Effect of opium addiction on postoperative arrhythmia among patients undergoing cabg operation on cardiopulmonary bypass
Rev. bras. cir. cardiovasc
;
34(4): 444-450, July-Aug. 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1020503
ABSTRACT
Abstract Objectives:
Postoperative arrhythmia is an important complication of coronary artery bypass grafting (CABG) surgeries among patients. It seems that opioid usage is implicated in the pathogenesis of this condition due to its impacts on different organ systems, such as the autonomic nervous system. The present study was performed to investigate the effect of opium use on postoperative arrhythmia in patients undergoing CABG surgery.Methods:
Study participants were selected via convenience sampling from patients undergoing CABG surgery in a referral hospital. Study variables, including use of inotropic drugs, vital signs monitoring parameters and postoperative arrhythmia were observed and recorded at baseline and at follow-up time after surgery.Results:
Sixty-five (14.8%) patients had postoperative arrhythmia, and 104 participants were addicted. Prevalence of postoperative arrhythmia was the same among addict and non-addict patients. According to the regression analysis model, only serum level of epinephrine in operating room, heart rate and central venous pressure at baseline and 48 hours after operation are known as independent predictors of postoperative arrhythmia among study population.Conclusion:
This study showed that although opium addiction increased postoperative arrhythmia among patients undergoing CABG surgery, this difference was not significant, and this association is probably mediated by other study variables.
Full text:
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Index:
LILACS (Americas)
Main subject:
Arrhythmias, Cardiac
/
Postoperative Complications
/
Coronary Artery Disease
/
Cardiopulmonary Bypass
/
Coronary Artery Bypass
/
Opioid-Related Disorders
Type of study:
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2019
Type:
Article
Affiliation country:
Iran
Institution/Affiliation country:
AJA University of Medical Sciences/IR
/
Iran University of Medical Sciences/IR
/
Islamic Azad University/IR
/
Tehran University of Medical Sciences/IR
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