Hypothyroidism is a Risk Factor for Atrial Fibrillation after Coronary Artery Bypass Graft
Fuente:
Redalyc
Saved in:
| Main Author: | |
|---|---|
| Format: | Artículo científico |
| Language: | en |
| Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2017
|
| Subjects: | |
| Online Access: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1876483084961972224 |
|---|---|
| author | Marisol Carreno Jaimes |
| author_facet | Marisol Carreno Jaimes |
| contents | Hypothyroidism is a Risk Factor for Atrial Fibrillation after Coronary Artery Bypass Graft Marisol Carreno Jaimes Luis Alberto Arciniegas Torrado Néstor Fernando Sandoval Reyes Jaime Camacho Mackenzie Juan Pablo Umana Mallarino Medicina Hormones Hypothyroidism Atrial Fibrillation Coronary Artery Bypass Introduction: Few reports in the world have shown a differential effect of hypothyroidism in relation to morbidity and mortality following cardiac surgery. Objective: To determine the association between preoperative hypothyroidism, composite and disaggregated outcomes of mortality and complications in patients undergoing first-time isolated myocardial revascularization surgery. Methods: Historical cohort of patients undergoing myocardial revascularization between January 2008 and December 2014, with 626 patients included for evaluation of the composite and disaggregated outcomes of in-hospital mortality and complications (atrial fibrillation, surgical site infection and reoperation due to bleeding). A logistic regression model was used to determine the association between hypothyroidism and the onset of those outcomes. Results: Cohort of 1696 eligible patients for the study, with 1.8 mortality. Median age, female gender and prevalence of arterial hypertension were all significantly higher among hypothyroid patients. No differences were found in other preoperative or intraoperative characteristics. Hypothyroidism was associated with the presence of the composite outcome, RR 1.6 (1.04-2.4) and atrial fibrillation 1.9 (1.05-3.8). No association with mortality, infections or reoperation due to bleeding was found. Conclusion: Hypothyroidism is a disease that affects females predominantly and does not determine the presence of other comorbidities. Hypothyroidism is a risk factor for the onset of postoperative fibrillation in patients undergoing myocardial revascularization surgery. Postoperative care protocols focused on the prevention of these complications in this type of patients must be instituted. 2017 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398953595006 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.6 Vol.32 |
| format | Artículo científico |
| id | redalyc_398953595006 |
| institution | Redalyc |
| language | en |
| publishDate | 2017 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Hypothyroidism is a Risk Factor for Atrial Fibrillation after Coronary Artery Bypass Graft Marisol Carreno Jaimes Medicina Hormones Hypothyroidism Atrial Fibrillation Coronary Artery Bypass Hypothyroidism is a Risk Factor for Atrial Fibrillation after Coronary Artery Bypass Graft Marisol Carreno Jaimes Luis Alberto Arciniegas Torrado Néstor Fernando Sandoval Reyes Jaime Camacho Mackenzie Juan Pablo Umana Mallarino Medicina Hormones Hypothyroidism Atrial Fibrillation Coronary Artery Bypass Introduction: Few reports in the world have shown a differential effect of hypothyroidism in relation to morbidity and mortality following cardiac surgery. Objective: To determine the association between preoperative hypothyroidism, composite and disaggregated outcomes of mortality and complications in patients undergoing first-time isolated myocardial revascularization surgery. Methods: Historical cohort of patients undergoing myocardial revascularization between January 2008 and December 2014, with 626 patients included for evaluation of the composite and disaggregated outcomes of in-hospital mortality and complications (atrial fibrillation, surgical site infection and reoperation due to bleeding). A logistic regression model was used to determine the association between hypothyroidism and the onset of those outcomes. Results: Cohort of 1696 eligible patients for the study, with 1.8 mortality. Median age, female gender and prevalence of arterial hypertension were all significantly higher among hypothyroid patients. No differences were found in other preoperative or intraoperative characteristics. Hypothyroidism was associated with the presence of the composite outcome, RR 1.6 (1.04-2.4) and atrial fibrillation 1.9 (1.05-3.8). No association with mortality, infections or reoperation due to bleeding was found. Conclusion: Hypothyroidism is a disease that affects females predominantly and does not determine the presence of other comorbidities. Hypothyroidism is a risk factor for the onset of postoperative fibrillation in patients undergoing myocardial revascularization surgery. Postoperative care protocols focused on the prevention of these complications in this type of patients must be instituted. 2017 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398953595006 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.6 Vol.32 |
| title | Hypothyroidism is a Risk Factor for Atrial Fibrillation after Coronary Artery Bypass Graft |
| topic | Medicina Hormones Hypothyroidism Atrial Fibrillation Coronary Artery Bypass |
| url | https://www.redalyc.org/articulo.oa?id=398953595006 |