Factors related to arrhythmias in patients undergoing heart surgery


  • Janjuree Yotda Master's Student, Master of Nursing Science Program in Adult Nursing, Mahidol University
  • Kusuma Khuwatsamrit Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • Apinya Siripitayakunkit Faculty of Medicine Ramathibodi Hospital, Mahidol University


cardiac arrhythmias, heart surgery, retrospective study


This retrospective research aimed to explore physical, cardiac function and surgical factors with cardiac arrhythmia after heart surgery, and to study the relationship between physical, cardiac function, and surgical factors and cardiac arrhythmias after heart surgery. The data were derived from the medical records at Ramathibodi Hospital, Thailand from January 2012 to December 2012.  A total number of 425 patients were selectively collected. Data were analyzed by using chi-square and Fisher exact test.

The result showed that patients after heart surgery developed cardiac arrhythmias were 388 (91.3%). Various types of cardiac arrhythmia were as follows: premature ventricular contraction 246 cases (57.9%), atrial fibrillation 199 cases (46.8%), tachycardia 181 cases (42.6%), premature atrial contraction 177 cases (41.6%), ventricular tachycardia 65 cases (15.3%), bradycardia 54 cases (12.7%), ventricular fibrillation 28 cases (6.6%), and others types 63 cases (14.8%). It concludes that preoperative EKG, types of operation and heart lung machine were significantly different between patients with cardiac arrhythmia and without cardiac arrhythmia after heart surgery (p < .01)

 This study provided basic knowledge of cardiac arrhythmia after heart surgery and could help develop guideline to prevent cardiac arrhythmias after heart surgery in high-risk patients.


Al-Sarraf N, Thalib L, Hughes A, Tolan M, Young V, McGovern E. Effect of preoperative atrial fibrillation on postoperative outcome following cardiac surgery. Cardiol Res Pract. 2012;10:1-7.

Al-Zaru IM, Ammouri, AA, Al-Hassan MA, Amr AA. Risk factor for deep sternal wound infections after cardiac surgery in Jordan. J Clin Nurs. 2010;19:1873-81.

Anthony A, Senedlbach S. Postoperative Complications of coronary artery bypass grafting surgery. Crit Care Nurs Clin North Am. 2007;19:403-15.

Smeltzer SC, Bare BG. Brunner and Suddarth’s Textbook of Medical-Surgical Nursing 2004; Vol.1 (10thed.). Philadelphia: Lippincott Williams & Wilkins. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Management of patient with complications from heart disease. In Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 11th ed. Philadelphia (US): Lippincott Williams & Wilkins; 2008. p. 944-73

Hareyan A. Complication after cardiac surgery increase hospital costs. Ann Thorac Cardiovasc Surg [Internet]. 2008. Retrieved June 19, 2013, Available from http://www.prnewswire.com/ news-releases/complications-after-cardiac-surgery-increase-hospital-costs-length-of-stay-by-more-than-two-thirds-57477017.html.

Kalavrouziotis D, Buth JK, Ali SI. The impact new onset atrial fibrillation on in hospital mortality following cardiac surgery. Chest. 2007; 131:833-9.

Franco KL, Verrier ED. Advanced therapy in cardiac surgery. 2nd ed. London (UK); 2003.

Chaiyaroj S. Complications and pitfalls of coronary artery bypass grafting. In Rattanaolan K, Ueanoraset J, Loetsitthichai P, Suwanthamma V. (Eds.) Complication and pitfalls in surgery. Bangkok (TH): Wetchasan. 2008;133-7. (in Thai).

Sayasathit J. Common cardiac surgery 1st ed. Phitsanulok (TH): Global Print; 2012.(in Thai).

Hashemzadeh K, Dehdilani M, Dehdilani M. Postoperative atrial fibrillation following open cardiac surgery: Predisposing factors and complications. J Cardiovasc Thorac Res. 2013; 5(3):101-7.

Helgadottir S, Sigurdsson MI, Ingvarsdottir IL, Arnar DO, Gudbjartsson T. Atrial fibrillation following cardiac surgery: risk analysis and long-term survival. J Cardiothorac Surg. 2012; 7:1-7.

Nair SG. Atrial fibrillation after cardiac surgery. Ann Card Anaesth. 2010;13:196-205.

Maesen B, Nijs J, Maessen J, Allessie M, Schotten U. Post-operative atrial fibrillation: a maze of mechanisms. Eur Heart J. 2011; 14:159-74.

Gorczyca-Michta I, Wozakowska-Kalon B, Tomasik E. Prevalence and predisposing conditions for atrial fibrillation in hospitalised patients with hypertension. Kardiol Pol. 2013; 71(4):352-8.

Sutheeraphattharanon S. Atrial fibrillation: an update. In internal medicine Rajavithi Hospital, current concepts and update treatment (2). 1st ed. Bangkok (TH): Print City; 2008. (in Thai).

Srirattanasathavorn C. Atrial fibrillation (Overview). In Panchawinin P, Kritiyaphong R, Phankingthongkham R (Eds.). Practical cardiology. Nonthaburi (TH): Parbpim ; 2012. p.237-43. (in Thai).

Boonyaphisit V. Management: Rate control versus rhythm control strategy. In Panchawinin P, Kritiyaphong R, Phankingthongkham R. (Eds.). Practical cardiology. Nonthaburi (TH): Parbpim; 2012. p. 244-71.

Magnani JW, Hylek EM, Apovian CM. Obesity begets atrial fibrillation: A contemporary summary. Circ Genom Precis Med. 2013;128(4):401-5.

El-Chami MF, Sawaya FJ, Kilgo P, William IV, Halkos M, Thourani V, et al. Ventricular arrhythmia after cardiac surgery: incidence, predictors, and outcomes. J Am Coll Cardio. 2012; 60: 2664-71.

Lin Y, Li H, Lan X, Chen X, Zhang A, Li Z. Mechanism of and therapeutic strategy for atrial fibrillation associated with diabetes mellitus. Sci. World J. 2013; 2013:209428. doi: 10.1155/2013/209428. Epub 2013 Mar 14. PMID: 23576900; PMCID: PMC3612491.

Peretto G, Durante A, Limite LR, Cianflone D. Postoperative arrhythmias after cardiac surgery: Incidence, risk factors, and therapeutic management. Cardiol Res Pract. 2014;10:1-5.

Jones B. Postoperative complications of cardiac surgery and nursing interventions. In Hardin SR. Kaplow R. (Eds.), Cardiac surgery essential for critical care nursing. Boston (US): Jone and Bartlett; 2010. p. 257-78.




How to Cite

Yotda J, Khuwatsamrit K, Siripitayakunkit A. Factors related to arrhythmias in patients undergoing heart surgery. Thai J Cardio-Thorac Nurs. [Internet]. 2022 Mar. 12 [cited 2024 Jul. 14];32(2):174-85. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/246606



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