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The Predictive Value of the Combined Systolic-Diastolic Index for Atrial Fibrillation After Coronary Artery Bypass Surgery
  • +2
  • Sencer Çamcı,
  • Selma Arı,
  • Alper Karakus,
  • Hasan ARI,
  • Temmuz Taner
Sencer Çamcı
Bursa Postgraduate Hospital
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Selma Arı
Bursa Postgraduate Hospital
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Alper Karakus
Bursa Postgraduate Hospital
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Hasan ARI
Bursa Postgraduate Hospital
Author Profile
Temmuz Taner
Bursa Postgraduate Hospital
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Peer review status:UNDER REVIEW

10 Apr 2020Submitted to Echocardiography
11 Apr 2020Submission Checks Completed
11 Apr 2020Assigned to Editor
11 Apr 2020Reviewer(s) Assigned
04 Jun 2020Review(s) Completed, Editorial Evaluation Pending
04 Jun 2020Editorial Decision: Revise Major
06 Jun 20201st Revision Received
07 Jun 2020Submission Checks Completed
07 Jun 2020Assigned to Editor
07 Jun 2020Reviewer(s) Assigned
23 Jun 2020Review(s) Completed, Editorial Evaluation Pending

Abstract

Objective: Atrial fibrillation (AF) after coronary artery bypass grafting (CABG) is a factor that causes an increase in mortality and morbidity. Therefore, predicting post-CABG AF development is important for treatment management. In this study, we investigated the value of the ratio E/(Ea × Sa) as a combined systolic-diastolic index in predicting post-CABG AF development. Methods: This prospective study included 102 patients who underwent only isolated coronary bypass. Preoperative demographic features, biochemical and hematological parameters, and the electrocardiographic data of all patients were recorded. The E/(Ea × Sa) indices were calculated from the echocardiographic measurements. Those who retained their postoperative sinus rhythm were defined as group 1, and those who developed AF were defined as group 2. Results: Group 2 had significantly higher lateral (group 1: 1.14 ± 0.61 vs. group 2: 1.47 ± 0.87; p = 0.02), medial (group 1: 1.61 ± 0.70 vs. group 2: 1.99 ± 0.91; p = 0.02), and mean (group 1: 1.30 ± 0.58 vs. group 2: 1.62 ± 0.74; p = 0.001) E/(Ea×Sa) indices than group 1. In the univariate analysis, age, CHA2DS2-VASc score, sPAP, and mean E/(EaxSa) index were found to be significant predictors of post-CABG AF development. However, only the mean E/(EaxSa) index was found to be a significant predictor of post-CABG AF development in the multivariate analysis (OR: 2.31 95% CI 1.02–5.24; p = 0.04). Conclusions: The combined systolic-diastolic index predicted the development of post-CABG AF.