Shadvar Kamran, Ramezani Fariba, Sanaie Sarvin, Maleki Taher Entezari, Arbat Babak Kazemi, Nagipour Bahman
Kamran Shadvar, Assistant Professor, Fellowship of Critical Care Medicine, Department of Anesthesiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Fariba Ramezani, General Physician, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Pak J Med Sci. 2016 Jul-Aug;32(4):900-4. doi: 10.12669/pjms.324.10587.
Atrial fibrillation is the most common arrhythmia after cardiac surgery. Several studies have shown the impact of vitamin D on heart disease; however, there have been few studies for the incidence of AF and its relationship with vitamin D levels. According to the different results of these studies, we decided to evaluate the relation of plasma levels of vitamin D and postoperative atrial fibrillation in patients undergoing coronary artery bypass surgery (CABG).
This cross-sectional study was performed on 50 patients after CABG surgery. Simple random sampling was done. Twenty five patients who developed AF within 48 hours after CABG with Cardiopulmonary bypass (CPB) were enrolled in the case group and 25 patients who did not develop AF within 48 hours after CABG with CPB were enrolled in the control group. Plasma levels of vitamin D in both groups of patients were recorded. Collected data were analyzed by the SPSS software version 17.
There was no significant difference in terms of demographic characteristics, comorbidities, lipid profile and kidney function between two groups. The mean plasma level of vitamin D was 27.4 ± 2.22 ng/ml in the case group and was 28.2 ± 1.18 ng/ml in the control group it (p= 0.803).
Plasma levels of vitamin D were almost the same in both groups and there was no statistically significant difference between the groups with and without atrial fibrillation following CABG.
心房颤动是心脏手术后最常见的心律失常。多项研究显示了维生素D对心脏病的影响;然而,关于房颤的发生率及其与维生素D水平的关系的研究却很少。根据这些研究的不同结果,我们决定评估冠状动脉搭桥手术(CABG)患者血浆维生素D水平与术后心房颤动的关系。
本横断面研究对50例CABG术后患者进行。采用简单随机抽样。在体外循环(CPB)下行CABG术后48小时内发生房颤的25例患者纳入病例组,在CPB下行CABG术后48小时内未发生房颤的25例患者纳入对照组。记录两组患者的血浆维生素D水平。收集的数据采用SPSS 17.0软件进行分析。
两组患者在人口统计学特征、合并症、血脂谱和肾功能方面无显著差异。病例组维生素D的平均血浆水平为27.4±2.22 ng/ml,对照组为28.2±1.18 ng/ml(p = 0.803)。
两组患者的血浆维生素D水平几乎相同,CABG术后有房颤和无房颤组之间无统计学显著差异。