Introduction: postoperative
atrial fibrillation (POAF) is the most frequent
arrhythmia observed in
patients undergoing a
cardiac surgery . The worldwide
incidence is 30 to 65 percent of
cardiac surgery procedures , and is more frequent in
patients undergoing a
cardiac valve surgery . This arrhyhtmia implies an increment in the lenght and in the total
costs of
hospitalization , and is associated with serious adverse events like
stroke ,
bleeding and
death . The aim of this study was to know the
incidence ,
risk factors ,
morbidity and
mortality associated with POAF in our institution during one year. Main
results: we analyze 321
patients that undergone a
cardiac surgery during 2003. The
incidence of POAF was 6,7 percent and the
risk factors associated were the use of
cold crystalloid cardioplegia (p < 0,05) and
dyslipidemia (p < 0,05). Also, the
left ventricle end diastolic diameter was larger but not significant (p = 0,053) in
patients with POAF in comparison with
patients without POAF. POAF results in an increment of the
costs and the lenght of
hospitalization . There was no
mortality attributed to this
arrhythmia in our
patients .
Conclusion: in this retrospective
analysis of
patients undergoing
cardiac surgery there was a lower
incidence of POAF in comparison with other series. The
risk factors in this
population of
patients were the use of
cold crystalloid cardioplegia and
dyslipidemia . Although this arrhythmiawas associated with more days of
hospitalization , there were no difference in
mortality between
patients with POAF and
patients without POAF.