Effect of SYNTAX score II on postoperative atrial fibrillation in patients undergoing off-pump coronary artery bypass grafting surgery
Kuwait Medical Journal, cilt.51, sa.4, ss.366-372, 2019 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 51 Sayı: 4
- Basım Tarihi: 2019
- Dergi Adı: Kuwait Medical Journal
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.366-372
- Anahtar Kelimeler: aortocoronary bypass, cardiac arrhythmias, coronary angiography
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Postoperative atrial fibrillation (PoAF) is a common complication after coronary artery bypass grafting (CABG). The synergy between percutaneous coronary intervention with taxus and cardiac surgery (SYNTAX) score is an angiographic scoring tool for systematically quantifying the severity of each coronary lesion. The aim of this study was to evaluate the relationship between development of PoAF and SYNTAX score II in patients undergoing off-pump CABG. Design: Retrospective study Setting: Department of Cardiovascular Surgery, University of Health Sciences, Bursa Yüksek İhtisas Research and Trainning Hospital, Bursa, Turkey Subjects: A total of 68 consecutive patients who underwent off-pump CABG Intervention: Predictive values of the variables were measured for the development of PoAF Main outcome measure(s): The relationship between preoperative SYNTAX score II and PoAF in patients undergoing off-pump CABG Results: Twenty patients with PoAF and 48 patients without PoAF were enrolled. In univariate logistic regression analysis, the PoAF was significantly correlated with age (OR=1.083, 95% CI: 1.025-1.144, p=0.004), glomerular filtration rate (OR=0.963, 95% CI: 0.940-0.987, p=0.002), hematocrit (OR=0.848, 95% CI: 0.729-0.991, p=0.038) and Syntax score II (OR=1.079, 95% CI: 1.023-1.138, p=0.005). Only hematocrit levels were identified as an independent predictor of PoAF in multivariate analysis (OR=0.829, 95% CI: 0.694–0.990, p=0.039). It was determined that a cut-off level of 22.65 for SYNTAX score II predicts PoAF (AUC: 0.733, p=0.003) Conclusion: SYNTAX score II was not an independent predictor for the development of PoAF. However, we observed that higher SYNTAX score II was correlated with the development of PoAF.