冠状动脉旁路移植术后新发心房颤动术前预测因素研究进展

Research Progress of Preoperative Predictors of New Onset Atrial Fibrillation after Coronary Artery Bypass Grafting

心房颤动是冠状动脉旁路移植术后最常见的并发症之一,发生率约为30%,它可以引起血流动力学不稳定,降低生存率,延长住院时间以及增加患者经济负担。以往有大量研究显示多种术前、术中、术后因素可以预测冠状动脉旁路移植术后新发心房颤动的发生,如果在术前就能确定心房颤动的高危人群,就可以更有效地防止心房颤动的发生,且避免不必要的预防性治疗及其带来的风险。现本文仅对术前预测因素研究进展进行综述。

Atrial fibrillation is one of the most common complications after coronary artery bypass grafting（CABG）, with the occurrence rate of approximate 30%, which leads to hemodynamic instability, reduces survival rate, prolongs hospitalization, and increases patients＇ economic burden. Previous numerous studies have shown lots of preoperative, intra-operative and postoperative factors can predict the occurrence of new onset atrial fibrillation after CABG. If we can identify the specific patients at high risk for developing atrial fibrillation before operation,we may prevent atrial fibrillation more effectively, avoiding unnecessary prophylactic treatment and its risk. This review only focuses on research progress of preoperative predictors.