Background: We aimed to investigate the effect of seasons on atrial fibrillation
that occurred after coronary bypass surgery operation. Method: 187
patients underwent coronary artery bypass operation in our clinic between July 2018-July 2019. Isolated coronary artery bypass graft
operation was performed with cardiopulmonary bypass to179 of these patients. Forty three patients that
developed atrial fibrillation after coronary bypass operation, demographic,
laboratory findings and date of atrial fibrillation data investigated retrospectively. Results: Forty three patients developed atrial fibrillation after
coronary artery bypass surgery. Forty one patients operated in winter, 48 in
spring, 47 in summer, 43 in autumn and 13 patients developed atrial
fibrillation in winter, 11 (25.6%) in spring, 8 (20.9%) in summer and 11
(23.3%) in autumn respectively. There is no statistical significance found by Z
test that performed for all seasons for atrial fibrillation. Conclusion: There
are many reasons that could play role on developing atrial fibrillation after coronary artery
bypass surgery. There are many publications that report vitamin D deficiency as
a reason for developing atrial fibrillation after coronary bypass surgery. In
our study, we did not evaluate a relationship between the development of post
operative atrial fibrillation and seasons.
References
[1]
Foussas, S. (2016) Acute Coronary Syndromes and Atrial Fibrillation. Hellenic Journal of Cardiology, 57, 141-142. https://doi.org/10.1016/j.hjc.2016.05.001
[2]
Yadava, M., Hugley, A.B. and Crawford, T.C. (2014) Postoperative Atrial Fibrillation: Incidedce, Mechanisms, and Clinical Correlates. Cardiology Clinics, 32, 627-636. https://doi.org/10.1016/j.ccl.2014.07.002
[3]
Phan, K., Ha, H.S., Phan, S., Medi, C., Thomas, S.P. and Yan, T.D. (2015) New-Onset Atril Fibrillation Following Coronary Bypass Surgery Predicts Long-Term Mortality: A Systematic Review and Meta-Analysis. European Journal of Cardio-Thoracic Surgery, 48, 817-824. https://doi.org/10.1093/ejcts/ezu551
[4]
Frendl, G., Sodickson, A.C., Chung, M.K., Waldo, A.L., Gersh, B.J., Tisdale, J.E., et al. (2014) American Association for Thoracic Surgery: 2014 AATS Guidelines for the Prevention and Management of Perioperatif Atrial Fibrillation and Flutter for Thoracic Surgical Procedures. The Journal of Thoracic and Cardiovascular Surgery, 148, e153-e193. https://doi.org/10.1016/j.jtcvs.2014.06.036
[5]
Shen, J., Lall, S., Zheng, V., Buckley, P., Damiano, R.J. and Schuessler, R.B. (2011) The Persistent Problem of New-Onset Postoperative Atrial Fibrillation: A Single-Institution Experience over Two Decades. The Journal of Thoracic and Cardiovascular Surgery, 141, 559-570. https://doi.org/10.1016/j.jtcvs.2010.03.011
[6]
Emren, S.V., Aldemir, M. and Ada, F. (2016) Does Deficiency of Vitamin D Increase New-Onset Atrial Fibrillation after Coronary Artery Bypass Grafting Surgery? The Heart Surgery Forum, 19, 180-184. https://doi.org/10.1532/hsf.1531
[7]
Gode, S., Aksu, T., Demirel, A., Sunbul, M., Gul, M., Bakır, I., et al. (2016) Effect of Vitamin D Deficiency on the Development of Postoperative Atrial Fibrillation in Coronary Artery Bypass Patients. Journal of Cardiovascular and Thoracic Research, 8, 140-146. https://doi.org/10.15171/jcvtr.2016.29
[8]
Bolland, M.J., Chiu, W.W., Davidson, J.S., Grey, A., Bacon, C., Gamble, G.D., et al. (2008) The Effects of Seasonal Variation of 25-Hydroxyvitamin D on the Diagnosis of Vitamin D Insufficiency. New Zealand Medical Journal, 121, 63-74.
