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The Influence of New-Onset Atrial Fibrillation After Coronary Artery Bypass Grafting on Three-Year Survival

ACTA MEDICA INDONESIANA · Vol. 52 No. 2 (2020)

ISSN
2338-2732, 0125-9326
Published
2020-08-07
Publisher
The Indonesian Society of Internal Medicine
Language
eng

Abstract

Background: new-onset atrial fibrillation after coronary artery bypass grafting (CABG) is a common postoperative complication. This arrhytmia considered as temporary phenomenon which the majority are converted back to sinus rhytm when the patients discharged from the hospital. Despite its transience, those arrhytmia can recur and increasing the long term mortality. This study aims to determine the role of new-onset atrial fibrillation after CABG in three year survival. Methods: retrospective cohort study using survival analysis of patients who underwent coronary artery bypass grafting since January 2012 to December 2015 at Cipto Mangunkusumo Hospital. Patients with atrial fibrillation before surgery, who had surgery without cardiopulmonary bypass machine, and who died in 30 days after surgery are excluded. Subjects are divided into two category based of the presence of new-onset atrial fibrillation after CABG and the mortality status is followed up until 3 years post-surgery. The Kaplan-Meier curve is used to determine the three-year survival of the patients who had new-onset atrial fibrillation after CABG and Cox regression test used as multivariate analysis with confounding variables in order to get adjusted hazard ratio (HR). Results: new-onset atrial fibrillation after-CABG occurred in 29,59% patients. Patients with new-onset atrial fibrillation after CABG have higher three-year mortality (15,52% vs 3,62%) and significantly decreases three-year survival (p=0,008; HR 4,42; 95% CI 1,49-13,2). In multivariate analysis, new-onset atrial fibrillation after CABG is an independent factor of the three-year survival decline (adjusted HR 4,04; 95% CI; 1,34-12,14). Conclusion: new-onset atrial fibrillation after CABG independently decreases three-year survival.

Keywords

Collaboration network of the authors

40 authors · 319 co-authorship links · showing the 40 most connected

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  • University of Indonesia
  • Affiliation unknown
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Co-authorOrganisationJoint articles
Hamzah ShatriAffiliation unknown10
Cleopas Martin RumendeAffiliation unknown6
Sally Aman NasutionAffiliation unknown6
Siti SetiatiAffiliation unknown5
Robert SintoAffiliation unknown5
Rudi PutrantoAffiliation unknown4
Irsan HasanAffiliation unknown4
Eka GinanjarAffiliation unknown4
Alvina WidhaniAffiliation unknown4
Pringgodigdo NugrohoAffiliation unknown4
Murdani AbdullahAffiliation unknown3
Idrus AlwiAffiliation unknown3
Juferdy KurniawanAffiliation unknown3
Khie Chen LieAffiliation unknown3
Leonard NainggolanAffiliation unknown3
Andhika RachmanAffiliation unknown2
Lugyanti SukrismanAffiliation unknown2
Dadang MakmunAffiliation unknown2
Adityo SusiloAffiliation unknown2
Rudy HidayatAffiliation unknown2
Chyntia Olivia Maurine JasirwanAffiliation unknown2
Suryo Anggoro Kusumo WibowoAffiliation unknown2
Erni Juwita NelwanAffiliation unknown2
Noto DwimartutieAffiliation unknown2
Dyah PurnamasariAffiliation unknown2
Sally A NasutionAffiliation unknown2
Kuntjoro HarimurtiAffiliation unknown2
Eric Daniel TendaAffiliation unknown2
Em YunirUniversity of Indonesia2
Dono AntonoAffiliation unknown2
Lusiani RusdiAffiliation unknown2
Maruhum Bonar Hasiholan MarbunAffiliation unknown2
Imam SubektiAffiliation unknown2
Ahmad Fariz M.Z ZeinAffiliation unknown1
T. Djumhana AtmakusumaAffiliation unknown1
Karmel L TambunanAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (oai_dc) 
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	<dc:title xml:lang="en-US">The Influence of New-Onset Atrial Fibrillation After Coronary Artery Bypass Grafting on Three-Year Survival</dc:title>
	<dc:creator>Sihombing, Rasco Sandy</dc:creator>
	<dc:creator>Muhadi, Muhadi</dc:creator>
	<dc:creator>Mansjoer, Arif</dc:creator>
	<dc:creator>Rinaldi, Ikhwan</dc:creator>
	<dc:subject xml:lang="en-US">atrial fibrillation</dc:subject>
	<dc:subject xml:lang="en-US">coronary artery bypass grafting</dc:subject>
	<dc:subject xml:lang="en-US">new-onset</dc:subject>
	<dc:subject xml:lang="en-US">survival</dc:subject>
	<dc:subject xml:lang="en-US">cardiology</dc:subject>
	<dc:description xml:lang="en-US">Background: new-onset atrial fibrillation after coronary artery bypass grafting (CABG) is a common postoperative complication. This arrhytmia considered as temporary phenomenon which the majority are converted back to sinus rhytm when the patients discharged from the hospital. Despite its transience, those arrhytmia can recur and increasing the long term mortality. This study aims to determine the role of new-onset atrial fibrillation after CABG in three year survival. Methods: retrospective cohort study using survival analysis of patients who underwent coronary artery bypass grafting since January 2012 to December 2015 at Cipto Mangunkusumo Hospital. Patients with atrial fibrillation before surgery, who had surgery without cardiopulmonary bypass machine, and who died in 30 days after surgery are excluded. Subjects are divided into two category based of the presence of new-onset atrial fibrillation after CABG and the mortality status is followed up until 3 years post-surgery. The Kaplan-Meier curve is used to determine the three-year survival of the patients who had new-onset atrial fibrillation after CABG and Cox regression test used as multivariate analysis with confounding variables in order to get adjusted hazard ratio (HR). Results: new-onset atrial fibrillation after-CABG occurred in 29,59% patients. Patients with new-onset atrial fibrillation after CABG have higher three-year mortality (15,52% vs 3,62%) and significantly decreases three-year survival (p=0,008; HR 4,42; 95% CI 1,49-13,2). In multivariate analysis, new-onset atrial fibrillation after CABG is an independent factor of the three-year survival decline (adjusted HR 4,04; 95% CI; 1,34-12,14). Conclusion: new-onset atrial fibrillation after CABG independently decreases three-year survival.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2020-08-07</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">retrospective cohort using survival analysis</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/1127</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 52 No. 2 (2020): Acta Medica Indonesiana; 125</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/1127/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2020 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>