Role of the Seasonal Cycle in Atrial Fibrillation Seen after Coronary Artery Bypass Surgery

E. Çelik, A. Çora, Kadir Burhan Karadem, Dinçer Uysal
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Abstract

Background: We aimed to investigate the effect of seasons on atrial fibrillation that occurred after coronary bypass surgery operation. Method: 187 patients underwent coronary artery bypass operation in our clinic between July 2018 - July 2019. Isolated coronary artery bypass graft operation was performed with cardiopulmonary bypass to179 of these patients. Forty three patients that developed atrial fibrillation after coronary bypass operation, demographic, laboratory findings and date of atrial fibrillation data investigated retrospectively. Results: Forty three patients developed atrial fibrillation after coronary artery bypass surgery. Forty one patients operated in winter, 48 in spring, 47 in summer, 43 in autumn and 13 patients developed atrial fibrillation in winter, 11 (25.6%) in spring, 8 (20.9%) in summer and 11 (23.3%) in autumn respectively. There is no statistical significance found by Z test that performed for all seasons for atrial fibrillation. Conclusion: There are many reasons that could play role on developing atrial fibrillation after coronary artery bypass surgery. There are many publications that report vitamin D deficiency as a reason for developing atrial fibrillation after coronary bypass surgery. In our study, we did not evaluate a relationship between the development of post operative atrial fibrillation and seasons.
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季节周期在冠状动脉搭桥术后房颤中的作用
背景:我们旨在探讨季节对冠状动脉搭桥术后房颤的影响。方法:2018年7月至2019年7月在我院行冠状动脉搭桥术的患者187例。其中179例患者行离体冠状动脉旁路移植术并体外循环。对43例冠状动脉搭桥术后发生房颤的患者进行回顾性调查,统计资料、实验室检查结果和房颤发生日期。结果:43例患者在冠状动脉搭桥术后发生房颤。冬季手术41例,春季48例,夏季47例,秋季43例;冬季发生房颤13例,春季11例(25.6%),夏季8例(20.9%),秋季11例(23.3%)。所有季节房颤的Z检验均无统计学意义。结论:冠状动脉搭桥术后发生心房颤动的原因多种多样。有许多出版物报道维生素D缺乏是冠状动脉搭桥手术后发生房颤的原因。在我们的研究中,我们没有评估术后房颤的发展与季节之间的关系。
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