Research Article

Effect of Preoperative Atrial Fibrillation on Postoperative Outcome following Cardiac Surgery

Table 1

Preoperative variables among sinus rhythm and atrial fibrillation patients ( ).

VariableAtrial fibrillation ( )Normal rhythm ( ) -value

Age (years)
 Mean ± SD <0.001
Gender
 Female126 (31%)808 (24%) 0.004
Euro SCORE (additive)
 Mean ± SD <0.001
Angina class (CCS)
 CCS 3-4179 (43%)1777 (53%)<0.001
NYHA score
 Moderate-severe277 (67%)1344 (40%)<0.001
Congestive cardiac failure203 (49%)469 (14%) <0.001
Number of previous MI
 None294 (71%)2032 (60%) <0.001
 One92 (22%)1103 (33%)
 Two or more27 (7%)229 (7%)
Interval of MI to surgery
 None294 (71%)2032 (60%) <0.001
 <90 days62 (15%)591 (18%)
 >90 days57 (14%)741 (22%)
Diabetes mellitus76 (18%)601 (18%) 0.789
Hypercholeterolemia210 (51%)2359 (70%) <0.001
Hypertension228 (55%)1816 (54%) 0.638
Smoking status
 Current smoker42 (10%)532 (16%) 0.007
 Former smoker226 (55%)1787 (53%)
 None smoker145 (35%)1045 (31%)
Renal failure51 (12%)172 (5%) <0.001
Chronic obstructive pulmonary disease 65 (16%)295 (9%)<0.001
Cerebrovascular accident36 (9%)175 (5%) 0.003
Peripheral vascular disease63 (15%)541 (16%) 0.665
Extracardiac arteriopathy24 (6%)189 (6%) 0.873
Extent coronary artery
disease
 Single/double vessel101 (24%)770 (23%)
 Triple vessel159 (39%)2140 (64%) <0.001
 None153 (37%)454 (13%)
Left main stem disease67 (16%)823 (24%) <0.001
Ejection fraction
 <50%209 (51%)1198 (36%) <0.001
 >50%204 (49%)2166 (64%)
Intra-aortic balloon pump7 (2%)34 (1%) 0.206
Operative priority
 Elective/urgent394 (95%)3252 (97%)
 Emergency/salvage19 (5%)112 (3%) 0.183
Cardiac procedure
 CABG140 (34%)2624 (78%)
 CABG + valve102 (25%)263 (8%) <0.001
 Valve171 (41%)477 (14%)
BMI (kg/m2)
 Mean ± SD 0.003
Cardiopulmonary bypass
time (min)
 Mean ± SD <0.001
Cross-clamp time (min)
 Mean ± SD <0.001

BMI: body mass index.
CABG: coronary artery bypass graft.
CCS: canadian cardiovascular society.
MI: myocardial infarction.
NYHA: New York heart association.