Research Article

Biochemical Predictors of New-Onset Atrial Fibrillation after Ascending Aorta Replacement Surgery in Acute Type A Aortic Dissection Patients

Table 1

Perioperative information of the 435 patients with or without POAF.

No-POAF 217 (49.9%)POAF 218 (50.1%) value

Preoperation
 Age (y)49 ± 1160 ± 13<0.001
 Male, n (%)181 (83.5%)164 (75.2%)0.035
 Body mass index (kg/m2)25.47 (23.25–28.06)24.90 (22.86–27.35)0.093
 Hypertension, n (%)160 (73.7%)174 (79.8%)0.133
 Smoking history, n (%)69 (31.8%)57 (26.1%)0.194
 Alcohol consumption history, n (%)54 (24.9%)52 (23.9%)0.802
 Pericardial effusion, n (%)169 (77.9%)181 (83.0%)0.176
 Haemodynamic instability, n (%)8 (3.7%)13 (6%)0.371
Intraoperation
 Operative time (h)6.50 (6.0–7.8)6.60 (5.6–8.0)0.887
 CPB time (min)191.00 (161.00–230.75)200.00 (165.25–240.00)0.316
 DHCA time (min)26 (19–36)25 (19–35)0.629
 Aortic clamp time (min)142.0 (116.00–174.75)142.5 (114.25–178.00)0.432
 Bentall procedure, n (%)38 (17.5%)39 (17.9%)1.000
 Wheat’s procedure, n (%)6 (2.8%)7 (3.2%)1.000
 Aortic valve replacement, n (%)44 (20.3%)46 (21.1%)0.906
 Descending aorta stent implantation, n (%)181 (83.4%)179 (82.1%)0.800
 Extend arch repair, n (%)60 (27.6%)48 (22.0%)0.184
 Cerebral perfusion0.141
  No61 (28.1%)63 (28.9%)
  UACP134 (61.8%)125 (57.3%)
  BACP11 (5.1%)7 (3.2%)
  RCP11 (5.1%)23 (10.6%)
 LTN (°C)22.95 (22.00–25.85)22.70 (21.80–23.88)0.309
 RBC transfusion (U)9.0 (5.5–12.5)10.5 (7.5–15.0)0.002
Postoperation
 Hemoglobin (g/L)96 (84–107)93 (85–105)0.368
 C-reactive protein (mg/L)181.0 (145.8–218.1)178.9 (140.9–218.1)0.378
 Apolipoprotein A (g/L)0.62 (0.54–0.70)0.61 (0.54–0.68)0.191
 Apolipoprotein B (g/L)0.40 (0.32–0.51)0.37 (0.30–0.45)0.008
 Adenosine deaminase (U/L)7.2 (6.0–9.0)8.0 (7.1–10.2)<0.001
 Leucine aminopeptidase (U/L)40.50 (34.80–46.75)40.00 (34.45–47.65)0.877
 Lactic dehydrogenase (U/L)461 (370–651)493 (382–798)0.111
 Aspartate aminotransferase (U/L)48 (30.5–103.2)54 (32.8–142.6)0.159
 Alanine aminotransferase (U/L)21.6 (14.5–39.8)21.5 (14.6–53.5)0.47
 Albumin globulin ratio1.97 (1.78–2.24)1.99 (1.78–2.26)0.64
 Cholesterol (mmol/L)2.69 (2.33–3.05)2.44 (2.14–2.9)0.001
 HDL (mmol/L)0.69 (0.50–0.89)0.68 (0.5–0.85)0.624
 LDL (mmol/L)1.04 (0.81–1.35)0.93 (0.69–1.16)0.001
 Cholinesterase (KU/L)4.5 (3.9–5)4.1 (3.6–4.7)0.002
 Triglyceride (mmol/L)1.05 (0.79–1.43)0.94 (0.68–1.4)0.049
 Total bile acid (umol/L)3.4 (1.8–6.7)4.1 (2.5–7.9)0.012
 Glucose (mmol/L)6.68 (6.08–7.55)7.17 (6.31–8.63)0.001
 Uric acid (umol/L)295 (225–383)309 (235–413)0.291
 Urea nitrogen (mmol/L)9.8 (7.3–13.2)11.6 (8.9–14.7)0.002
 Creatinine (umol/L)95 (70–164)110 (73–188)0.134
 Calcium (mmol/L)2.12 (2.04–2.22)2.12 (2.04–2.23)0.95
 Sodium (mmol/L)146.8 (144–149.4)147.2 (143.8–149.8)0.447
 Chlorine (mmol/L)109 (105.9–111.8)108.9 (106.4–112)0.917
 Phosphorus (mmol/L)0.85 (0.68–1.07)0.86 (0.71–1.12)0.24
 Potassium (mmol/L)4.28 (4.11–4.47)4.35 (4.18–4.52)0.015

CBP time, cardiopulmonary bypass time; DHCA time, deep hypothermia circulatory arrest time; UACP, unilateral anterograde cerebral perfusion; BACP, bilateral anterograde cerebral perfusion; RCP, retrograde cerebral perfusion; LTN, lowest temperature of nasopharyngeal; RBC transfusion, red blood cell transfusion; HDL, high-density lipoprotein; LDL, low-density lipoprotein. The bold values in the p-value column are less than 0.05, which indicates statistical significance.