Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği
Yıl: 2021 Cilt: 9 Sayı: 1 Sayfa Aralığı: 31 - 38 Metin Dili: Türkçe DOI: 10.4274/nkmj.galenos.2020.817326 İndeks Tarihi: 10-05-2021
Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği
Öz: 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<0,001), SYNTAX skoru (p=0,039), serum yüksek sensitif C-reaktif protein düzeyleri (p=0,026), ortalama yaş (p<0,001), elektrokardiyografik sol ventrikül hipertrofisi (SVH) oranı daha yüksek (p=0,019); hipertansiyon (p=0,007) ve ortalama sol ventrikül ejeksiyon fraksiyonunda (SVEF) PSR grubuna göre daha düşük (p<0,001) saptanmıştır. Çok değişkenli lojistik regresyon analizinde SVEF (p=0,004), SVH (p=0,041), ileri yaş (p=0,008) ve daha yüksek Selvester skoru (p<0,001), POAF için bağımsız risk faktörü olarak saptanmıştır.Sonuç: Selvester puanlama sistemindeki yüksek puanlar POAF ile yakından ilişkilidir ve Selvester skoru POAF için potansiyel bir gösterge olabilir
Anahtar Kelime: Predictability of Atrial Fibrillation in Patients having Coronary Artery Bypass Graft Surgery, Based on Selvester Score
Öz: 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<0.001), score of SYNTAX (p=0.039), serum high-sensitivity C-reactive protein levels (p=0.026), mean age (p<0.001), hypertrophy of left ventricul (LVH) (p=0.019) and hypertension (p=0.007) and decrased ejection fraction (LVEF) (p<0.001) than the PSR group. Logistic multivariable regression analyses showed that there were an independent association of LVH (p=0.041), LVEF (p=0.004), older age (p=0.008) and higher Selvester score (p<0.001) with POAF. Conclusion: Higher scores in Selvester scoring system are closely related to POAF, and Selvester score is a potential indicator for POAF.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | uysal d, Kuyumcu M (2021). Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. , 31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| Chicago | uysal dincer,Kuyumcu Mevlüt Serdar Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. (2021): 31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| MLA | uysal dincer,Kuyumcu Mevlüt Serdar Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. , 2021, ss.31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| AMA | uysal d,Kuyumcu M Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. . 2021; 31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| Vancouver | uysal d,Kuyumcu M Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. . 2021; 31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| IEEE | uysal d,Kuyumcu M "Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği." , ss.31 - 38, 2021. 10.4274/nkmj.galenos.2020.817326 |
| ISNAD | uysal, dincer - Kuyumcu, Mevlüt Serdar. "Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği". (2021), 31-38. https://doi.org/10.4274/nkmj.galenos.2020.817326 |
| APA | uysal d, Kuyumcu M (2021). Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. Namık Kemal Tıp Dergisi, 9(1), 31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| Chicago | uysal dincer,Kuyumcu Mevlüt Serdar Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. Namık Kemal Tıp Dergisi 9, no.1 (2021): 31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| MLA | uysal dincer,Kuyumcu Mevlüt Serdar Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. Namık Kemal Tıp Dergisi, vol.9, no.1, 2021, ss.31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| AMA | uysal d,Kuyumcu M Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. Namık Kemal Tıp Dergisi. 2021; 9(1): 31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| Vancouver | uysal d,Kuyumcu M Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği. Namık Kemal Tıp Dergisi. 2021; 9(1): 31 - 38. 10.4274/nkmj.galenos.2020.817326 |
| IEEE | uysal d,Kuyumcu M "Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği." Namık Kemal Tıp Dergisi, 9, ss.31 - 38, 2021. 10.4274/nkmj.galenos.2020.817326 |
| ISNAD | uysal, dincer - Kuyumcu, Mevlüt Serdar. "Selvester Skoruna Göre Koroner Arter Baypas Greft Cerrahisi Geçiren Hastalarda Atriyal Fibrilasyonun Tahmin Edilebilirliği". Namık Kemal Tıp Dergisi 9/1 (2021), 31-38. https://doi.org/10.4274/nkmj.galenos.2020.817326 |
