Validation of SYNTAX and clinical SYNTAX scores in predicting atrial fibrillation following on-pump coronary artery bypass grafting

Oktay, Veysel

doi:10.5606/tgkdc.dergisi.2017.13959

Cited by 4 publications

(6 citation statements)

References 30 publications

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“…Atrial fibrillation after CABG is related with increased mortality, stroke and duration of hospital stay. 7,8 In this study, peripheral artery and carotid artery disease, current smoking, left atrium diameter, cardiopulmonary bypass time were found to be associated with POAF.…”

Section: Discussionmentioning

confidence: 61%

Atrial Fibrillation Prediction by Surgical Risk Scores Following Isolated Coronary Artery Bypass Grafting Surgery

Doğan

Gunesdogdu

Sever

et al. 2019

J Coll Physicians Surg Pak

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Section: Discussionmentioning

confidence: 61%

Atrial Fibrillation Prediction by Surgical Risk Scores Following Isolated Coronary Artery Bypass Grafting Surgery

Doğan

Gunesdogdu

Sever

et al. 2019

J Coll Physicians Surg Pak

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“…In accordance with literature hospital stay was longer among our patients with POAF. Postoperative atrial fibrillation typically occurs within the first four postoperative days [2]. The most common duration was 24 to 48 hours among our patients.…”

Section: Discussionmentioning

confidence: 83%

“…Age, anemia, hypoxia, left atrial dilatation, left ventricular dysfunction, severe coronary artery disease (CAD), hypertension, type of cardiac surgery, increased sympathetic activation, oxidative stress and inflammation are the risk factors thought to be associated with POAF. But the main pathophysiology is not clear and thought to be multifactorial [2,9]. Postoperative atrial fibrillation is also associated with postoperative complications, therefore, it is important to develop risk prediction models.…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative atrial fibrillation (POAF), defined as an electrocardigraphically (ECG) verified episode which lasts longer than 60 seconds during the first seven postoperative days, is the most common arrhythmia following coronary artery bypass grafting surgery (CABG) [1,2]. POAF is associated with thromboembolic events, myocardial ischemia, heart failure, prolonged hospital stay and mortality [3].…”

Section: Introductionmentioning

confidence: 99%

“…POAF is associated with thromboembolic events, myocardial ischemia, heart failure, prolonged hospital stay and mortality [3]. POAF is a multifactorial and generally transient condition and its incidence varies from 5% to 40% between series [2][3][4]. Although the multifactorial nature of POAF is well known, the relation between POAF and severity of coronary artery disease is not well established.…”

Section: Introductionmentioning

confidence: 99%

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Gensini score predicts postoperative atrial fibrillation following on-pump coronary artery bypass grafting

Karaçağlar

Akgun

Çiftci

et al. 2019

Turkish Journal of Clinics and Laboratory

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Aim: Postoperative atrial fibrillation (POAF) is common after coronary artery by-pass grafting surgery (CABG) and associated with adverse events. GENSINI score is a widely-used scoring system that quantifies angiographic atherosclerosis. The value of GENSINI score to predict POAF has not been studied previously. Aim of this study was to evaluate this relationship in our patients undergoing on-pump CABG surgery. Material and Methods:In this retrospective, single-center study, a total of 113 patients without exclusion criteria were included. Demographic and clinical characteristics of patients were recorded and GENSINI scores were calculated. Univariate and multivariate logistic regression analyses were performed to identify the independent predictors of POAF. Results:Postoperative atrial fibrillation developed in 34 (30%) patients. Multivariate logistic regression analyses revealed that C-Reactive Protein [ß=0.037, p=0.011, OR=1.03, 95% CI (1.008-1.065)] and GENSINI score [ß=0.015, p=0.024,OR=1.012, 95% CI (1.002-1.028)] are independent predictors of POAF. The ROC analysis showed an area under the curve of 0.587 (p=0.012). GENSINI score of > 50.75 had 82.4% sensitivity in predicting POAF [p=0.012, 95%CI (0.464-0.711)]. Conclusion:Our results showed that GENSINI score is an independent predictor of POAF in patients undergoing on-pump CABG surgery. ÖzAmaç: Postoperatif atriyal fibrilasyon (POAF), koroner arter baypas cerrahisi (CABG) sonrası sıktır ve istenmeyen olaylarla ilişkilidir. GENSINI skoru anjiyografik aterosklerozu derecelendirmek için yaygın olarak kullanılan bir skorlama sistemidir.POAF gelişiminin öngörülmesinde GENSINI skorunun rolü daha önce araştırılmamıştır.Bu çalışmada pompa destekli CABG yapılan hastalarda POAF gelişiminin öngörülmesinde GENSINI skorunun rolünün değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler:Tek merkezde gerçekleştirilen bu retrospektif çalışmaya dışlama kriterleri olmayan 113 hasta dahil edildi. Demografik ve klinik özellikleri kaydedildi. GENSINI skorları hesaplandı. Postoperatif atriyal fibrilasyon gelişimi öngördürücülerini belirlemek amacıyla tek değişkenli ve çok değişkenli lojistik regresyon analizi yapıldı. Bulgular: Hastaların %30'unda POAF gelişti. Çok değişkenli lojistik regresyon analizinde C-Reaktif Protein [ß=0.037, p=0.011, OR=1.03, 95% CI (1.008-1.065)] ve GENSINI skorunun [ß=0.015, p=0.024,OR=1.012, 95% CI (1.002-1.028)] postoperatif atriyal fibrilasyon gelişiminin bağımsız öngördürücüleri olduğu bulundu. Alıcı işletim karakteristiği (ROC) analizinde eğri altında kalan alan GENSINI skoru için 0.587 olarak hesaplandı. GENSINI skorunun 50.75' in üzerinde olmasının POAF gelişiminin öngörülmesinde % 82.4 duyarlılığa sahip olduğu saptandı [p=0.012, 95%CI (0.464-0.711) ]. Sonuç: Çalışmamızda GENSINI skorunun pompa destekli bypass cerrahisi uygulanan hastalarda POAF gelişiminin bağımsız bir öngördürücüsü olduğu bulunmuştur. Anahtar kelimeler: Atriyal fibrilasyon; koroner arter baypas greftleme; gensini skor KARACAGLAR et al. Gensini score predicts af after CABG surg...

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Risk Scores for Prediction of Postoperative Atrial Fibrillation After Cardiac Surgery: A Systematic Review and Meta-Analysis

Pandey,

Okaj,

Ichhpuniani

et al. 2023

The American Journal of Cardiology

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Validation of SYNTAX and clinical SYNTAX scores in predicting atrial fibrillation following on-pump coronary artery bypass grafting

Cited by 4 publications

References 30 publications

Atrial Fibrillation Prediction by Surgical Risk Scores Following Isolated Coronary Artery Bypass Grafting Surgery

Atrial Fibrillation Prediction by Surgical Risk Scores Following Isolated Coronary Artery Bypass Grafting Surgery

Gensini score predicts postoperative atrial fibrillation following on-pump coronary artery bypass grafting

Risk Scores for Prediction of Postoperative Atrial Fibrillation After Cardiac Surgery: A Systematic Review and Meta-Analysis

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