Red cell distribution width predicts new-onset atrial fibrillation after coronary artery bypass grafting

Ertaş, Gökhan; Aydın, Cemalettin; Sönmez, Osman; Erdoğan, Ercan; Turfan, Murat; Taşal, Abdurrahman; Bacaksız, Ahmet; Vatankulu, Mehmet Akıf; Uyarel, Hüseyin; Ergelen, Mehmet; Zeybek, Rahmi; Göktekín, Ömer

doi:10.3109/14017431.2012.736636

Cited by 45 publications

(42 citation statements)

References 18 publications

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“…RDW is also an important inflammatory marker that it is associated with coronary artery disease and both acute and chronic heart failure (16)(17)(18). Two previous studies indicated that preoperative RDW levels were associated with POAF (10,11). In the present study, the preoperative RDW levels were similar between the groups, but the postoperative RDW levels were significantly higher in the POAF group.…”

Section: Discussionsupporting

confidence: 35%

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Role of red blood cell distribution width and epicardial fat in atrial fibrillation after cardiopulmonary bypass

et al. 2018

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Objective: Postoperative atrial fibrillation (POAF) is a common complication after cardiac surgery, and it remains a challenge for cardiac surgeons despite advances in medicine. A number of studies have been performed to examine various parameters to predict which patients will develop POAF. The present study was performed to investigate the roles of epicardial adipose tissue (EAT) volume and red blood cell distribution width (RDW) as predictors of POAF. Methods: The medical records of 350 patients undergoing coronary artery bypass grafting in one or more vessels at the Tertiary Cardiac Center, Cardiovascular Surgery Department, Mevlana (Rumi) University Private Hospital (Konya, Turkey), were screened between December 2011 and May 2015. The study population consisted of 149 patients fulfilling the inclusion criteria and undergoing a preoperative evaluation by computed chest tomography. All patient demographics and laboratory parameters were obtained from medical records. Results: Age, postoperative RDW, and tomography variables, including the left atrial (LA) volume, LA diameters, and EAT volume, were significantly higher while the hemoglobin level and hematocrit were significantly lower in patients developing atrial fibrillation after cardiopulmonary bypass. A logistic multivariate regression analysis was performed on age, postoperative RDW, and tomography variables, including LA volume, LA diameters and EAT volume. Only age (OR 1.0731, 95% CI 1.012-1.138; p = 0.018) was an independent predictor of the development of POAF. Conclusions: Although the EAT volume was high in patients developing atrial fibrillation after surgery, age was the only significant predictor of POAF on multivariate analysis. Additional studies regarding the predictive roles of epicardial fat and RDW in POAF are needed.

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Section: Discussionsupporting

confidence: 35%

“…Red blood cell distribution width (RDW), or anisocytosis, is an indicator of variability in the size of erythrocytes. Recent studies showed that RDW is also an inflammation marker and may predict POAF (10,11).…”

Section: Introductionmentioning

confidence: 99%

Role of red blood cell distribution width and epicardial fat in atrial fibrillation after cardiopulmonary bypass

et al. 2018

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“…Gungor et al (24) reported that RDW is an independent marker of non-valvular AF in multivariate logistic regression analysis (OR: 4.18, 95 % CI 2.15-8.15, p = 0.01). In one of the fi rst studies to investigate the relationship between RDW and PoAF in patients undergoing CABG, Ertas et al (8) found that while preoperative RDW levels were signifi cantly higher in patients who developed AF, there was not any correlation between postoperative RDW levels and AF. In addition, they remarked that preoperative RDW level predicts new-onset AF after CABG in patients without histories of AF(cutpoint of 13.45, 61 % sensitivity, 60 % specifi city) (8).…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have shown that RDW is a strong predictor of adverse outcomes in patients with heart failure, stroke and myocardial infarction (4)(5)(6). In previous studies, in patients undergoing coronary angiography and CABG indicated a possible association between RDW and AF (7,8).…”

Section: Introductionmentioning

confidence: 99%

Relationship between red cell distribution width and mean platelet volume with new onset atrial fibrillation afteroff-pump coronary artery bypass grafting

