Dinçer UYSAL, Mevlut Serdar KUYUMCU

Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği

Amaç: Koroner arter baypas grefti (KABG) ameliyatı geçiren hastalar, %16-44 oranında atriyal fibrilasyondan (AF) etkilenmektedirler. Ameliyat sonrası post-operatif AF (POAF) nedeniyle hastalar daha uzun süre hastanede kalabilir, uzamış yoğun bakım hizmetine ihtiyaç duyabilir, daha fazla sağlık kaynağı harcanmasına yol açabilir ve konjestif kalp yetmezliği veya inme geçirebilirler. Son çalışmalar, ventriküler skar boyutunun AF patofizyolojisinde prediktör olarak kullanılabileceğini göstermiştir. Selvester skoru, anormal ventriküler iletisi olan hastalarda miyokardiyal skar hacminin ölçümü için geliştirilmiş ve AF’de prognostik değerini bildirmiştir. Bu nedenle çalışmamızda, POAF ve Selvester puanlama sisteminin olası bir ilişkisini araştırmayı hedefledik. Gereç ve Yöntem: Bu retrospektif çalışma, Ağustos 2017’den Eylül 2018’e kadar KABG uygulanan 180 hastayı içermektedir. Elde edilen veriler, postoperatif sinüs ritmi (PSR) (n=130) ve POAF (n=50) olan iki ayrı hasta grubunda analiz edilmiştir. Gruplar arası parametreler ve Selvester puanları kıyaslanmıştır. Bulgular: POAF grubunda Selvester skoru (p

Predictability of Atrial Fibrillation in Patients having Coronary Artery Bypass Graft Surgery, Based on Selvester Score

Aim: Patients having coronary artery bypass graft (CABG) surgery are influenced mostly by atrial fibrillation (AF), with the peak incidence of 16-44%. Due to post-operative AF (POAF), patients may be hospitalized for longer periods, require intensive care unit care again, necessitate more healthcare resources and even undergo congestive heart failure or stroke. Recent studies have shown that the size of the ventricular scar might be used as an indicator in the pathophysiology of AF. Selvester score was developed for the measurement of myocardial scar volume in patients with abnormal ventricular conduction, reporting its prognostic value in AF. Thus, we aim to investigate a likely relationship of POAF and the Selvester scoring system. Materials and Methods: This retrospective study included 180 patients with CABG from 2017 August to 2018 September. The obtained data had been analyzed in separate cohort of patients with POAF (n=50) and with post-operative sinus rhythm (PSR) (n=130). Intergroup comparisons were made using Selvester scores in particular. Results: The POAF group had higher Selvester scores (p

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