@article{article_547919, title={Gensini score predicts postoperative atrial fibrillation following on-pump coronary artery bypass grafting}, journal={Turkish Journal of Clinics and Laboratory}, volume={10}, pages={447–451}, year={2019}, DOI={10.18663/tjcl.547919}, author={Karaçağlar, Emir and Akgün, Arzu and Çiftci, Orçun and Müderrisoğlu, Haldun}, keywords={Atrial fibrillation,coronary artery bypass grafting,gensini score}, abstract={<p class="MsoNormal" style="line-height:150%;"> <b> <span lang="en-us" xml:lang="en-us">Aim:  </span> </b> <span lang="en-us" xml:lang="en-us">Postoperative
atrial fibrillation (POAF) is common after coronary artery by-pass grafting
surgery (CABG) and associated with adverse events. GENSINI score </span> <span lang="en-gb" xml:lang="en-gb">is a
widely-used scoring system that quantifies angiographic atherosclerosis. </span> <span lang="en-us" xml:lang="en-us">The
value of GENSINI score to predict POAF has not been studied previously. Aim of
this study was to evaluate this relationship in our patients undergoing </span> <span lang="en-gb" xml:lang="en-gb">on-pump CABG surgery. </span> <b> <span lang="en-us" xml:lang="en-us"> </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="line-height:150%;"> <b> <span lang="en-us" xml:lang="en-us">Material and Methods: </span> </b> <span lang="en-us" xml:lang="en-us">In this
retrospective, single-center study, </span> <span lang="en-gb" xml:lang="en-gb">a total of 113 patients without exclusion criteria were included.
Demographic and clinical characteristics of patients were recorded and GENSINI </span> <span lang="en-us" xml:lang="en-us">scores
were calculated. </span> <span lang="en-gb" xml:lang="en-gb">Univariate
and multivariate logistic regression analyses were performed to identify the
independent predictors of POAF. </span> <b> <span lang="en-us" xml:lang="en-us"> </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="line-height:150%;"> <b> <span lang="en-us" xml:lang="en-us">Results: </span> </b> <span lang="en-us" xml:lang="en-us">Postoperative atrial fibrillation developed in
34 (30%) patients. </span> <span lang="en-us" xml:lang="en-us"> Multivariate logistic regression analyses
revealed that C-Reactive Protein [ß=0.037, p=0.011, OR=1.03, 95% CI
(1.008-1.065)] and GENSINI score [ß=0.015, p=0.024,OR=1.012, 95% CI
(1.002-1.028)]  are independent
predictors of POAF. </span> <span lang="en-gb" xml:lang="en-gb">The ROC analysis showed an area under the curve of 0.587 (p=0.012).  GENSINI score of > 50.75 had 82.4%
sensitivity in predicting POAF [p=0.012, 95%CI (0.464-0.711)]. </span> <b> <span lang="en-us" xml:lang="en-us"> </span> </b> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="line-height:200%;"> </p> <p class="MsoNormal" style="line-height:150%;"> <b> <span lang="en-us" xml:lang="en-us">Conclusion: </span> </b> <span lang="en-us" xml:lang="en-us">Our results showed
that GENSINI score is an independent predictor of POAF in patients undergoing </span> <span lang="en-gb" xml:lang="en-gb">on-pump CABG surgery. </span> <b> <span lang="en-us" xml:lang="en-us"> </span> </b> </p> <p> <b> </b> </p> <b> </b> <p> <b> </b> </p> <b> </b>}, number={4}, publisher={DNT Ortadoğu Yayıncılık A.Ş.}