Özsin¹,

Sanrı²,

Toktaş³

et al. 2018

BLL

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OBJECTIVE: The aim of this study was to evaluate the relationship between red blood cell distribution width (RDW) and mean platelet volume (MPV) with development of postoperative atrial fi brillation (PoAF) after offpump coronary artery bypass grafting (CABG). BACKGROUND: The RDW and MPV have been associated with some cardiovascular disorders. METHODS: A total of 93 patients who underwent off-pump CABG were included in this study. The patients were divided into two groups as developing and nondeveloping PoAF groups in the postoperative period. We measured whether RDW and MPV levels are a predictive value for development PoAF. RESULTS: There were 24 patients with PoAF enrolled (mean age: 66 ± 7.8 years) and 69 patients without PoAF (mean age: 56.26 ± 11.53 years). The PoAF was signifi cantly correlated with age (p = 0.004), hematocrit (p: 0.010), RDW (p = 0.007) and creatinine (p = 0.006). Only advanced age (p = 0.012) was identifi ed as an independent predictor of PoAF. For predicting PoAF, there was 79.2 % sensitivity and 65.2 % specifi city for RDW (p = 0.001) and 62.5 % sensitivity and 55.1 % specifi city for MPV (p = 0.062). CONCLUSIONS: We found that RDW levels and MPV were not an independent predictor of the development of PoAF. However, elevated RDW levels and MPV may be one of the predictive values for PoAF development (Tab. 3, Fig. 2, Ref. 27). Text in PDF www.elis.sk. KEY WORDS: red blood cell, mean platelet volume, atrial fi brillation, coronary artery bypass, off-pump.

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“…The preoperative RDW has been found to be associated with atrial fibrillation beginning after CABG [13]. Another study has revealed that the RDW constitutes a significant factor that determines the ratio of in-hospital mortality and longterm survival in patients undergoing isolated CABG [14].…”

Section: Discussionmentioning

confidence: 99%

Could Red Cell Distribution Width Serve as a New Inflammatory Marker in Coronary Artery Bypass Grafting?

2014

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Aim. In our study, we researched whether on-pump and off-pump coronary artery bypass grafting (CABG) differ as regards their effect on postoperative red cell distribution width (RDW). Moreover, we also investigated whether there was a link between the preoperative and postoperative RDW levels and the early adverse events after CABG. Material and methods. In this study there were 127 consecutive patients who had previously undergone CABG. The patients were divided as group 1 (off-pump, n: 49) and group 2 (on-pump, n: 78). The hemogram and biochemistry panel values were measured a day before the operation, on the first, third and seventh days after it, and in the postoperative first and sixth months. Results. The statistically significant values detected in the hemogram were as follows: postoperative first day hemoglobin, postoperative first day leukocyte, postoperative first day thrombocyte, postoperative first day C-reactive protein, postoperative third day RDW, postoperative third day leukocyte, postoperative seventh day RDW, postoperative seventh day leukocyte, postoperative first month RDW, and postoperative first month thrombocyte (p<0,05). It was found in multivariate analysis that preoperative RDW is an independent risk factor for plasma used in the postoperative period (odds ratio: 0.552; 95% CI: 0.346-0.879; P=0.012). There was no link between preoperative RDW and other early adverse events in the postoperative period (p>0,05). Conclusion. We found that on-pump CABG increases the RDW levels more in the acute period, when compared with off-pump surgery, but that this effect disappears by the sixth month after the operation. For this reason, RDW can be used as a new inflammatory marker in patients undergoing CABG. Moreover, we observed that there was no clinical link between early adverse events after CABG and the pre-and postoperative RDW levels.Russ J Cardiol 2014, 7 (111), Engl.: 5-11

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Red cell distribution width predicts new-onset atrial fibrillation after coronary artery bypass grafting

Abstract: Preoperative RDW level predicts new-onset AF after CABG in patients without histories of AF.

Cited by 45 publications

References 18 publications

Role of red blood cell distribution width and epicardial fat in atrial fibrillation after cardiopulmonary bypass

Role of red blood cell distribution width and epicardial fat in atrial fibrillation after cardiopulmonary bypass

Relationship between red cell distribution width and mean platelet volume with new onset atrial fibrillation afteroff-pump coronary artery bypass grafting

Could Red Cell Distribution Width Serve as a New Inflammatory Marker in Coronary Artery Bypass Grafting?

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