Research Article
Is there a seasonal feature of new onset atrial fibrillation after coronary artery bypass graft surgery?
Abstract
Objective: Atrial fibrillation (AF) is seen very
common after cardiac surgery. Postoperative AF occurrence increases mortality
and morbidity. Deterioration of clinical condition of the patients results
prolongation of hospital stay and increases economic burden. Many risk factors
that have an impact on the development of postoperative AF are known. Low
vitamin D level has been added to these factors in recent years. Blood serum
levels of vitamin D is varied seasonally. Therefore, these factors can be
expected to have a seasonal effect on development of postoperative AF. The aim
of this study is to investigate the presence of annual features of
postoperative AF.
Method: This study is a retrospective analysis of
patients who developed atrial fibrillation after coronary artery bypass graft
surgery in Cardiovascular Surgery Department of Sivas Cumhuriyet University
between 2017 and 2019 years. The study started after decision of Sivas
Cumhuriyet University Local Ethics Committee No. 2019-04/04. Preoperative,
intraoperative and postoperative parameters of the patients were evaluated. 39 patients
who developed atrial fibrillation after coronary artery bypass graft surgery
included the study. Statistical analyses were performed according to the
seasons of atrial fibrillation which developed after coronary artery bypass
grafting.
Results: Postoperative AF
development is observed seasonally most often in winter and less in summer.
However, the seasonal incidence is similar in autumn and spring. On the other
hand, postoperative AF was observed more frequently in males (69,2%) than
females (30,8%).
Conclusions: Postoperative
atrial fibrillation showed a seasonal difference. This difference supports the
relationship between vitamin D deficiency/insufficiency and postoperative AF
development.
Project Number
yok
References
- 1. Kupari M, Koskinen P. Seasonal variation in occurrence of acute atrial fibrillation and relation to air temperature and sale of alcohol. Am J Cardiol 1990;66:1519–20.
- 2. Watanabe E, Kuno Y, Takasuga H, Tong M, Sobue Y, Uchiyama T, et al. Seasonal variation in paroxysmal atrial fibrillation documented by 24-hour Holter electrocardiogram. Heart Rhythm 2007;4:27–31.
- 3. Cerit L, Kemal H, Gulsen K, Ozcem B, Cerit Z, Duygu H. Relationship between vitamin D and the development of atrial fibrillation after on-pump coronary artery bypass graft surgery. Cardiovasc J Afr 2017;28:104–7.
- 4. Emren SV, Aldemir M, Ada, F. Does deficiency of vitamin d increase new onset atrial fibrillation after coronary artery bypass grafting surgery?. Heart Surg Forum 2016;19(4):180-4.
- 5. Pearce SH, Cheetham TD. Diagnosis and management of vitamin D deficiency. BMJ 2010; 340: b5664.
- 6. Dogan N, Colak A, Guden N, Ustuner F. Vitamin D deficiency in children in Aegean Region in Turkey. Cumhuriyet Med J 2015;37(1):17‐22.
- 7. Bolland MJ, Chiu WW, Davidson JS, Grey A, Bacon C, Gamble GD et al. The effects of seasonal variation of 25-hydroxyvitamin D on diagnosis of vitamin D insufficiency. N Z Med J. 2008 28;121(1286):63-74.
- 8. Smith SM, Gardner KK, Locke J, Zwart R. Vitamin D supplementation during Antarctic winter. Am J Clin Nutr, 2009;89(4):1092-8.
- 9. Lagunova Z, Porojnicu AC, Lindberg F, Hexeberg S, Moan J. The dependency of vitamin D status on body mass index, gender, age and season. Anticancer Res 2009; 29: 3713–20.
- 10. Bouillon RA, Auwerx JH, Lissens WD, Pelemans WK. Vitamin D status in the elderly: seasonal substrate deficiency causes 1,25-dihydroxycholecalciferol deficiency. Am J Clin Nutr 1987;45:755-63.
