RESUMO
BACKGROUND AND OBJECTIVES: The relationship of synergy between percutaneous coronary intervention with taxus and cardiac surgery (SYNTAX) score and development of atrial fibrillation (AF) after coronary artery bypass surgery (CABG) has not been studied. Therefore, we assessed the relationship between the SYNTAX score and development of AF after CABG (POAF). SUBJECTS AND METHODS: The medical records of consecutive patients, who underwent CABG surgery from January 2013 to September 2015, were retrospectively reviewed for the development of AF in the postoperative period. SYNTAX score, clinical and echocardiographic parameters were evaluated. The independent variables for the development of POAF were defined and their predictive values were measured. RESULTS: The study group consisted of 106 patients, of which 36 (34%) developed POAF. Age, hypertension, stroke, chronic obstructive pulmonary disease (COPD), heart failure (HF), diabetes mellitus (DM), left atrial diameter, neutrophil/lymphocyte ratio, platelet large cell ratio, creatinine, blood urea nitrogen and SYNTAX score were identified as important variables for the development of POAF. However, in logistic regression analysis COPD (OR=19.313, 95% CI=2.416-154.407, p=0.005), HF (OR=28.362, 95% CI=2.034-395.515, p=0.013), SYNTAX score (OR=0.863, 95% CI=0.757-0.983, p=0.026), and DM (OR=20.770, 95% CI=3.791-113.799, p<0.001) appeared as independent variables predicting the development of POAF. In receiver operation characteristic analysis, SYNTAX score (≥22.25) (AUC=0.777, 95% CI=0.676-0.877, p<0.001) was one of the strongest predictors for the development of POAF. CONCLUSION: The SYNTAX score level was independently associated with the development of AF after CABG.
Assuntos
Humanos , Fibrilação Atrial , Plaquetas , Nitrogênio da Ureia Sanguínea , Ponte de Artéria Coronária , Doença da Artéria Coronariana , Vasos Coronários , Creatinina , Diabetes Mellitus , Ecocardiografia , Insuficiência Cardíaca , Hipertensão , Modelos Logísticos , Prontuários Médicos , Intervenção Coronária Percutânea , Período Pós-Operatório , Doença Pulmonar Obstrutiva Crônica , Estudos Retrospectivos , Acidente Vascular Cerebral , Taxus , Cirurgia TorácicaRESUMO
To determine the prevalence and risk factors of obesity and to obtain the age and gender-specific body mass index [BMI] percentiles in a cohort of children aged 6-17 years, living in the province of Antalya, Turkey. The study included 15 schools throughout the city center of Antalya, Turkey during the period November 2002-March 2003. A total of 2465 school children [boys 1233, girls 1232] aged 6-17 years were chosen using a population based stratified cluster sampling method. We calculated the BMI [kg/m2] by measuring the weight and standing height. Overweight was defined as BMI between 85th and 95th percentile, and obesity as BMI above the 95th percentile. A questionnaire was distributed to the parents to determine obesity-related risk factors. The overall prevalence of obesity was 3.6% while overweight was 14.3%. According to gender, the prevalence of obesity in boys was 3.9% and overweight was 12.8%, while in girls, obesity was 3.2% and overweight was 15.8%. We found that obesity might be related with some factors such as number of regular meals, number of siblings, high birth weight, having computer at home, skipping breakfast and high socioeconomic status of parents. There is no difference in obesity prevalence among school children according to gender, but the mean BMI of girls is significantly higher than that of boys. Obesity prevalence among children in Antalya is very low compared to Europe and the United States