TY - JOUR AU - Arslan, Gokhan AU - Erol, Gokhan AU - Kartal, Hakan AU - Demirdas, Ertan AU - Bolcal, Cengiz PY - 2021/07/27 Y2 - 2024/03/29 TI - The Incidence of Atrial Fibrillation after On-Pump Versus Off-Pump Coronary Artery Bypass Grafting: Effects of pump and off-pump CABG on postoperative atrial fibrillation JF - The Heart Surgery Forum JA - HSF VL - 24 IS - 4 SE - DO - 10.1532/hsf.3873 UR - https://journal.hsforum.com/index.php/HSF/article/view/3873 SP - E645-E650 AB - <p class="p1"><span class="s1"><strong>Background:</strong> This study aimed to investigate the incidence of postoperative atrial fibrillation (POAF) in patients undergoing off-pump versus on-pump coronary artery bypass grafting (CABG) under cardiopulmonary bypass (CPB).</span></p><p class="p1"><span class="s1"><strong>Methods:</strong> A total of 3,197 consecutive patients (1,816 males, 1,381 females; mean age: 60.8 ± 9.8 years) with preoperative sinus rhythm who underwent CABG at a cardiovascular surgery clinic between November 2009 and March 2014 retrospectively were analyzed. Of the patients, 1,680 underwent on-pump and 1,517 underwent off-pump cardiac surgery. Data, including demographic characteristics, preoperative risk factors, preoperative medications, laboratory test results, postoperative data and complications, and mortality and morbidity rates, were recorded.</span></p><p class="p1"><span class="s1"><strong>Results:</strong> According to the multivariate analysis, the type of operation, number of anastomoses, right coronary artery or right coronary posterior descending artery graft, vasopressor therapy (epinephrine, norepinephrine), operation duration, age &gt;60 years, hypertension, length of hospital stay &gt;4 days, and obstructive sleep apnea syndrome (OSAS) were the independent predictors of POAF after CABG. Our study results suggest that on-pump CABG under CPB is correlated with POAF.</span></p><p class="p1"><span class="s1"><strong>Conclusion:</strong> We recommend using off-pump CABG in select cases to minimize the risk of POAF.</span></p> ER -