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Peripheral arterial disease as a risk factor for atrial fibrillation in the postoperative period of myocardial revascularization: a retrospective cohort study.

Peripheral arterial disease as a risk factor for atrial fibrillation in the postoperative period of myocardial revascularization: a retrospective cohort study.

期刊: Revista do Colegio Brasileiro de Cirurgioes 日期: 2026-01-01 PMID: 42484269 DOI: 10.1590/0100-6991e-202600176-en 浏览: 31
作者: Aranha FG, Martins AF, Marques MA, Aranha MFMG, Aranha FFMG, Senftt ICN, Zulchner MA, Traebert J
FG, A., AF, M., MA, M., MFMG, A., FFMG, A., ICN, S., MA, Z., & J, T. (2026). Peripheral arterial disease as a risk factor for atrial fibrillation in the postoperative period of myocardial revascularization: a retrospective cohort study.. Revista do Colegio Brasileiro de Cirurgioes. https://doi.org/10.1590/0100-6991e-202600176-en
FG A, AF M, MA M, MFMG A, FFMG A, ICN S, et al. Peripheral arterial disease as a risk factor for atrial fibrillation in the postoperative period of myocardial revascularization: a retrospective cohort study.. Revista do Colegio Brasileiro de Cirurgioes. 2026; doi: 10.1590/0100-6991e-202600176-en
FG A, AF M, MA M, et al. Peripheral arterial disease as a risk factor for atrial fibrillation in the postoperative period of myocardial revascularization: a retrospective cohort study.[J]. Revista do Colegio Brasileiro de Cirurgioes. 2026. DOI: 10.1590/0100-6991e-202600176-en.
@article{fg2026,
  author = {Aranha FG and Martins AF and Marques MA and Aranha MFMG and Aranha FFMG and Senftt ICN and Zulchner MA and Traebert J},
  title = {Peripheral arterial disease as a risk factor for atrial fibrillation in the postoperative period of myocardial revascularization: a retrospective cohort study.},
  journal = {Revista do Colegio Brasileiro de Cirurgioes},
  year = {2026},
  doi = {10.1590/0100-6991e-202600176-en},
  note = {PMID: 42484269},
}
TY  - JOUR
AU  - Aranha FG
AU  - Martins AF
AU  - Marques MA
AU  - Aranha MFMG
AU  - Aranha FFMG
AU  - Senftt ICN
AU  - Zulchner MA
AU  - Traebert J
TI  - Peripheral arterial disease as a risk factor for atrial fibrillation in the postoperative period of myocardial revascularization: a retrospective cohort study.
T2  - Revista do Colegio Brasileiro de Cirurgioes
PY  - 2026
DO  - 10.1590/0100-6991e-202600176-en
AN  - PMID:42484269
ER  - 

摘要

INTRODUCTION: Postoperative atrial fibrillation (POAF) is the most common complication of myocardial revascularization surgery, associated with predisposing factors and outcomes such as increased hospital stay, higher stroke and mortality rates. The objective of this study is to estimate the incidence of POAF and associated factors and outcomes, with emphasis on peripheral arterial disease. METHODS: A retrospective cohort study was carried out involving adult patients admitted to admitted to the intensive care unit in the immediate postoperative period of myocardial revascularization surgery in a private hospital in South Brazil. Sociodemographic data, comorbidities, hospital and intensive care unit stay, occurrence of stroke and death were collected. Multivariate analyses were performed to identify independent relationships between variables using Poisson Regression with a robust estimator. Relative risks and 95% confidence intervals were estimated. RESULTS: A total of 421 patients were included. The incidence of POAF was 23.8% (100 patients), statistically and independently associated with patient's older age (p<0.001), with systemic arterial hypertension (p<0.001) and with peripheral arterial disease (p<0.001). Increased incidence of POAF was also associated with increased hospital and intensive care unit length of stay. CONCLUSION: A higher incidence of POAF after myocardial revascularization was associated with peripheral arterial disease, older age, and systemic arterial hypertension.

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