masterThesis
La concentración de calcio iónico se asocia a la presencia de fibrilación auricular post operatoria en pacientes llevados a revascularización miocardica
Fecha
2016Autor
Beltran Melgarejo, Javier
Quintero, Oscar
Institución
Resumen
Objective. Determined in a group of patients undergoing coronary
artery bypass graft if there was significant association between the
presence of ionized calcium levels below 1.1 at 24 hours postoperative
and the occurrence of postoperative atrial fibrillation.
Methodology. Observational, analytical study of cases and controls,
consecutive 110 subjects were included (57 in the group of cases with
postoperative atrial fibrillation and 54 in the control group without evidence of atrial fibrillation) these subjects were taken to CABG in
Fundación Cardioinfantil – IC in the years 2010-2015.
Results. There were 13 cases of postoperative atrial fibrillation in
patients with ionized calcium levels below 1.1 mmol / l in the first 24
hours of postoperative OR 0.5, CI (0.2-1.2) p: 0 ,1. There was no
association for study limitations, however 29% of patients with atrial
fibrillation had calcium levels below 1.1 mmol / l in the first 24 hours
postoperative, this value increases to 31% when analyzed by separate
calcium values obtained at 12 hours.
Conclusions. Although it was not possible to determine association
between postoperative atrial fibrillation and the concentrations of
ionized calcium, exploratory way it was established that 29% of
patients with atrial fibrillation had concentrations below 1.1 mmol / l
calcium ion, this value increases to 31% when ionized calcium levels
are analyzed separately.