- 11. Lee JH, O’Keefe JH, Bell D, Hensrud DD, Holick MF. Vitamin D deficiency an important, common, and easily treatable cardiovascular risk factor? J Am Coll Cardiol 2008;52(24):1949–56.
- 12. Thacher TD, Clarke BL. Vitamin D insufficiency. Mayo Clin Proc 2011;86:50 –60.
- 13. Judd S, Tangpricha V. Vitamin D Deficiency and Risk for Cardiovascular Disease. Circulation 2008;117(4):503-11.
- 14. Zitterman A. Vitamin D and disease prevention with special reference to cardiovascular disease. Prog Biophys Mol Biol 2006;92:39-48.
- 15. Katariya K, DeMarchena E, Bolooki H. Oral amiodarone reduces incidence of postoperative atrial fibrillation. Ann Thorac Surg 1999;68:1599-603.
- 16. Ommen SR, Odell JA, Stanton MS. Atrial arrhythmias after cardiothoracic surgery. N Engl J Med 1997;336:1429-34.
- 17. Yağdı T, Nalbantgil S, Ayık F, Apaydın A, İslamoğlu F, Posacıoğlu H, et al. Amiodarone reduces the incidence of atrial fibrillation after coronary artery bypass grafting. J Thorac Cardiovasc Surg 2003;125:1420-5.
- 18. Koch CG, Li L, Van Wagoner DR, Duncan AI, Gillinov AM, Blackstone EH. Red cell transfusion is associated with an increased risk for postoperative atrial fibrillation. Ann Thorac Surg 2006;82:1747-56.
- 19. Polat A, Şahin İ, Yücel C, Önür İ, Dinçkal H, Erentuğ V. Coronary vasculature and postoperative atrial fibrillation: a risk factor analysis. Turk Gogus Kalp Dama 2013;21(3):567-73.
- 20. Sener E, Göl MK, Yapici F, Zorlutuna Y, Tasdemir O, Bayazit K. Koroner Bypass Yapılan Olgularda Postoperatif Dönemde Gelişen Atrial Fibrilasyonun Nedenlerinin Araştırılması. Turk J Cardiol 1993;6:79–83.
- 21. Çiçekçioğlu F, Kervan Ü, Parlar Aİ, Ersoy Ö, Bardakçı H, Ulus AT, et al. Koroner bypass cerrahisinden sonra gelişen atriyal fibrilasyon tedavisinde amiodaronun etkinliği. Turk Gogus Kalp Dama 2009;17(2):77-82.
- 22. Cerit L, Ozcem B, Cerit Z, Duygu H. Preventive Effect of Preoperative Vitamin D Supplementation on Postoperative Atrial Fibrillation. Braz J Cardiovasc Surg. 2018;33(4):347-52.
Year 2019,
Volume: 41 Issue: 3, 563 - 568, 30.09.2019
Abstract
Supporting Institution
yok
Project Number
yok
Thanks
yok
References
- 1. Kupari M, Koskinen P. Seasonal variation in occurrence of acute atrial fibrillation and relation to air temperature and sale of alcohol. Am J Cardiol 1990;66:1519–20.
- 2. Watanabe E, Kuno Y, Takasuga H, Tong M, Sobue Y, Uchiyama T, et al. Seasonal variation in paroxysmal atrial fibrillation documented by 24-hour Holter electrocardiogram. Heart Rhythm 2007;4:27–31.
- 3. Cerit L, Kemal H, Gulsen K, Ozcem B, Cerit Z, Duygu H. Relationship between vitamin D and the development of atrial fibrillation after on-pump coronary artery bypass graft surgery. Cardiovasc J Afr 2017;28:104–7.
- 4. Emren SV, Aldemir M, Ada, F. Does deficiency of vitamin d increase new onset atrial fibrillation after coronary artery bypass grafting surgery?. Heart Surg Forum 2016;19(4):180-4.
- 5. Pearce SH, Cheetham TD. Diagnosis and management of vitamin D deficiency. BMJ 2010; 340: b5664.
- 6. Dogan N, Colak A, Guden N, Ustuner F. Vitamin D deficiency in children in Aegean Region in Turkey. Cumhuriyet Med J 2015;37(1):17‐22.
