Sistemik İmmün-İnflamasyon İndeksi, Düşük Ejeksiyon Fraksiyonuna Sahip Koroner Arter Baypas Greftleme Uygulanan Hastalarda Postoperatif Atriyal Fibrilasyon Riskini Öngörebilir mi?

Yıl 2025, Cilt: 35 Sayı: 1, 150 - 154, 28.02.2025

Mehmet Emir Erol , İsa Civelek

https://doi.org/10.54005/geneltip.1578821

Öz

Amaç: Bu çalışmanın amacı, düşük ejeksiyon fraksiyonu (EF) ile koroner arter baypas greftleme (CABG) uygulanan hastalarda, preoperatif dönemde belirlenen Sistemik İmmün-İnflamasyon İndeksi’nin (SII), postoperatif atriyal fibrilasyon (PoAF) gelişimini öngörmedeki potansiyel rolünü araştırmaktır.

Gereç ve Yöntemler: Ocak 2023 ile Ocak 2024 tarihleri arasında düşük EF (%40’ın altında) ile CABG uygulanan toplam 100 hasta çalışmaya dahil edilmiştir. Çalışmada, hastaların preoperatif SII değerleri ile demografik özellikleri ve operasyonel değişkenleri karşılaştırılmıştır.

Bulgular: Düşük ejeksiyon fraksiyonuna sahip 100 hasta arasında, postoperatif atriyal fibrilasyon on olguda tespit edilmiştir. Demografik ve perioperatif değişkenlerde anlamlı bir farklılık saptanmamıştır. Bununla birlikte, PoAF gelişen on hastada SII seviyelerinin anlamlı derecede yüksek olduğu ve bu durumun bir korelasyon gösterdiği belirlenmiştir (p=0,008). PoAF gelişen hastaların hastanede kalış süresi, istatistiksel olarak anlamlı olmamakla birlikte, daha uzun bulunmuştur (p=0,059).

Sonuç: Preoperatif SII seviyelerinin, düşük ejeksiyon fraksiyonuna sahip koroner arter baypas greftleme uygulanan hastalarda postoperatif atriyal fibrilasyon gelişimini öngörmede potansiyel bir belirteç olarak işlev görebileceği düşünülmektedir.

Anahtar Kelimeler

Koroner Arter Baypas, Atriyal Fibrilasyon, Kardiyopulmoner Baypas, İnflamasyon

Can the Systemic Immune-Inflammation Index Predict the Risk of Postoperative Atrial Fibrillation in Patients with Low Ejection Fraction Undergoing Coronary Artery Bypass Grafting?

Öz

Objective: This study aimed to investigate whether the preoperative Systemic Immune-Inflammation Index (SII) can predict the development of postoperative atrial fibrillation (PoAF) in patients undergoing coronary artery bypass grafting (CABG) with low ejection fraction (EF).

Materials and Methods: Between January 2023 and January 2024, 100 patients who underwent CABG with low EF(40%) were included in the study. Preoperative SII values of the patients, along with their demographic characteristics and operative variables, were compared.

Results: Among the 100 patients with reduced ejection fraction included in the study, postoperative atrial fibrillation was identified in 10 cases. No significant differences were observed in the demographic and perioperative data of the patients. The SII levels were found to be higher in ten patients who developed PoAF, demonstrating a correlation (p=0.008). PoAF patients experienced a longer stay in the hospital although statistically insignificant (p=0.059).

Conclusion: Preoperative SII levels may be effective in predicting postoperative atrial fibrillation in coronary bypass patients with low ejection fraction.

Anahtar Kelimeler

Coronary Artery Bypass, Atrial Fibrillation, Cardiopulmonary Bypass, Inflammation

Kaynakça

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