Preventive Effect of Preoperative Vitamin D Supplementation on Postoperative Atrial Fibrillation
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| Natura: | Artículo científico |
| Lingua: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2018
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| _version_ | 1876473636318085120 |
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| author | Levent Cerit |
| author_facet | Levent Cerit |
| contents | Preventive Effect of Preoperative Vitamin D Supplementation on Postoperative Atrial Fibrillation Levent Cerit Barçın Özcem Zeynep Cerit Hamza Duygu Medicina Vitamin D Atrial Fibrillation Coronary Artery Bypass Objective: To assess the relationship between preoperative vitamin D (vitD) supplementation and the development of postoperative atrial fibrillation (POAF).Methods: The study group consisted of 328 consecutive patients. The ınfluence of preoperative vitD supplementation on POAF was reviewed in 136 patients who underwent coronary artery bypass graft surgery with vitD insufficiency (n=80) and vitD deficiency (n=56). Patients were assigned to receive either oral vitD (50.000 U) (treatment group, n=68) or not (control group, n=68) 48 hours before surgery. Patients were followed up during hospitalisation process with respect to POAF.Results: There was no significant difference between treatment and control groups with regards to age, gender, diabetes mellitus, smoking history, chronic obstructive pulmonary disease, left atrial diameter, and biochemical parameters. Also, there was no significant difference between these groups with regards to mean vitD level on both insufficiency and deficiency patients (24.6±3.7 vs. 24.9±3.9 ng/ml P=0.837, 11.4±4.9 vs. 10.9±5.2 ng/ml P=0.681, respectively). Although the occurrence of POAF was not significantly different among treatment and control groups in patients with vitD insufficiency (31% vs.33% P=0.538), there was a significant difference between the two groups regarding to POAF in patients with vitD deficiency (18% vs. 29% P=0.02).Conclusion: Although preoperative vitD supplementation was not found to be associated with prevention of POAF in patients with vitD insufficiency, it was found to be strongly associated with prevention of POAF in those with vitD deficiency. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398956442007 https://www.redalyc.org/journal/3989/398956442007/ https://www.redalyc.org/journal/3989/398956442007/html/ https://www.redalyc.org/journal/3989/398956442007/398956442007.epub https://www.redalyc.org/journal/3989/398956442007/movil 10.21470/1678-9741-2018-0014 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.4 Vol.33 |
| format | Artículo científico |
| id | redalyc_398956442007 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Preventive Effect of Preoperative Vitamin D Supplementation on Postoperative Atrial Fibrillation Levent Cerit Medicina Vitamin D Atrial Fibrillation Coronary Artery Bypass Preventive Effect of Preoperative Vitamin D Supplementation on Postoperative Atrial Fibrillation Levent Cerit Barçın Özcem Zeynep Cerit Hamza Duygu Medicina Vitamin D Atrial Fibrillation Coronary Artery Bypass Objective: To assess the relationship between preoperative vitamin D (vitD) supplementation and the development of postoperative atrial fibrillation (POAF).Methods: The study group consisted of 328 consecutive patients. The ınfluence of preoperative vitD supplementation on POAF was reviewed in 136 patients who underwent coronary artery bypass graft surgery with vitD insufficiency (n=80) and vitD deficiency (n=56). Patients were assigned to receive either oral vitD (50.000 U) (treatment group, n=68) or not (control group, n=68) 48 hours before surgery. Patients were followed up during hospitalisation process with respect to POAF.Results: There was no significant difference between treatment and control groups with regards to age, gender, diabetes mellitus, smoking history, chronic obstructive pulmonary disease, left atrial diameter, and biochemical parameters. Also, there was no significant difference between these groups with regards to mean vitD level on both insufficiency and deficiency patients (24.6±3.7 vs. 24.9±3.9 ng/ml P=0.837, 11.4±4.9 vs. 10.9±5.2 ng/ml P=0.681, respectively). Although the occurrence of POAF was not significantly different among treatment and control groups in patients with vitD insufficiency (31% vs.33% P=0.538), there was a significant difference between the two groups regarding to POAF in patients with vitD deficiency (18% vs. 29% P=0.02).Conclusion: Although preoperative vitD supplementation was not found to be associated with prevention of POAF in patients with vitD insufficiency, it was found to be strongly associated with prevention of POAF in those with vitD deficiency. 2018 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398956442007 https://www.redalyc.org/journal/3989/398956442007/ https://www.redalyc.org/journal/3989/398956442007/html/ https://www.redalyc.org/journal/3989/398956442007/398956442007.epub https://www.redalyc.org/journal/3989/398956442007/movil 10.21470/1678-9741-2018-0014 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.4 Vol.33 |
| title | Preventive Effect of Preoperative Vitamin D Supplementation on Postoperative Atrial Fibrillation |
| topic | Medicina Vitamin D Atrial Fibrillation Coronary Artery Bypass |
| url | https://www.redalyc.org/articulo.oa?id=398956442007 https://www.redalyc.org/journal/3989/398956442007/ https://www.redalyc.org/journal/3989/398956442007/html/ https://www.redalyc.org/journal/3989/398956442007/398956442007.epub https://www.redalyc.org/journal/3989/398956442007/movil |