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Iranian Heart Journal، جلد ۱۹، شماره ۱، صفحات ۴۴-۵۱
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عنوان انگلیسی Evaluation of Dysrhythmias Following Transfusion After Coronary Artery Bypasses Grafting
چکیده انگلیسی مقاله Background: Coronary artery bypass graft surgery (CABG) is a common surgical operation usuallyperformed under cardiopulmonary bypass. Although the relationship between the transfusion ofblood products during and after surgery with the incidence of arrhythmia has been studied,contradictory results have been achieved. In the current study, we investigated the correlationbetween blood products transfusion during and after surgery with the incidence of postoperativearrhythmia.Method: Patients candidated for CABG were entered into the present cross-sectional study. Theincidence of arrhythmia (supraventricular and ventricular, transient or permanent), history ofmedications and renal diseases, and transfusion of blood products during or after the operationwere recorded and analyzed.Results: Twenty-two (8.2%) patients experienced atrial fibrillation and 50 (18.7%) experiencedpremature ventricular contractions. The use of packed red blood cells in the operating room wasinversely correlated with the odds of the incidence of at least one of the arrhythmias (OR = 0.5,95% CI: 0.28 to 0.87; P = 0.015). The number of grafts, high blood pressure, duration ofmechanical ventilation in the ICU, and the potassium level upon admission to the ICU weredirectly correlated with the incidence of arrhythmia. Moreover, the transfusion of platelets inthe ICU and the use of cryoprecipitate in the operating room were inversely correlated with theincidence of atrial fibrillation (not all arrhythmias).Conclusions: According to the findings of the present study, conditionings to maintain the normalhematocrit level and platelet count is associated with decreased odds of arrhythmia incidenceduring and after CABG.
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نویسندگان مقاله Mohsen Ziyaeifard |
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Ziae Totonchi |
Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Rasoul Azarfarin |
Echocardiography Research Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University of Medical Sciences, Tehran, IR Iran

Mohamadreza Adeli |
Rasoul Akarm Hospital, Iran University of Medical Sciences, Tehran, IR Iran

Seyed Hamid Reza Faiz |
Rasoul Akarm Hospital, Iran University of Medical Sciences, Tehran, IR Iran

نشانی اینترنتی http://journal.iha.org.ir/article_82805_182a684dfb459636689ea825163bbdce.pdf
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/162/article-162-1423884.pdf
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