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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2016 / Cilt: 24 - Sayı: 1

Koroner arter baypas greftleme sonrası atriyal fibrilasyonun öngörülmesinde CHA2DS2-VASc skorlama sisteminin kullanışlılığı

Usefulness of CHA2DS2-VASc scoring system in predicting atrial fibrillation after coronary artery bypass grafting

Anıl AVCI
Serkan ÖZTÜRK
Bahadır DAĞLAR
Kemalettin ERDEM
İbrahim DÖNMEZ
Hızır Mete ALP
Fatma HIZAL ERDEM
Yeliz GÜLER
Mehmet YAZICI
Ali Metin ESEN
Pages
27–33
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, the CHA2DS2-VASc scoring system can be used as a stratification tool to estimate atrial fibrillation after coronary artery bypass grafting

📌 3 Key Takeaways

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Objective & Hypothesis:This study aims to assess whether CHADS2 and CHA2DS2-VASc scoring systems are useful in predicting atrial fibrillation after coronary artery bypass grafting.Methods: Between January 2010 and July 2013, a total of 478 patients (305 males, 173 females; mean age 62.1 years; range 40 to 83 years) who underwent coronary artery bypass grafting in our clinic were enrolled in the study.
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Key Findings & Data:Atrial fibrillation lasting more than 30 seconds in irregular rhythm without P waves on telemetry was classified as postoperative atrial fibrillation.
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Conclusion & Impact:Therefore, the CHA2DS2-VASc scoring system can be used as a stratification tool to estimate atrial fibrillation after coronary artery bypass grafting
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

This study aims to assess whether CHADS2 and CHA2DS2-VASc scoring systems are useful in predicting atrial fibrillation after coronary artery bypass grafting.Methods: Between January 2010 and July 2013, a total of 478 patients (305 males, 173 females; mean age 62.1 years; range 40 to 83 years) who underwent coronary artery bypass grafting in our clinic were enrolled in the study. Data were obtained from the medical files of the patients and hospital records. All patients were monitored in the intensive care unit after surgery. Atrial fibrillation lasting more than 30 seconds in irregular rhythm without P waves on telemetry was classified as postoperative atrial fibrillation. All patients were evaluated using CHADS2 and CHA2DS2-VASc scoring systems.Results: Of 478 patients, 102 had postoperative atrial fibrillation. CHADS2 and CHA2DS2-VASc scores were statistically significantly higher in patients with postoperative atrial fibrillation than others (2.1±0.8 vs 1.1±0.8, p =2 predicted postoperative AF with %96.3 sensitivity and %74.6 specificity (AUC=0.906, 95% CI=0.875-0.938, p<0.001).Conclusion: The CHA2DS2-VASc score is a strong predictor of atrial fibrillation development after isolated coronary artery bypass grafting surgery. Therefore, the CHA2DS2-VASc scoring system can be used as a stratification tool to estimate atrial fibrillation after coronary artery bypass grafting

Özet

Bu çalışmada CHADS2 ve CHA2DS2-VASc skorlama sistemlerinin koroner arter baypas greftleme sonrası atriyal fibrilasyonu öngörmede kullanışlı olup olmadıkları değerlendirildi.Ça­lış­ma­ pla­nı:­ Ocak 2010 - Temmuz 2013 tarihleri arasında kliniğimizde koroner arter baypas greftleme yapılan toplam 478 hasta (305 erkek, 173 kadın; ort yaş 62.1 yıl; dağılım 40-83 yıl) çalışmaya alındı. Veriler, hastaların tıbbi dosyalarından ve hastane kayıtlarından elde edildi. Hastaların tümü ameliyat sonrası yoğun bakım ünitesinde monitörize edildi. Telemetride P dalgası olmaksızın düzensiz ritim ile 30 saniyeden uzun süren atriyal fibrilasyon, ameliyat sonrası atriyal fibrilasyonu olarak tanımlandı. Tüm hastalar CHADS2 ve CHA2DS2-VASc skorlama sistemleri ile değerlendirildi.Bul gu lar: Dört yüz yetmiş sekiz hastanın 102'sinde ameliyat sonrası atriyal fibrilasyon gelişti. CHADS2 ve CHA2DS2-VASc skorları, ameliyat sonrası atriyal fibrilasyonu gelişen hastalarda, diğerlerine kıyasla, istatistiksel olarak anlamlı düzeyde daha yüksekti (2.1±0.8'e karşın 1.1±0.8, p =2 olması, ameliyat sonrası atriyal fibrilasyonu gelişimini %96.3 duyarlılık ve %74.6 özgüllük ile öngördü (AUC=0.906, 95% GA=0.875-0.938, p<0.001).So nuç: CHA2DS2-VASc skoru, izole koroner arter baypas greftleme ameliyatı sonrası atriyal fibrilasyonu gelişiminin güçlü bir öngördürücüsüdür. Bu nedenle, CHA2DS2-VASc skorlama sistemi, koroner arter baypas greftleme sonrası atriyal fibrilasyonu öngörmede sınıflandırma aracı olarak kullanılabilir

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Cite This Article

AVCI, A., ÖZTÜRK, S., DAĞLAR, B., ERDEM, K., DÖNMEZ, İ., ALP, H. M., ERDEM, F. H., GÜLER, Y., YAZICI, M., ESEN, A. M. (2022). Koroner arter baypas greftleme sonrası atriyal fibrilasyonun öngörülmesinde CHA2DS2-VASc skorlama sisteminin kullanışlılığı. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 24 - Sayı: 1, 27–33. https://ajindex.com/articles/424094

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