Preoperative High N-Terminal pro-B-Type Natriuretic Peptide Level Can Predict the Incidence of Postoperative Atrial Fibrillation Following Off-Pump Coronary Artery Bypass Grafting
スポンサーリンク
概要
- 論文の詳細を見る
Objective: N-terminal pro-B type natriuretic peptide (NT-pro-BNP) is one of the biomarkers, increased by myocardial ischemia or subsequent, burdened wall stress. The aim of this study was to assess if NT-pro-BNP can predict the incidence of atrial fibrillation (AF) after off-pump coronary artery bypass grafting (OPCAB).Methods: NT-pro-BNP was measured preoperatively in 100 OPCAB patients without preoperative AF. Patients were divided into the AF group (n = 36) of those who developed postoperative AF, and the sinus rhythm (SR) group (n = 64), of those who did not.Odds ratio analysis was carried out with a logistic regression model using the threshold of the high quartile.Results: Age was more advanced in group AF (70.8±8.7 years old) than in group SR(66.7±8.5 years old), P = 0.025. There were more emergencies in group AF (22.2%) than in group SR (10.9%), P = 0.15. Preoperative NT-pro-BNP was significantly higher in group AF (509.6±641.6 pg/mL) than in group SR (241.1±302.7 pg/mL), P = 0.006.Preoperative administration of statins was relatively greater in group SR (73.4%) than in group AF (58.3%), P = 0.18. Four factors withaPvalue below 0.2 in the univariate analysis were extracted, which were preoperative administration of statins, emergency, high NT-pro-BNP (>348 pg/mL, high quartile), and advanced age (>75 years old, high quartile). The constructed logistic regression model revealed that high NT-pro-BNP(>348 pg/mL, high quartile) was the only predictor of postoperative AF after OPCAB(P = 0.05; OR, 2.60; 95% CI, 0.96-7.05).Conclusions: A high preoperative level of NT-pro-BNP could predict the incidence of postoperative AF after OPCAB.
著者
-
Takahara Yoshiharu
Department Of Cardiology Chiba Prefectural Tsurumi Hospital
-
Sakurai Manabu
Department Of Cardiovascular Surgery Chiba University Hospital
-
Matsuura Kaoru
Department Of Cardiovascular Surgery Funabashi Municipal Medical Center
-
Mogi Kenji
Department Of Cardiovascular Surgery Funabashi Municipal Medical Center
-
Takahara Yoshiharu
Department of Cardiovascular Surgery, Funabashi Municipal Medical Center, Chiba, Japan
-
Sakurai Manabu
Department of Cardiovascular Surgery, Funabashi Municipal Medical Center, Chiba, Japan
-
Kawamura Tomonori
Department of Cardiovascular Surgery, Funabashi Municipal Medical Center, Chiba, Japan
-
Hatakeyama Ikuo
Department of Laboratory, Funabashi Municipal Medical Cen ter, Chiba, Japan
-
Mogi Kenji
Department of Cardiovascular Surgery, Funabashi Municipal Medical Center, Chiba, Japan
関連論文
- Impact of the Fluid Balance on the Incidence of Postoperative Atrial Fibrillation After Aortic Arch Repair(Cardiovascular Surgery/CABG 2 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Current Challenge in Thromboendarterectomy for Chronic Pulmonary Thromboembolism with Pulmonary Hypertension ; Prompt Use of PCPS and MUF(Pulmonary Circulation 2 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- SURGICAL TREATMENT FOR MITRAL REGURGITATION ASSOCIATED WITH SECUNDUM ATRIAL SEPTAL DEFECT : Cardiac Surgery: Valvular and Congenital Heart Disease : PROCEEDINGS OF THE 44th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Total Arch replacement Using Integrated Selective Cerebral Perfusion and a Stepwise Distal Anastomosis Technique(Peripheral Circulation/Vascular Disease 2 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- F-18-FDG Positron Emission Tomography Findings Correlate Pathological Proliferative Activity of Oral Squamous Cell Carcinoma
- The role of whole-body FDG-PET in preoperative assessment of tumor staging in oral cancers
- Diagnosis of maxillofacial tumor with L-3-[^F]-fluoro-α-methyltyrosine (FMT) PET : a comparative study with FDG-PET
- Hexokinase-II expression in untreated oral squamous cell carcinoma : comparison with FDG PET imaging
- Late-Term Regression of Stenosis at the Kink Site in the Internal Thoracic Artery in Two Cases
- Bypass Surgery with Autologous Peripheral-blood Mononuclear Cells Implantation for Foot Salvage
- A Case Complicated with Horner's Syndrome after Off-pump Coronary Artery Bypass
- -P64-ASSESSMENT OF CHANGES IN MYOCARDIAL PERFUSION RESERVE AFTER PTCA AND CABG WITH POSITRON TOMOGRAPHY : RI : FREE COMMUNICATIONS(III) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- NONINVASIVE EVALUATION OF CORONARY HEMODYNAMICS IN BYPASS GRAFTING USING TWO-DIMENSIONAL DOPPLER ECHOCARDIOGRAPHY : Echocardiography, Pulsed Doppler : 53 Annual Scientific Meeting, Japanese Circulation Society
- Organic Nutrient-dependent Degradation of Branched Nonylphenol by Sphingomonas sp. YT Isolated from a River Sediment Sample
- -1110-NONINVASIVE EVALUATION OF CORONARY ARTERY BYPASS GRAFT ANASTOMOSES USING COLOR DOPPLER FLOW IMAGING TECHNIQUE : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Central Mucoepidermoid Carcinoma of the Mandible : A Case Report
- Histopathological Study on the Distribution of Langerhans Cells in Oral Mucosa
- Ascending Aortic Aneurysm Following Aortico-ventricular Tunnel Repair
- Long-term Evaluation of Bovine Pericardial Bioprostheses in Young Women : Influence of Pregnancy
- Long-term outcome of large artificial patch aortic repair for diffuse stenosis in Williams syndrome
- NONINVASIVE DETECTION OF LEFT ANTERIOR DESCENDING CORONARY ARTERY FLOW BY TWO-DIMENSIONAL DOPPLER ECHOCARDIOGRAPHY : Doppler Echocardiography : PROCEEDINGS OF THE 50th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Prosthesis-patient Mismatch after Mitral Valve Replacement Stratified by Referred and Measured Effective Valve Area
- Preoperative High N-Terminal pro-B-Type Natriuretic Peptide Level Can Predict the Incidence of Postoperative Atrial Fibrillation Following Off-Pump Coronary Artery Bypass Grafting
- F-18-FDG positron emission tomography findings correlate pathological proliferative activity of oral squamous cell carcinoma
- Sialolith Internal Submandibular Gland by Extracorporeal Shock Wave Lithotripsy(ESWL) with EDAP LT-02.