Fibrilasi Atrium Pasca-Bedah Pintas Koroner: Seberapa Pentingkah?

  • Muhammad Munawar Divsi Aritmia, Departemen Kardiologi dan Kedokteran Vaskular FKUI, Jakarta

Abstract

Fibrilasi atrium (FA) adalah salah satu komplikasi gangguan irama yang paling sering dijumpai pasca bedah pintas koroner. Menjadi sangat penting karena FA yang terjadi pasca-bedah pintas koroner mempunyai prognosis jangka panjang dan jangka pendek yang kurang baik. Filardo dkk telah melakukan penelitian kohort terhadap 6899 pasien pasca-bedah pintas koroner baru-baru ini dan mendapatkan bahwa angka ketahanan hidup selama 10 tahun pasien dengan FA yang ditemukan pasca-bedah pintas koroner adalah 52.3%, sedang pada pasien dengan irama sinus jauh lebih tinggi yakni 69.4%. FA yang terjadi pada pasca-bedah pintas koroner juga berhubungan denganembolic event seperti stroke, perdarahan gastro-intestinal dan perawatan kembali ke intensive care unit(ICU) serta bertambahnya lam perawatan di rumah sakit.

Downloads

Download data is not yet available.

References

Filardo G, Hamilton C, Hebeler RF, Jr., Hamman B, Grayburn P. New-onset postoperative atrial fibrillation after isolated coro-nary artery bypass graft surgery and long-term survival. Circ Cardiovasc Qual Outcomes. 2009; 2: 164-9.

Hakala T, Hedman A, Turpeinen A, Kettunen R, Vuolteenaho O, Hippelainen M. Prediction of atrial fibrillation after coronary artery bypass grafting by measuring atrial peptide levels and preoperative atrial dimensions. Eur J Cardiothorac Surg 2002; 22: 939-43.

Mariscalco G, Klersy C, Zanobini M, Banach M, Ferrarese S, Borsani P, dkk. Atrial fibrillation after isolated coronary surgery affects late survival. Circulation 2008; 118: 1612-8.

Patel D, Gillinov MA, Natale A. Atrial Fibrillation after Cardiac Surgery: Where are we now? Indian Pacing Electrophysiol J 2008; 8: 281-91.

Mathew JP, Fontes ML, Tudor IC, Ramsay J, Duke P, Mazer CD, dkk. A multicenter risk index for atrial fibrillation after cardiac surgery. JAMA. 2004; 291: 1720-9.

Kalman JM, Munawar M, Howes LG, Louis WJ, Buxton BF, Gutteridge G, dkk. Atrial fibrillation after coronary artery bypass grafting is associated with sympathetic activation. Ann Thorac Surg. 1995; 60: 1709-15.

Haghjoo M, Saravi M, Hashemi MJ, Hosseini S, Givtaj N, Ghafarinejad MH, dkk. Optimal beta-blocker for prevention of atrial fibrillation after on-pump coronary artery bypass graft surgery: carvedilol versus metoprolol. Heart Rhythm. 2007; 4: 1170-4.

Maniar PB, Balcetyte-Harris N, Tamis JE, Steinberg JS. Intra-venous versus oral beta-blockers for prevention of post-CABG atrial fibrillation in high-risk patients identified by signal-averaged ECG: lessons of a pilot study. Card Electrophysiol Rev. 2003; 7: 158-61.

Hadis H, Yuniadi Y, Idham I. Insidens dan faktor risiko fibrilasi atrium pasca bedah pintas koroner. J Kardiol Indones. 2010; 30:16-25.

Hakala T, Pitkanen O, Hippelainen M. Feasibility of predicting the risk of atrial fibrillation after coronary artery bypass surgery with logistic regression model. Scand J Surg. 2002; 91: 339-44.
Views & Downloads
Abstract views: 728   
PDF (Bahasa Indonesia) downloads: 544   
How to Cite
Munawar, M. (1). Fibrilasi Atrium Pasca-Bedah Pintas Koroner: Seberapa Pentingkah?. Indonesian Journal of Cardiology, 31(1), 26-27. https://doi.org/10.30701/ijc.v31i1.154