The predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting

Objectives: To examine the relationship between heart rate variability (HRV) and postoperative atrial fibrillation (POAF) after coronary artery bypass grafting (CABG) and to compare its relationship between on-pump and off-pump CABG. Methods: The study was a prospective cohort of 138 patients underg...

Full description

Saved in:
Bibliographic Details
Main Authors: Wanwarang Wongcharoen, Chawarot Kiatkumpol, Arintaya Phrommintikul, Cheeranun Pisespongsa, Nipon Chattipakorn
Format: Journal
Published: 2018
Subjects:
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84903845108&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/53214
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
id th-cmuir.6653943832-53214
record_format dspace
spelling th-cmuir.6653943832-532142018-09-04T09:57:50Z The predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting Wanwarang Wongcharoen Chawarot Kiatkumpol Arintaya Phrommintikul Cheeranun Pisespongsa Nipon Chattipakorn Biochemistry, Genetics and Molecular Biology Medicine Objectives: To examine the relationship between heart rate variability (HRV) and postoperative atrial fibrillation (POAF) after coronary artery bypass grafting (CABG) and to compare its relationship between on-pump and off-pump CABG. Methods: The study was a prospective cohort of 138 patients undergoing elective CABG. The patients with history of AF were excluded. The 24-hour Holter electrocardiograms were recorded before surgery to assess HRV and for 7 days after surgery to detect POAF. Results: POAF occurred in 31 (22.5%) of 138 patients. Baseline characteristics were comparable between patients with and without POAF. On-pump CABG was performed in 56.5% of patients. The significantly longer root mean square of successive differences (RMSSD) was observed in patients undergoing on-pump CABG who had POAF than those who did not (38.1±21.5 vs.31.4±26.1 ms,p=0.012). In those undergoing off-pump CABG, HRV parameters did not differ between patients with and without POAF. The area under ROC curve for RMSSD to predict AF after on-pump CABG was 0.70±0.07 (95% CI,0.57-0.83,p=0.010). The RMSSD cutpoint of >23.8 ms could predict AF after on-pump CABG with the sensitivity and specificity of 89% and 50%, respectively. Conclusion: The HRV could moderately predict AF occurrence after on-pump CABG but not off-pump CABG. These results may influence practice patterns with regard to prophylactic measures of AF in those undergoing on-pump CABG with RMSSD>23.8 ms. 2018-09-04T09:45:20Z 2018-09-04T09:45:20Z 2014-01-01 Journal 12056626 2-s2.0-84903845108 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84903845108&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/53214
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Biochemistry, Genetics and Molecular Biology
Medicine
spellingShingle Biochemistry, Genetics and Molecular Biology
Medicine
Wanwarang Wongcharoen
Chawarot Kiatkumpol
Arintaya Phrommintikul
Cheeranun Pisespongsa
Nipon Chattipakorn
The predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting
description Objectives: To examine the relationship between heart rate variability (HRV) and postoperative atrial fibrillation (POAF) after coronary artery bypass grafting (CABG) and to compare its relationship between on-pump and off-pump CABG. Methods: The study was a prospective cohort of 138 patients undergoing elective CABG. The patients with history of AF were excluded. The 24-hour Holter electrocardiograms were recorded before surgery to assess HRV and for 7 days after surgery to detect POAF. Results: POAF occurred in 31 (22.5%) of 138 patients. Baseline characteristics were comparable between patients with and without POAF. On-pump CABG was performed in 56.5% of patients. The significantly longer root mean square of successive differences (RMSSD) was observed in patients undergoing on-pump CABG who had POAF than those who did not (38.1±21.5 vs.31.4±26.1 ms,p=0.012). In those undergoing off-pump CABG, HRV parameters did not differ between patients with and without POAF. The area under ROC curve for RMSSD to predict AF after on-pump CABG was 0.70±0.07 (95% CI,0.57-0.83,p=0.010). The RMSSD cutpoint of >23.8 ms could predict AF after on-pump CABG with the sensitivity and specificity of 89% and 50%, respectively. Conclusion: The HRV could moderately predict AF occurrence after on-pump CABG but not off-pump CABG. These results may influence practice patterns with regard to prophylactic measures of AF in those undergoing on-pump CABG with RMSSD>23.8 ms.
format Journal
author Wanwarang Wongcharoen
Chawarot Kiatkumpol
Arintaya Phrommintikul
Cheeranun Pisespongsa
Nipon Chattipakorn
author_facet Wanwarang Wongcharoen
Chawarot Kiatkumpol
Arintaya Phrommintikul
Cheeranun Pisespongsa
Nipon Chattipakorn
author_sort Wanwarang Wongcharoen
title The predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting
title_short The predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting
title_full The predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting
title_fullStr The predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting
title_full_unstemmed The predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting
title_sort predictive effect of heart rate variability on atrial fibrillation after coronary artery bypass grafting
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84903845108&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/53214
_version_ 1681424093600022528