Journals / İstanbul Kuzey Klinikleri / 2017 / Cilt: 4 - Sayı: 2

The use of monocyte to HDL ratio to predict postoperative atrial fibrillation after aortocoronary bypass graft surgery

Pages
145–150
Publication Date
2022-10-18
DOI
—
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M/H ratio was significantly higher in POAF(+) group compared with POAF(-) group (p

📌 3 Key Takeaways

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Objective & Hypothesis:OBJECTIVE: Postoperative atrial fibrillation (POAF) is a frequent and serious complication after aortocoronary bypass graft (ACBG) surgery and one that, unfortunately, increases morbidity and mortality.
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Key Findings & Data:In this study, M/H ratio was investigated as predictor of POAF after ACBG surgery.METHODS: Total of 311 patients who underwent ACBG surgery were included in the study.
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Conclusion & Impact:M/H ratio was significantly higher in POAF(+) group compared with POAF(-) group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

OBJECTIVE: Postoperative atrial fibrillation (POAF) is a frequent and serious complication after aortocoronary bypass graft (ACBG) surgery and one that, unfortunately, increases morbidity and mortality. Postoperative stroke, hemodynamic instability, renal failure, infection, need for inotropic agent and coronary unit are complications caused by POAF. Inflammation and oxidative stress are among several mechanisms that contribute to pathogenesis of POAF. Monocyte to HDL (M/H) ratio is a newly defined parameter of both inflammation and oxidative stress. In this study, M/H ratio was investigated as predictor of POAF after ACBG surgery.METHODS: Total of 311 patients who underwent ACBG surgery were included in the study. Blood samples for analysis of routine biochemistry and lipid panel were obtained from the patients on the morning of ACBG surgery after 12 hours of fasting. Patients were continuously monitored for occurrence of POAF throughout hospitalization.RESULTS: POAF was observed in 71 patients following ACBG operation. M/H ratio was significantly higher in POAF(+) group compared with POAF(-) group (p

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Cite This Article

HAYİROGLU, M. I., ZEHİR, R., KESKİN, M., CİNİER, G., TURKKAN, C., TEKKESİN, A. I., ALPER, A. T. (2022). The use of monocyte to HDL ratio to predict postoperative atrial fibrillation after aortocoronary bypass graft surgery. İstanbul Kuzey Klinikleri, Cilt: 4 - Sayı: 2, 145–150. https://ajindex.com/articles/551609

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References (12)

  1. Tsai YT, Lai CH, Loh SH, Lin CY, Lin YC, Lee CY, et al. Assessment of the Risk Factors and Outcomes for Postoperative Atrial Fibrillation Patients Undergoing Isolated Coronary Artery Bypass Grafting. Acta Cardiol Sin 2015;31:436-43
  2. Bohatch Júnior MS, Matkovski PD, Di Giovanni FJ, Fenili R, Varella EL, Dietrich A. Incidence of postoperative atrial fibrillation in patients undergoing on-pump and off-pump coronary artery bypass grafting. Rev Bras Cir Cardiovasc 2015;30:316-24
  3. Rostagno C, Blanzola C, Pinelli F, Rossi A, Carone E, Stefàno PL. Atrial fibrillation after isolated coronary surgery. Incidence, long term effects and relation with operative technique. Heart Lung Vessel 2014;6:171-9
  4. Barbieri LR, Sobral ML, Gerônimo GM, Santos GG, Sbaraíni E, Dorfman FK, et al. Incidence of stroke and acute renal failure in patients of postoperative atrial fibrillation after myocardial revascularization. Rev Bras Cir Cardiovasc 2013;28:442-8
  5. Psychari SN, Apostolou TS, Sinos L, Hamodraka E, Liakos G, Kremastinos DT. Relation of elevated C-reactive protein and interleukin-6 levels to left atrial size and duration of episodes in patients with atrial fibrillation. Am J Cardiol 2005;95:764-7
  6. Barter PJ, Baker PW, Rye KA. Effect of high-density lipoproteins on the expression of adhesion molecules in endothelial cells. Curr Opin Lipidol 2002;13:285-8
  7. Watanabe H, Tanabe N, Yagihara N, Watanabe T, Aizawa Y, Kodama M. Association between lipid profile and risk of atrial fibrillation. Circ J 2011;75:2767-74
  8. Morady FP, Zipes D. Atrial Fibrillation: Clinical Features, Mechanisms and Management. In: Braunwald E, Bonow RO. editors. Braunwald's heart disease: a textbook of cardiovascular medicine. 9th ed. Philadelphia: Saunders; 2012. p. 825-35
  9. Frustaci A, Chimenti C, Bellocci F, Morgante E, Russo MA, Maseri A. Histological substrate of atrial biopsies in patients with lone atrial fibrillation. Circulation 1997;96:1180-4
  10. Guo Y, Lip GY, Apostolakis S. Inflammation in atrial fibrillation. J Am Coll Cardiol 2012;60:2263-70
  11. Fontes ML, Mathew JP, Rinder HM, Zelterman D, Smith BR, Rinder CS; Multicenter Study of Perioperative Ischemia (McSPI) Research Group. Atrial fibrillation after cardiac surgery/ cardiopulmonary bypass is associated with monocyte activation. Anesth Analg 2005;101:17-23
  12. Gibson PH, Cuthbertson BH, Croal BL, Rae D, El-Shafei H, Gibson G, et al. Usefulness of neutrophil/lymphocyte ratio as predictor of new-onset atrial fibril