Coronary Artery Bypass
Conditions
Keywords
Off-pump coronary artery bypass graft, Atorvastatin, Postoperative atrial fibrillation
Brief summary
The purpose of this study is to determine whether pretreatment with atorvastatin protects against atrial fibrillation following off-pump coronary artery bypass graft surgery.
Detailed description
Atrial fibrillation after cardiac surgery is the most common arrhythmic complication that may increase incidence of congestive heart failure, renal insufficiency, and stroke, which increase the length of hospital stay, the rates of re-hospitalization, and cost of care. Its pathogenesis is multifactorial, and its prevention and management remain suboptimal. Recently, observational evidence has suggested that patients who have undergone previous statin therapy have a lower incidence of postoperative atrial fibrillation. The purpose of this study is to determine whether pretreatment with atorvastatin protects against atrial fibrillation following off-pump coronary artery bypass graft surgery.
Interventions
atorvastatin 20 mg/d, started 3 days before surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* consecutive patients scheduled for the elective off-pump CABG surgery
Exclusion criteria
* prior statin use * previous episodes of atrial fibrillation * impaired renal function with serum creatinine \>2mg/dL * serum aspartate aminotransferase or alanine aminotransferase concentrations more than 3 times the upper limit of normal * a malignancy or inflammatory disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the development of postoperative in-hospital atrial fibrillation confirmed by 12-lead ECG | in-hospital period |
Secondary
| Measure | Time frame |
|---|---|
| major adverse cardiac and cerebrovascular events rate, including cardiovascular death, postoperative stroke, myocardial infarction, or persistent atrial fibrillation,and identification of predictive markers for postoperative atrial fibrillation | 30 days |
Countries
South Korea