Predictive value of aortic knob width for postoperative atrial fibrillation in coronary artery bypass surgery
Yükleniyor...
Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Aves
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: The aim of our study was determine whether aortic knob width (AKW) is associated with the development of atrial fibrillation (AF) after isolated coronary artery bypass surgery (CABG). Methods: In this retrospective observational cohort study, we evaluated 135 patients without hemodynamically significant valvular problems. AKW was measured on chest X-ray by digital system. Multiple logistic regression analysis was used to find independent associates of postoperative AF (POAF). The diagnostic value of AKW was assessed using ROC analysis. Results: POAF occurred in 43 (31.8%) of all patients. The age, AKW, left atrial (LA) diameter and C-reactive protein (CRP) were significantly higher in patients with POAF than without POAF (67.2 +/- 8.6 vs 61.3 +/- 9.8 years, p=0.004; 45.6 +/- 5.8 vs 36.1 +/- 3.8 mm, p<0.001; 37.9 +/- 3.5 vs 35.8 +/- 3.1mm, p=0.002 and 10.6 +/- 8.5 vs 5.6 +/- 6.5 mg/L, p=0.001 respectively). Multiple logistic regression analysis demonstrated that AKW, LA diameter and CRP were independently associated with POAF (OR=4.527, 95% CI=1.315 -15.588, p=0.017; OR=2.834, 95% CI=1.091-7.360, p=0.032 and OR=1.300, 95% CI=1.038-1.628, p=0.022 respectively). ROC analysis has demonstrated that aortic knob of 36.5 mm constitutes the cut-off value for the occurrence of POAF with 84.4% sensitivity and 64.6% specificity (AUC=0.84, 95% CI=0.75-0.94, p<0.001). Conclusion: We have demonstrated a significant association between the AKW and AF development after isolated CABG. PA chest radiography is a cheap and readily available clinical tool and it can be examined easily by every cardiovascular surgeons.
Açıklama
Anahtar Kelimeler
Atrial Fibrillation, Aortic Knob Width, Coronary Artery Bypass Surgery, Regression Analysis, Diagnostic Accuracy
Kaynak
Anadolu Kardiyoloji Dergisi
The Anatolian Journal Of Cardiology
The Anatolian Journal Of Cardiology
WoS Q Değeri
Q4
Scopus Q Değeri
N/A
Cilt
14
Sayı
1
