Predictive Roles of Right Coronary Artery Disease Severity and Systemic Immune Inflammation Index in Predicting Atrial Fibrillation After Coronary Bypass Operations in Patients with Right Coronary Artery Disease

Inflammation, Right Coronary Artery and Postoperative Atrial Fibrillation

Authors

  • Yusuf Ata, MD University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Cardiovasculer Surgery, Yıldırım/Bursa, Turkey
  • Mustafa Abanoz, MD University of Health Sciences, Mehmet Akif İnan Training and Research Hospital, Department of Cardiovascular Surgery, Karaköprü/Şanlıurfa, Turkey

DOI:

https://doi.org/10.1532/hsf.4279

Keywords:

Postoperative term, Inflammation, Atrial fibrillation, Atherosclerosis, Coronary arteries

Abstract

Background: Postoperative atrial fibrillation (PoAF) is observed at a rate of 25-40% in the postoperative period after coronary artery bypass graft (CABG) surgery and can increase mortality, morbidity, and treatment costs. Inflammation and coronary artery disease (CAD) severity are important parameters to predict PoAF.

Methods: Patients with right coronary artery (RCA) disease who underwent isolated CABG operation between January 1, 2017 and April 15, 2020, were included in the study retrospectively. Demographic features, preoperative total Gensini score (TGS), right coronary Gensini score (RCGS), systemic immune inflammation index (SII), and postoperative characteristics were recorded.

Results: A total of 283 patients were included in the study. Those who did not develop PoAF were included in Group 1 (N = 211, median age=60 (33-82) years), and those who did were included in Group 2 (N = 72, median age=68 (42-85) years). There were no statistically significant differences between the two groups, in terms of gender, hypercholesterolemia, cerebrovascular event/trans-ischemic attack history, body mass index, diabetes mellitus, smoking, beta blocker/angiotensin-converting enzyme inhibitor/angiotensin receptor blocker use, ejection fraction and left atrium diameters. As a result of multivariate analysis, advanced age (OR: 2.816 CI 95%: 1.687-3.498 P < .001), hypertension (OR:0.896, CI 95%: 0.578-0.965, P = .022), SII (OR: 1.548 CI 95%: 1.265-2.896, P = .003), TGS (OR: 1.235, CI 95%: 1.096-2.424,
P = .012), and RCGS (OR: 2.112, CI 95%: 1.665-4.156,
P < .001) values were determined as independent predictors for predicting postoperative atrial fibrillation.

Conclusion: In this study, we showed that RCGS and SII values were independent predictors of PoAF after CABG operations in patients with right coronary artery disease.

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Published

2021-11-30

How to Cite

ATA, Y., & Abanoz, M. (2021). Predictive Roles of Right Coronary Artery Disease Severity and Systemic Immune Inflammation Index in Predicting Atrial Fibrillation After Coronary Bypass Operations in Patients with Right Coronary Artery Disease: Inflammation, Right Coronary Artery and Postoperative Atrial Fibrillation. The Heart Surgery Forum, 24(6), E977-E982. https://doi.org/10.1532/hsf.4279

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