- 7. Bolland MJ, Chiu WW, Davidson JS, Grey A, Bacon C, Gamble GD et al. The effects of seasonal variation of 25-hydroxyvitamin D on diagnosis of vitamin D insufficiency. N Z Med J. 2008 28;121(1286):63-74.
- 8. Smith SM, Gardner KK, Locke J, Zwart R. Vitamin D supplementation during Antarctic winter. Am J Clin Nutr, 2009;89(4):1092-8.
- 9. Lagunova Z, Porojnicu AC, Lindberg F, Hexeberg S, Moan J. The dependency of vitamin D status on body mass index, gender, age and season. Anticancer Res 2009; 29: 3713–20.
- 10. Bouillon RA, Auwerx JH, Lissens WD, Pelemans WK. Vitamin D status in the elderly: seasonal substrate deficiency causes 1,25-dihydroxycholecalciferol deficiency. Am J Clin Nutr 1987;45:755-63.
- 11. Lee JH, O’Keefe JH, Bell D, Hensrud DD, Holick MF. Vitamin D deficiency an important, common, and easily treatable cardiovascular risk factor? J Am Coll Cardiol 2008;52(24):1949–56.
- 12. Thacher TD, Clarke BL. Vitamin D insufficiency. Mayo Clin Proc 2011;86:50 –60.
- 13. Judd S, Tangpricha V. Vitamin D Deficiency and Risk for Cardiovascular Disease. Circulation 2008;117(4):503-11.
- 14. Zitterman A. Vitamin D and disease prevention with special reference to cardiovascular disease. Prog Biophys Mol Biol 2006;92:39-48.
- 15. Katariya K, DeMarchena E, Bolooki H. Oral amiodarone reduces incidence of postoperative atrial fibrillation. Ann Thorac Surg 1999;68:1599-603.
- 16. Ommen SR, Odell JA, Stanton MS. Atrial arrhythmias after cardiothoracic surgery. N Engl J Med 1997;336:1429-34.
- 17. Yağdı T, Nalbantgil S, Ayık F, Apaydın A, İslamoğlu F, Posacıoğlu H, et al. Amiodarone reduces the incidence of atrial fibrillation after coronary artery bypass grafting. J Thorac Cardiovasc Surg 2003;125:1420-5.
- 18. Koch CG, Li L, Van Wagoner DR, Duncan AI, Gillinov AM, Blackstone EH. Red cell transfusion is associated with an increased risk for postoperative atrial fibrillation. Ann Thorac Surg 2006;82:1747-56.
- 19. Polat A, Şahin İ, Yücel C, Önür İ, Dinçkal H, Erentuğ V. Coronary vasculature and postoperative atrial fibrillation: a risk factor analysis. Turk Gogus Kalp Dama 2013;21(3):567-73.
- 20. Sener E, Göl MK, Yapici F, Zorlutuna Y, Tasdemir O, Bayazit K. Koroner Bypass Yapılan Olgularda Postoperatif Dönemde Gelişen Atrial Fibrilasyonun Nedenlerinin Araştırılması. Turk J Cardiol 1993;6:79–83.
- 21. Çiçekçioğlu F, Kervan Ü, Parlar Aİ, Ersoy Ö, Bardakçı H, Ulus AT, et al. Koroner bypass cerrahisinden sonra gelişen atriyal fibrilasyon tedavisinde amiodaronun etkinliği. Turk Gogus Kalp Dama 2009;17(2):77-82.
- 22. Cerit L, Ozcem B, Cerit Z, Duygu H. Preventive Effect of Preoperative Vitamin D Supplementation on Postoperative Atrial Fibrillation. Braz J Cardiovasc Surg. 2018;33(4):347-52.
There are 22 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Medical Science Research Articles |
| Authors | |
| Project Number | yok |
| Publication Date | September 30, 2019 |
| Acceptance Date | September 28, 2019 |
| Published in Issue | Year 2019Volume: 41 Issue: 3 |