Analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation

Aim. To identify and analyze predictors of the development of sick sinus syndrome in patients with atrial fibrillation. Material and methods. We include 847 patients with paroxysmal (121) and permanent (726) form of atrial fibrillation in our research. Patients underwent the Cox-Maze IV procedure...

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Autores principales:	Vadim A. Karnakhin, Vladlen V. Bazylev, Andrey B. Voevodin, Yaroslav S. Slastin
Formato:	article
Lenguaje:	EN RU
Publicado:	Concilium Medicum 2021
Materias:	atrial fibrillation sick sinus syndrome pacemaker cox-maze iv surgery Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/91c8f4a2309e4dac90bffd1f414bff84
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spelling	oai:doaj.org-article:91c8f4a2309e4dac90bffd1f414bff842021-12-01T22:07:01ZAnalysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation2221-71852658-570710.26442/22217185.2020.4.200571https://doaj.org/article/91c8f4a2309e4dac90bffd1f414bff842021-02-01T00:00:00Zhttps://cardiosomatics.orscience.ru/2221-7185/article/viewFile/60806/43923https://doaj.org/toc/2221-7185https://doaj.org/toc/2658-5707Aim. To identify and analyze predictors of the development of sick sinus syndrome in patients with atrial fibrillation. Material and methods. We include 847 patients with paroxysmal (121) and permanent (726) form of atrial fibrillation in our research. Patients underwent the Cox-Maze IV procedure with correction of valvular and/or coronary pathology in the conditions of artificial blood circulation. The volume of surgical intervention, clinical, laboratory and echocardiographic parameters were considered as independent predictors. Results. Permanent pacemaker implantation at the hospital stage required 37 (4.3%) from all 847 patients. None of these patients had indications for permanent pacemaker implantation before the intervention. Indications for pacemaker implantation: sick sinus syndrome in 30 (3.5%), bradiarrhythmia in 6 (0.7%); Fredericks syndrome in 1 (0.11%) patient. Sinus node weakness syndrome is the most common reason for installing permanent pacemaker. Analysis of neural networks showed that body mass index, time of cardiopulmonary bypass, time of mechanical ventilation, and the age of the patient are independent predictors of the development of this condition. Conclusion. Obesity, time of cardiopulmonary bypass, time of mechanical ventilation, and age of the patient are the independent and most significant predictors of the development of sick sinus syndrome.Vadim A. KarnakhinVladlen V. BazylevAndrey B. VoevodinYaroslav S. SlastinConcilium Medicumarticleatrial fibrillationsick sinus syndromepacemakercox-maze iv surgeryDiseases of the circulatory (Cardiovascular) systemRC666-701Diseases of the endocrine glands. Clinical endocrinologyRC648-665ENRUКардиоСоматика, Vol 11, Iss 4, Pp 20-24 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU
topic	atrial fibrillation sick sinus syndrome pacemaker cox-maze iv surgery Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	atrial fibrillation sick sinus syndrome pacemaker cox-maze iv surgery Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the endocrine glands. Clinical endocrinology RC648-665 Vadim A. Karnakhin Vladlen V. Bazylev Andrey B. Voevodin Yaroslav S. Slastin Analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation
description	Aim. To identify and analyze predictors of the development of sick sinus syndrome in patients with atrial fibrillation. Material and methods. We include 847 patients with paroxysmal (121) and permanent (726) form of atrial fibrillation in our research. Patients underwent the Cox-Maze IV procedure with correction of valvular and/or coronary pathology in the conditions of artificial blood circulation. The volume of surgical intervention, clinical, laboratory and echocardiographic parameters were considered as independent predictors. Results. Permanent pacemaker implantation at the hospital stage required 37 (4.3%) from all 847 patients. None of these patients had indications for permanent pacemaker implantation before the intervention. Indications for pacemaker implantation: sick sinus syndrome in 30 (3.5%), bradiarrhythmia in 6 (0.7%); Fredericks syndrome in 1 (0.11%) patient. Sinus node weakness syndrome is the most common reason for installing permanent pacemaker. Analysis of neural networks showed that body mass index, time of cardiopulmonary bypass, time of mechanical ventilation, and the age of the patient are independent predictors of the development of this condition. Conclusion. Obesity, time of cardiopulmonary bypass, time of mechanical ventilation, and age of the patient are the independent and most significant predictors of the development of sick sinus syndrome.
format	article
author	Vadim A. Karnakhin Vladlen V. Bazylev Andrey B. Voevodin Yaroslav S. Slastin
author_facet	Vadim A. Karnakhin Vladlen V. Bazylev Andrey B. Voevodin Yaroslav S. Slastin
author_sort	Vadim A. Karnakhin
title	Analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation
title_short	Analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation
title_full	Analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation
title_fullStr	Analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation
title_full_unstemmed	Analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation
title_sort	analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation
publisher	Concilium Medicum
publishDate	2021
url	https://doaj.org/article/91c8f4a2309e4dac90bffd1f414bff84
work_keys_str_mv	AT vadimakarnakhin analysisofpredictorsofsicksinussyndromeafteropensurgicaltreatmentofatrialfibrillation AT vladlenvbazylev analysisofpredictorsofsicksinussyndromeafteropensurgicaltreatmentofatrialfibrillation AT andreybvoevodin analysisofpredictorsofsicksinussyndromeafteropensurgicaltreatmentofatrialfibrillation AT yaroslavsslastin analysisofpredictorsofsicksinussyndromeafteropensurgicaltreatmentofatrialfibrillation
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Analysis of predictors of sick sinus syndrome after open surgical treatment of atrial fibrillation

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