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Surgery and Trauma، جلد ۴، شماره ۳، صفحات ۵۱-۵۷

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عنوان انگلیسی Associations between preoperative P-wave characteristics, C-reactive protein levels, and atrial fibrillation after coronary artery bypass graft surgery
چکیده انگلیسی مقاله Introduction: Atrial fibrillation (AF) is the most common complication of cardiac surgery which may cause remarkable morbidity and complications. Identifying predicting factors of this arrhythmia can help prophylactic therapy. The present study is designed to investigate the hypothesis that HsCRP level and P-wave characteristics are associated with the incidence of post-operative AF. Methods: In this prospective study, 50 consecutive patients undergoing coronary artery bypass graft (CABG) operation during a 1-year period at Vali-e-asr Hospital, Birjand, Iran were enrolled. All the patients underwent electrocardiography (ECG) before surgery and P-wave duration and height were measured. In addition, blood samples were collected the day before surgery as well as 12, 24 and 72 hours after surgery to measure CRP serum levels. Patients were monitored after surgery to detect probable AF rhythm. Data was analyzed using SPSS 16. Results: Of the 50 patients, 10 (20%) developed AF in the postoperative phase during days 1 to 5, while the other 40 patients (80%) had stable sinus rhythm. P-wave duration and height were significantly different in patients who subsequently developed postoperative AF with the mean values of 109.5±15.7 and 0.14±0.03, respectively. Mean HsCRP levels before and 12, 24, and 72 h after operation showed no significant difference. Conclusions: Patients prone to AF arrhythmia can be identified by measuring P-wave duration and height in preoperative ECG. Hs.CRP levels before and after CABG surgery may not contribute to AF prediction.
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نویسندگان مقاله ناهید ازدکی | nahid azdaki
assistant professor of cardiology, atherosclerosis and coronary artery research center, birjand university of medical sciences, birjand, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی بیرجند (Birjand university of medical sciences)

نوید قدسی نیک | navid ghodsi nik
student of medicine, student research committee, birjand university of medical sciences, birjand, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی بیرجند (Birjand university of medical sciences)

نوید ربیعی | navid rabiee
student of medicine, student research committee, birjand university of medical sciences, birjand, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی بیرجند (Birjand university of medical sciences)

محمود زردست | mahmood zardast
assistant professor of pathology, school of medicine, birjand university of medical sciences, birjand, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی بیرجند (Birjand university of medical sciences)

امیر رحمانیان شریف آباد | amir rahmanian sharifabad
medical doctor, atherosclerosis and coronary artery research center, birjand university of medical sciences, birjand, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی بیرجند (Birjand university of medical sciences)

محمود حسین زاده ملکی | mahmood hosseinzadeh maleki
valiassr hospital, ghaffari street, birjand, iran. 9717853577. tel 98 56 1443001-9. fax 98 56 14433004


مجید jafarnrzhad | majid jafarnrzhad
assistant professor of cardiology, atherosclerosis and coronary artery research center, birjand university of medical sciences, birjand, iran

سازمان اصلی تایید شده: دانشگاه علوم پزشکی بیرجند (Birjand university of medical sciences)


نشانی اینترنتی http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-122-1&slc_lang=en&sid=en
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/1793/article-1793-464239.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده جراحی عمومی
نوع مقاله منتشر شده پژوهشی
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