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Dergiler / Kafkas Journal of Medical Sciences / 2026 / Cilt: 15 Sayı: 1

The inflammatory prognostic index predicts new-onset atrial fibrillation in patients after primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction

Yavuz Karabağ(Department of Cardiology, Kafkas University School of Medicine, Kars)
Talha Karahan(Department of Emergency Medicine, Kafkas University School of Medicine, Kars)
Soner Kina(Department of Anesthesiology and Critical Care, Kafkas University School of Medicine, Kars)
Yüksel Erata(Department of Cardiology, Kafkas University School of Medicine, Kars)
Öztürk Demir(Department of Cardiology, Kafkas University School of Medicine, Kars)
Sayfa
112–118
Yayın Tarihi
2025-04-30
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusion: This study finds that the IPI independently predicts NOAF in STEMI patients treated with pPCI.

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Amaç & Hipotez:Introduction&Objective: New-onset atrial fibrillation (NOAF) is an independent predictor of mortality and a strong indicator of poor prognosis following ST-segment elevation myocardial infarction (STEMI).
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Temel Bulgular & Veri:The Inflammatory Prognostic Index (IPI) is clinically significant in predicting patient outcomes and serves as a novel inflammatory prognostic marker based on C-reactive protein (CRP), the neutrophil-to-lymphocyte ratio (NLR), and serum albumin levels.
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Sonuç & Katkı:Conclusion: This study finds that the IPI independently predicts NOAF in STEMI patients treated with pPCI.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Inflammatory prognostic index · ST-segment elevation myocardial infarction · Atrial fibrillation.

Abstract

Introduction&Objective: New-onset atrial fibrillation (NOAF) is an independent predictor of mortality and a strong indicator of poor prognosis following ST-segment elevation myocardial infarction (STEMI). The Inflammatory Prognostic Index (IPI) is clinically significant in predicting patient outcomes and serves as a novel inflammatory prognostic marker based on C-reactive protein (CRP), the neutrophil-to-lymphocyte ratio (NLR), and serum albumin levels. This study aimed to investigate the relationship between the IPI and NOAF in patients with STEMI who underwent primary percutaneous coronary intervention (pPCI). Material&Methods: The population for this retrospective study consisted of 1,132 consecutive patients diagnosed with STEMI who underwent pPCI. Out of these, 946 patients were included in the study sample and were divided into two groups based on whether they developed NOAF or not. Results: The study’s primary outcome, that is, IPI was significantly higher in patients with NOAF than in those with No-AF (42.15 (17.6-81.7) vs. 12.77 (5.72-27.01), p 17.5 predicted NOAF with 76% sensitivity and 62.7% specificity (AUC: 0.740 [95% CI: 0.711–0.768, p<0.0001] (P<0.0001). Conclusion: This study finds that the IPI independently predicts NOAF in STEMI patients treated with pPCI.

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Bu Makaleye Atıf Yap

Karabağ, Y., Karahan, T., Kina, S., Erata, Y., Demir, Ö. (2025). The inflammatory prognostic index predicts new-onset atrial fibrillation in patients after primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction. Kafkas Journal of Medical Sciences, Cilt: 15 Sayı: 1, 112–118. https://ajindex.com/articles/1631567

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