The Correlation between the Severity of Coronary Artery Disease and Coronary Collateral Circulation and Atrial Fibrillation after Coronary Artery Bypass Surgery: A Cross-Sectional Study

Saman Rostambeigi; Zohre Mohammadi; Esfandyar Asadipoor; Nasim Naderi; Hamidreza Javadi; Seyed Seeed Farzam

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

Home

Instructions

APC

Authors Guide Submit Manuscript

The Correlation between the Severity of Coronary Artery Disease and Coronary Collateral Circulation and Atrial Fibrillation after Coronary Artery Bypass Surgery: A Cross-Sectional Study

Author(s):

Saman Rostambeigi

¹,

Zohre Mohammadi

²,

Esfandyar Asadipoor¹,

Nasim Naderi

^2,*,

Hamidreza Javadi³,

Seyed Seeed Farzam³

1Rajaie Cardiovascular Medical and Research Center, Tehran, IR Iran

2Tehran Heart Center, Tehran University of Medical Sciences, Tehran, IR Iran

3Clinical Research Development Unit, Buali Hospital, Qazvin University of Medical Sciences, Qazvin, IR Iran

International Cardiovascular Research Journal:Vol. 15, issue 4; e117063

Published online:Dec 28, 2021

Article type:Research Article

Received:Jun 13, 2021

Accepted:Nov 24, 2021

How to Cite:Rostambeigi S, Mohammadi Z, Asadipoor E, Naderi N, Javadi H, et al. The Correlation between the Severity of Coronary Artery Disease and Coronary Collateral Circulation and Atrial Fibrillation after Coronary Artery Bypass Surgery: A Cross-Sectional Study. Int Cardiovasc Res J. 2021;15(4):e117063. doi:

Abstract

Background: Post-Operative Atrial Fibrillation (POAF) is the most common cardiac arrhythmia, which occurs in nearly 15 - 40% of patients after Coronary Artery Bypass Graft (CABG) surgery. However, the exact mechanism of POAF development is unclear.
Objectives: The present study aimed to investigate whether ischemic severity and preoperative coronary collateral circulation grade were associated with the development of POAF.
Methods: This cross-sectional, observational study assessed 246 patients who underwent CABG surgery from September 2017 to September 2019. The patients were divided into two groups according to the development of POAF; 51 patients in the POAF group and 195 patients in the group without POAF. Clinical variables were recorded. Additionally, coronary collateral circulation and the severity of coronary artery disease were assessed and recorded for each patient according to Rentrop classification and Gensini score.
Results: POAF was observed in 51 patients (20.7%). The results of multivariate analysis showed that chronic obstructive pulmonary disease (OR = 5.4, CI = 1.17 - 25.1, P = 0.03) was the independent predictor of POAF development. However, no significant association was found between the development of POAF and coronary collateral circulation (OR = 0.82, CI = 0.44 - 1.52, P = 0.54) and severity of coronary artery disease (OR = 0.98, CI = 0.42 - 2.29, P = 0.97). Furthermore, the coronary collateral circulation status was poorer in patients with the history of chronic obstructive pulmonary disease who developed POAF.
Conclusions: Preoperative coronary collateral circulation and severity of coronary artery disease were not associated with the development of POAF. However, patients with the history of chronic obstructive pulmonary disease who developed POAF had poorer coronary collateral circulation, indicating that hypoxia might play a role in the development of POAF.

Keywords

Coronary Circulation

Coronary Artery Bypass

Atrial Fibrillation

Fulltext

The full-text is available in pdf.

References

1.
The references are available in pdf.

Incidence and Risk Factors for Atrial Fibrillation after First Coronary Artery Bypass Grafting in Urumiyeh Imam Khomeini Hospital from 2006 to 2008

M Golmohammadi,

G Esmaeeli Javid,

H Farajzadeh

Golmohammadi M, Esmaeeli Javid G, Farajzadeh H. Incidence and Risk Factors for Atrial Fibrillation after First Coronary Artery Bypass Grafting in Urumiyeh Imam Khomeini Hospital from 2006 to 2008. Int Cardiovasc Res J. 2010;4(2):e65017. doi:

29

Nov

2025

The Value of Intraoperative Transesophageal Echocardiography in Predicting the Incidence of Atrial Fibrillation After Coronary Artery Bypass Grafting: A Prospective Cohort Study

