Clinical Profiling and Biomarkers for Post-Operative Atrial Fibrillation Prediction in Patients Undergoing Cardiac Surgery

Post-operative atrial fibrillation (POAF) is the most common arrhythmia in the post-operative period after cardiac surgery. We aim to investigate the main clinical, local, and/or peripheral biochemical and molecular predictors for POAF in patients undergoing coronary and/or valve surgery. Between Au...

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Veröffentlicht in:Journal of clinical medicine 2023-05, Vol.12 (10), p.3565
Hauptverfasser: Iglesias-Álvarez, Diego, Fu, Xiaoran, Martínez-Cereijo, José Manuel, Agra-Bermejo, Rosa María, Veiras-Del Río, Sonia, Selas-Cobos, Salomé, Rial-Munin, María Victoria, Eiras-Mariño, María, Martínez-Salgado, Adrián, Taboada-Muñiz, Manuel, Reija-López, Laura, Souaf, Souhayla, García-Carro, Javier, Fernández-González, Ángel Luis, Adrio-Nazar, Belén, González-Juanatey, José Ramón, Eiras, Sonia, Rodríguez-Mañero, Moisés
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container_issue 10
container_start_page 3565
container_title Journal of clinical medicine
container_volume 12
creator Iglesias-Álvarez, Diego
Fu, Xiaoran
Martínez-Cereijo, José Manuel
Agra-Bermejo, Rosa María
Veiras-Del Río, Sonia
Selas-Cobos, Salomé
Rial-Munin, María Victoria
Eiras-Mariño, María
Martínez-Salgado, Adrián
Taboada-Muñiz, Manuel
Reija-López, Laura
Souaf, Souhayla
García-Carro, Javier
Fernández-González, Ángel Luis
Adrio-Nazar, Belén
González-Juanatey, José Ramón
Eiras, Sonia
Rodríguez-Mañero, Moisés
description Post-operative atrial fibrillation (POAF) is the most common arrhythmia in the post-operative period after cardiac surgery. We aim to investigate the main clinical, local, and/or peripheral biochemical and molecular predictors for POAF in patients undergoing coronary and/or valve surgery. Between August 2020 and September 2022, consecutive patients undergoing cardiac surgery without previous history of AF were studied. Clinical variables, plasma, and biological tissues (epicardial and subcutaneous fat) were obtained before surgery. Pre-operative markers associated with inflammation, adiposity, atrial stretch, and fibrosis were analyzed on peripheral and local samples with multiplex assay and real-time PCR. Univariate and multivariate logistic regression analyses were performed in order to identify the main predictors for POAF. Patients were followed-up until hospital discharge. Out of 123 consecutive patients without prior AF, 43 (34.9%) developed POAF during hospitalization. The main predictors were cardiopulmonary bypass time (odds ratio (OR) 1.008 (95% confidence interval (CI), 1.002-1.013), = 0.005), and plasma pre-operative orosomucoid levels (OR 1.008 (1.206-5.761). After studying differences regarding sex, orosomucoid was the best predictor for POAF in women (OR 2.639 (95% CI, 1.455-4.788), = 0.027) but not in men. The results support the pre-operative inflammation pathway as a factor involved in the risk of POAF, mainly in women.
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We aim to investigate the main clinical, local, and/or peripheral biochemical and molecular predictors for POAF in patients undergoing coronary and/or valve surgery. Between August 2020 and September 2022, consecutive patients undergoing cardiac surgery without previous history of AF were studied. Clinical variables, plasma, and biological tissues (epicardial and subcutaneous fat) were obtained before surgery. Pre-operative markers associated with inflammation, adiposity, atrial stretch, and fibrosis were analyzed on peripheral and local samples with multiplex assay and real-time PCR. Univariate and multivariate logistic regression analyses were performed in order to identify the main predictors for POAF. Patients were followed-up until hospital discharge. Out of 123 consecutive patients without prior AF, 43 (34.9%) developed POAF during hospitalization. The main predictors were cardiopulmonary bypass time (odds ratio (OR) 1.008 (95% confidence interval (CI), 1.002-1.013), = 0.005), and plasma pre-operative orosomucoid levels (OR 1.008 (1.206-5.761). After studying differences regarding sex, orosomucoid was the best predictor for POAF in women (OR 2.639 (95% CI, 1.455-4.788), = 0.027) but not in men. 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subjects Atrial fibrillation
Biological markers
Biomarkers
Biopsy
Blood
Cardiac arrhythmia
Cardiology
Clinical medicine
Complications
Cytokines
Electrocardiography
Electrolytes
Heart
Heart surgery
Hospitalization
Hospitals
Inflammation
Length of stay
Life sciences
Medical laboratories
Metabolism
Neutrophils
Patients
Risk factors
Surgery
Surgery, Experimental
Surgical research
title Clinical Profiling and Biomarkers for Post-Operative Atrial Fibrillation Prediction in Patients Undergoing Cardiac Surgery
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