Research progress in prediction and prevention of atrial fibrillation after coronary artery bypass grafting
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摘要: 心房颤动是冠状动脉旁路移植术后常见并发症，不仅会影响患者的心功能，导致循环不稳定、心肌缺血、脑卒中等，还可使患者ICU停留时间、住院时间延长，医疗费用、主动脉内球囊反搏(intra-aortic balloon counterpulsation，IABP)辅助需求增加，甚至导致死亡。本文通过回顾冠状动脉旁路移植术后新发心房颤动的最新预测和预防研究进展，对相关临床预测因子、预测模型和预防策略进行综述，总结围术期预防和管理策略，为冠状动脉旁路移植术后心房颤动的预测和预防提供参考。Abstract: Atrial fibrillation is a common complication after coronary artery bypass grafting. Postoperative atrial fibrillation provokes patients' cardiac dysfunction and circulatory instability or myocardial ischemia, which leads to prolonged ICU stay, increased medical costs and IABP assistance needs, and even death. Here, we reviewed the latest advances in the prediction and prevention studies related to new-onset atrial fibrillation after coronary artery bypass grafting, the relevant clinical predictors, prediction models, and prevention strategies. Lastly, we summarized perioperative prevention and management strategies, providinga reference for predicting and preventing atrial fibrillation after coronary artery bypass grafting.
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Key words:
- coronary artery bypass graft /
- atrial fibrillation /
- prediction /
- prevention
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