Ahmed Mohammed Saad,

Medhat Mikhail Messeha,

Nabil Abdelraouf Abdelmageed,

Ahmed Mohammed Farid

Saad AM, Messeha MM, Abdelmageed NA, Farid AM. The Value of Intraoperative Transesophageal Echocardiography in Predicting the Incidence of Atrial Fibrillation After Coronary Artery Bypass Grafting: A Prospective Cohort Study. J Cell Mol Anesth. 2025;10(4):e167020. doi: https://doi.org/10.5812/jcma-167020

31

Mar

2008

Ischemic Preconditioning and Atrial Fibrillation after Coronary Artery Bypass Grafting Surgery

M Janati,

Javad Kojuri

Janati M, Kojuri J. Ischemic Preconditioning and Atrial Fibrillation after Coronary Artery Bypass Grafting Surgery. Int Cardiovasc Res J. 2009;2(1):e68624. doi:

8

Nov

2020

Jundishapur Journal of Chronic Disease Care

Post-Operative Symptoms and Complications in Patients Having Undergone Coronary Artery Bypass Graft in Hamadan: A Descriptive Cross-Sectional Study

Khodayar Oshvandi,

Fatemeh Pakrad,

Ramesh Mohamadi Saleh,

Mohamad Ali Seif Rabiei,

Amir Shams

Oshvandi K, Pakrad F, Mohamadi Saleh R, Seif Rabiei MA, Shams A. Post-Operative Symptoms and Complications in Patients Having Undergone Coronary Artery Bypass Graft in Hamadan: A Descriptive Cross-Sectional Study. Jundishapur J Chronic Dis Care. 2020;9(4):e104180. doi: https://doi.org/10.5812/jjcdc.104180

30

Sep

2014

Comparing the Therapeutic Effects of Carvedilol and Metoprolol on Prevention of Atrial Fibrillation after Coronary Artery Bypass Surgery, a Double-Blind Study

Rozita Jalalian,

Rahman Ghafari,

Peyman Ghazanfari

Jalalian R, Ghafari R, Ghazanfari P. Comparing the Therapeutic Effects of Carvedilol and Metoprolol on Prevention of Atrial Fibrillation after Coronary Artery Bypass Surgery, a Double-Blind Study. Int Cardiovasc Res J. 2017;8(3):e11088. doi:

Import into EndNote Import into BibTex

Indexed in

Scopus

Share on

Comments

Number of Comments:0

Cited by

Scopus by DOI: 0
Last Update: 3 weeks ago
Scopus by Title: 2
Last Update: 3 weeks ago
Scopus by Title (Ref): 2
Last Update: 3 weeks ago
CrossRef: 0
Last Update: 2 days ago

Metrics

Ordering Reprints

Articles are published under the Creative Commons license stated on each article. No permission or royalty fee is required for uses permitted by that license. CCC handles optional bulk and customized reprint orders. Any quotation covers production and delivery services only, not copyright permission. > Request Reprints from CCC

Search Relations

Author(s):

Saman Rostambeigi:[PubMed][Scholar]
Zohre Mohammadi:[PubMed][Scholar]
Esfandyar Asadipoor:[PubMed][Scholar]
Nasim Naderi:[PubMed][Scholar]
Hamidreza Javadi:[PubMed][Scholar]
Seyed Seeed Farzam:[PubMed][Scholar]

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

Outlines

The Correlation between the Severity of Coronary Artery Disease and Coronary Collateral Circulation and Atrial Fibrillation after Coronary Artery Bypass Surgery: A Cross-Sectional Study

Abstract

Fulltext

References

Similar Articles

Incidence and Risk Factors for Atrial Fibrillation after First Coronary Artery Bypass Grafting in Urumiyeh Imam Khomeini Hospital from 2006 to 2008

The Value of Intraoperative Transesophageal Echocardiography in Predicting the Incidence of Atrial Fibrillation After Coronary Artery Bypass Grafting: A Prospective Cohort Study

Ischemic Preconditioning and Atrial Fibrillation after Coronary Artery Bypass Grafting Surgery

Post-Operative Symptoms and Complications in Patients Having Undergone Coronary Artery Bypass Graft in Hamadan: A Descriptive Cross-Sectional Study

Comparing the Therapeutic Effects of Carvedilol and Metoprolol on Prevention of Atrial Fibrillation after Coronary Artery Bypass Surgery, a Double-Blind Study

Last Update: 3 weeks ago

Last Update: 3 weeks ago

Last Update: 3 weeks ago

Last Update: 2 days ago