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The incidence and possible predictors of atrial fibrillation in adult patients in the early postoperative period after Ozaki surgery

Authors: Makarova N.V., Durmanov S.S., Batrakov P.А., Bazylev V.V.

Company: Federal Center for Cardiovascular Surgery, Penza, Russian Federation

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Type:  Original articles


DOI: https://doi.org/10.24022/1997-3187-2022-16-4-508-519

For citation: Makarova N.V., Durmanov S.S., Batrakov P.А., Bazylev V.V. The incidence and possible predictors of atrial fibrillation in adult patients in the early postoperative period after Ozaki surgery. Creative Cardiology. 2022; 16 (4): 508–19 (in Russ.). DOI: 10.24022/1997-3187-2022-16-4-508-519

Received / Accepted:  14.08.2022 / 29.11.2022

Keywords: aortic valve defects Ozaki operation atrial fibrillation early postoperative period

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Abstract

Objective. To study the incidence and determine possible predictors of atrial fibrillation (AF) in the early postoperative period after Ozaki surgery in adult patients.

Material and methods. The study included 256 patients after successful aortic valve replacement using the Ozaki method with/without prosthetics of the ascending aorta. The inclusion criterion is sinus rhythm on admission. The duration of follow-up was limited to the period of inpatient treatment and amounted to 13.1 ± 4.6 days.

Results. In 70 (27.3%) patients AF was registered, of which 55 (21.5%) for the first time. The median time of onset was 3.0 [2.0–4.0] days. In order to identify possible predictors of the development of AF in the early postoperative period, a univariate logistic regression analysis was performed, which included clinical, demographic, instrumental, laboratory, and perioperative characteristics. Statistically significant values were obtained for the following parameters: age (p = 0.020), coronary artery disease (p = 0.027), history of AF (p = 0.003), interatrial blockade on baseline ECG (p = 0.035), anterior-posterior dimension of the left atrium (p = 0.041), posterior wall thickness of the left ventricle (p = 0.047), time of cardiopulmonary bypass (p = 0.019), time of myocardial ischemia (p = 0.020), risk of intervention according to the EuroSCORE II scale (p = 0.001). The method of multivariate logistic regression revealed the only independent predictor of postoperative AF – the history of AF (OR 3.389; 95% CI 1.091–10.531; p = 0.035).

Conclusion. The incidence of AF in the early postoperative period after the Ozaki operation with/without prosthetics of the ascending aorta was 27.3% (70 patients). The only predictor of the development of AF was an indication of AF in the anamnesis. A history of AF increased the risk of developing AF after Ozaki surgery more than three times.

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About Authors

  • Natal’ya V. Makarova, Cardiovascular Surgeon; ORCID
  • Sergey S. Durmanov, Cand. Med. Sci., Head of Department, Cardiovascular Surgeon; ORCID
  • Pavel A. Batrakov, Сardiovascular Surgeon; ORCID
  • Vladlen V. Bazylev, Dr. Med. Sci., Professor, Chief Physician, Cardiovascular Surgeon; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


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