[9]
Ada, F. and Polat, V. (2019) Is There a Seasonal Feature of New-Onset Atrial Fibrillation after Coronary Artery Bypaa Graft Surgery? Cumhuriyet Medical Journal, 41, 563-568. https://doi.org/10.7197/cmj.vi.610344
[10]
Cutolo, M. and Otsa, K. (2008) Vitamin D, Immunity and Lupus. Lupus, 17, 6-10. https://doi.org/10.1177/0961203307085879
[11]
Maxwell, J.D. (1994) Seasonal Variation in Vitamin D. Proceedings of the Nutrition Society, 53, 533-543. https://doi.org/10.1079/PNS19940063
[12]
Webb, A.R., Kline, L. and Holick, M.F. (1988) Influence of Season and Latitude on the Cutaneous Synthesis of Vitamin D3: Exposure to Winter Sunlight in Boston and Edmonton Will Not Promote Vitamin D3 Synthesis in Human Skin. Journal of Clinical Endocrinology and Metabolism, 67, 373-378. https://doi.org/10.1210/jcem-67-2-373
[13]
Telo, S., Kaman, D. and Akgöl, G. (2017) Alteration of Vitamin D Levels According to Age, Gender and Season in Elazığ. Firat Medical Journal, 22, 29-33.
[14]
Öğüş, E., Sürer, H., Kılınç, A.Ş., Fidancı, V., Yılmaz, G., Dindar, N. and Ark, V.E. (2015) D vitamini düzeylerinin aylara, cinsiyete ve yaşa göre değerlendirilmesi. Ankara Medical Journal, 15, 1-5. https://doi.org/10.17098/amj.88875
[15]
Hekimsoy, Z., Dinç, G., Kafesciler, S., Onur, E., Güvenç, Y., Pala, T., et al. (2010) Vitamin D Status among Adults in the Aegean Region of Turkey. BMC Public Health, 10, Article No. 782. https://doi.org/10.1186/1471-2458-10-782
[16]
Guessous, I., Dudler, V., Glatz, N., Theler, J.M., Zoller, O., Paccaud, F., et al. (2012) Vitamin D Levels and Associated Factors: A Population-Based Study in Switzerland. Swiss Medical Weekly, 142, w13719. https://doi.org/10.4414/smw.2012.13719
[17]
Klenk, J., Papp, K., Denkinger, M.D., Nagel, G., Nikolaus, T., Peter, R., et al. (2013) Seasonality of Vitamin D Status in Older People in Southern Germany: Implication for Assessment. Age and Ageing, 42, 404-408. https://doi.org/10.1093/ageing/aft042
[18]
Vuistiner, P., Rousson, V., Henry, H., Lescuyer, P., Boulat, O., Gaspoz, J.M., et al. (2015) A Population-Based Model to Consider the Effect of Seasonal Variation on Serum 25(OH)D and Vitamin D Status. BioMed Research International, 2015, Article ID: 168189. https://doi.org/10.1093/ageing/aft042
[19]
Thacher, T.D. and Clarke, B.L. (2011) Vitamin D Insufficiency. Mayo Clinic Proceedings, 86, 50-60. https://doi.org/10.4065/mcp.2010.0567
[20]
Holick, M.F. (2007) Vitamin D Deficiency. The New England Journal of Medicine, 357, 266-281. https://doi.org/10.1056/NEJMra070553
[21]
Holick, M.F. (2003) Vitamin D: A Millenium Perspective. Journal of Cellular Biochemistry, 88, 296-307. https://doi.org/10.1002/jcb.10338
[22]
Zittermann, A., Schleithoff, S.S. and Koerfer, R. (2007) Vitamin D and Vascular Calcification. Current Opinion in Lipidology, 18, 41-46. https://doi.org/10.1097/MOL.0b013e328011c6fc
[23]
Fitzpatrick, L.A., Bilezikian, J.P. and Silverberg, S.J. (2008) Parathyroid Hormone and the Cardiovascular System. Current Osteoporosis Reports, 6, 77-83. https://doi.org/10.1007/s11914-008-0014-8
[24]
Cerit, L., Kemal, H., Gulsen, K., Ozcem, B., Cerit, Z. and Duygu, H. (2017) Relationship between Vitamin D and the Development of Atrial Fibrillation after On-Pump Coronary Artery Bypass Graft Surgery. Cardiovascular Journal of Africa, 28, 104-107. https://doi.org/10.5830/CVJA-2016-064
[25]
Öztürk, S. and Öztürk, İ. (2020) Atrial Fibrillation after Cardiac Surgery and Preoperative Vitamin D Levels: A Systematic Review and Meta-Analysis. Turk Gogus Kalp Dama, 28, 101-107. https://doi.org/10.5606/tgkdc.dergisi.2020.18387
