The Journal of thoracic and cardiovascular surgery
-
J. Thorac. Cardiovasc. Surg. · Feb 2020
Intraoperative transfusion and an increased preoperative C-reactive protein level are associated with higher mortality after off-pump coronary artery bypass grafting.
The effects of transfusion on clinical outcomes after cardiac surgery remain inconclusive. We hypothesized that the risk of postoperative cumulative long-term, all-cause mortality after transfusion in patients undergoing cardiac surgery would differ by individual inflammatory status reflected by C-reactive protein level; thus, we performed a retrospective study. ⋯ Intraoperative red blood cell transfusion in patients with increased C-reactive protein level was significantly related to the risk of mortality after off-pump coronary artery bypass grafting.
-
J. Thorac. Cardiovasc. Surg. · Feb 2020
Atrial contractility and fibrotic biomarkers are associated with atrial fibrillation after elective coronary artery bypass grafting.
New-onset postoperative atrial fibrillation is common after cardiac surgery. Less has been reported about the relationship among fibrosis, inflammation, calcium-induced left atrial and right atrial contractile forces, and postoperative atrial fibrillation. We sought to identify predictors of postoperative atrial fibrillation. ⋯ Advanced age, decreased left atrial force value at calcium-induced force measurement of 5.5, enlarged left atrial and right atrial areas, and reduced tricuspid annular plane systolic excursion were identified as independent predictors for postoperative atrial fibrillation.