Predictive value of aortic knob width for postoperative atrial fibrillation in coronary artery bypass surgery

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dc.authorid0000-0001-5646-3600en_US
dc.authorid0000-0002-1012-837X
dc.authorid0000-0002-4227-9420
dc.contributor.authorErdem, Kemalettin
dc.contributor.authorÖztürk, Serkan
dc.contributor.authorAyhan, Selim
dc.contributor.authorBuğra, Onursal
dc.contributor.authorBozoğlan, Orhan
dc.contributor.authorTekelioğlu, Ümit Yaşar
dc.contributor.authorYazıcı, Mehmet
dc.date.accessioned2021-06-23T19:36:21Z
dc.date.available2021-06-23T19:36:21Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: 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.en_US
dc.identifier.doi10.5152/akd.2013.195
dc.identifier.endpage72en_US
dc.identifier.issn1302-8723
dc.identifier.issn1308-0032
dc.identifier.issue1en_US
dc.identifier.pmid23996805en_US
dc.identifier.scopus2-s2.0-84894596877en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage68en_US
dc.identifier.trdizinid155738en_US
dc.identifier.urihttps://doi.org/10.5152/akd.2013.195
dc.identifier.urihttps://hdl.handle.net/20.500.12491/7977
dc.identifier.volume14en_US
dc.identifier.wosWOS:000338105200015en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorErdem, Kemalettin
dc.institutionauthorÖztürk, Serkan
dc.institutionauthorAyhan, Selim
dc.institutionauthorBuğra, Onursal
dc.institutionauthorTekelioğlu, Ümit Yaşar
dc.institutionauthorYazıcı, Mehmet
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofAnadolu Kardiyoloji Dergisien_US
dc.relation.ispartofThe Anatolian Journal Of Cardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAtrial Fibrillationen_US
dc.subjectAortic Knob Widthen_US
dc.subjectCoronary Artery Bypass Surgeryen_US
dc.subjectRegression Analysisen_US
dc.subjectDiagnostic Accuracyen_US
dc.titlePredictive value of aortic knob width for postoperative atrial fibrillation in coronary artery bypass surgeryen_US
dc.typeArticleen_US

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