taşolar MH, Kurtoǧlu E, Özyalın F. Prediction of postoperative atrial fibrillation with left atrial mechanical functions and NT-pro ANP levels after coronary artery bypass surgery: A three-dimensional echocardiography study. Echocardiography 2018;35:661-6.  Back to cited text no. 2
    




 

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