Murat Kazım ERSANLI, Ümit Yaşar SİNAN, Veysel OKTAY, Ahmet YILDIZ, Deniz ÖZSOY, Ali Murat MERT, İlknur Çalpar ÇIRALI

Pompa destekli koroner arter baypas greftleme sonrası gelişen atriyal fibrilasyonu öngörmede SYNTAX ve klinik SYNTAX skorlarının validasyonu

Amaç: Bu çalışmada koroner arter baypas greftleme yapılan hastalarda ameliyat sonrası atriyal fibrilasyonun öngörülmesinde SYNTAX ve klinik SYNTAX skorunun rolü değerlendirildi. Çalışma planı: Bu prospektif, tek merkezli, gözlemsel çalışmaya hastanemizde Eylül 2015 - Temmuz 2016 tarihleri arasında koroner arter baypas greftleme yapılan 123 hasta (92 erkek, 31 kadın; ort. yaş 60 yıl; dağılım 40 to 84 yıl) dahil edildi. Hastaların ameliyat öncesi demografik ve klinik özellikleri kaydedildi ve SYNTAX ile klinik SYNTAX skorları hesaplandı. Ameliyat sonrası atriyal fibrilasyonun öngördürücülerini belirlemek amacıyla korelasyon analizi ile birlikte tek değişkenli ve çok değişkenli lojistik regresyon analizi yapıldı. Bulgular: Ameliyat sonrası atriyal fibrilasyon hastaların 39’unda (%31.7) gelişti. Ameliyatın ikinci günü komplikasyonun pik yaptığı zamandı. Ameliyat sonrası atriyal fibrilasyon gelişen hastalarda SYNTAX [18(9-32)’ye kıyasla 24(10-45), p=0.001] ve klinik SYNTAX skorları [18(7-44)’e kıyasla 30(11-89), p

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

Background: This study aims to evaluate the role of SYNTAX and clinical SYNTAX scores in predicting postoperative atrial fibrillation in patients undergoing coronary artery bypass grafting.Methods: In this prospective, single-center, observational study, 123 patients (92 males, 31 females; mean age 60 years; range 40 to 84 years) who underwent coronary artery bypass grafting in our hospital between September 2015 and July 2016 were included. Preoperative demographic and clinical characteristics were recorded and SYNTAX and clinical SYNTAX scores were calculated. Univariate and multivariate logistic regression analyses with correlation analysis were used to identify the predictors of postoperative atrial fibrillation.Results: Postoperative atrial fibrillation developed in 39 patients (31.7%). The second day of surgery was the peak time of the complication. SYNTAX [18(9-32) vs 24(10- 45), p=0.001] and clinical SYNTAX scores [18(7-44) vs 30(11-89), p

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