Atrial fibrillation
Conditions
Interventions
Posterior left pericardiotomy group:Posterior left pericardiotomy is performed by qualified and experienced doctors from each center at the same time as coronary artery bypass surgery. The specific me
control group:No posterior left pericardiotomy was performed, only mediastinal drainage tube was placed.
Sponsors
General Hospital of Northern Theater command
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Over 18 years old 2. No previous history of atrial fibrillation 3.LVEF>40% 4. No history of myocardial infarction 5. Coronary artery bypass surgery (on-pump, off-pump) due to coronary atherosclerotic heart disease 6. Agree to accept the protocol, sign the informed consent form, and be able to cooperate with the collection, storage and follow-up process of medical history data
Exclusion criteria
Exclusion criteria: 1. History of preoperative atrial arrhythmia 2. Cardiac surgery other than coronary artery bypass surgery at the same time 3. Emergency surgery 4. Minimally invasive surgery 5. Reoperation 6. Left pleural disease 7. Thoracic deformity 8. Those who participated in other clinical trials within 3 months before enrollment and have not been discharged 9. Cardiac surgery accompanied by surgery on other body parts; 10. Patients with liver and kidney function impairment (test results exceed 3 times of the upper limit of normal value) and have contraindications to surgery; 11. Those who have other diseases and need radiotherapy, chemotherapy, or long-term hormone therapy; 12. Patients with hyperthyroidism 13. Other reasons are not suitable for joining the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of new atrial fibrillation after surgery;Percentage of atrial premature beats in total heartbeats during the monitoring period.;Percentage of atrial paired premature beats during the monitoring period as a percentage of total heartbeats;Percentage of atrial tachycardia episodes during monitoring period to total heartbeats; | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of atrial fibrillation;Atrial fibrillation burden;HRV metrics;Whether antiarrhythmic drugs are used for POAF;Whether to perform systemic anticoagulation therapy for POAF.;Whether electrical cardioversion is used for the treatment of POAF.;Days of ICU length of stay;Days of Postoperative hospital stay ;Hospitalization expenses;Readmission; | — |
Countries
China
Contacts
Public ContactHuishan Wang
General Hospital of Northern Theater command
Outcome results
None listed