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

Özsin, Kadir Kaan; Sanrı, Umut Serhat; Toktaş, Faruk; Yavuz, Şenol

doi:10.4149/bll_2018_063

Cited by 11 publications

(7 citation statements)

References 22 publications

(29 reference statements)

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“…In this study, no correlation was found between preoperative RDW and preoperative MPV values and poAF development. In another previous study, it was found that preoperative RDW and preoperative MPV levels did not have a predictive value for poAF in patients undergoing OPCAB surgery [ 34 ] .…”

Section: Discussionmentioning

confidence: 99%

Predictive Value of QT Interval for Postoperative Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery

Kumtepe¹,

Uçaroğlu²

2022

Braz J Cardiovasc Surg

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Introduction Postoperative atrial fibrillation (poAF) is a common complication of coronary artery bypass grafting, and its reasons are still the subject of research. The aim of this study was to evaluate whether QT interval is related to new onset of poAF occurrence. Methods This study included 167 patients undergoing elective isolated off-pump coronary artery bypass grafting (OPCAB) surgery. Patients were divided into two groups as poAF (+) and poAF (-), according to the development of poAF, and the results of the measurements were compared between the groups. Results PoAF was detected in 37 (22.1%) of 167 patients who underwent OPCAB surgery. When QT interval measurements were compared, preoperative and postoperative QT and corrected QT interval (QTc) values were significantly longer in the group with atrial fibrillation. Mean values of preoperative QT were 407.5±27.1 in the poAF (-) group vs. 438.5±48.5 in the poAF (+) group (P<0.001). Mean values of preoperative QTc were 419.1±14.5 in the poAF (-) group vs. 448.5±26.6 in the poAF (+) group (P<0.001). Mean values of postoperative QT were 416.3±48.3 in the poAF (-) group vs. 439.2±45.8 in the poAF (+) group (P=0.005). And mean values of postoperative QTc were 419.8±12.5 in the poAF (-) group vs. 452.0±23.3 in the poAF (+) group (P<0.001). Conclusion QT interval measurement may be a new parameter in predicting poAF development after OPCAB surgery.

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Section: Discussionmentioning

confidence: 99%

Predictive Value of QT Interval for Postoperative Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery

Kumtepe¹,

Uçaroğlu²

2022

Braz J Cardiovasc Surg

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“…In multivariate analysis, RDW [OR:1.16 (95%CI: 1.0-1.36), P = 0.05] was found to be predictive for PSAF (68.4% sensitivity and 51.2% specificity; P = 0.001). Likewise, Ozsin et al[49] analyzed the RDW levels in 93 patients who underwent off-pump CABG surgery. 24 patients developed PSAF while 69 did not.…”

Section: Description Of Studies Outcomementioning

confidence: 99%

Red blood cell distribution width: A marker of anisocytosis potentially associated with atrial fibrillation

Lippi

Cervellin

Sanchís-Gomar

2019

WJC

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The incorporation of biomarkers in the actually used risk scores seem to be helpful for early identifying atrial fibrillation (AF) patients at higher risk. The aim of this critical review of the scientific literature is to investigate the potential clinical significance of red blood cell distribution width (RDW) in AF. A systematic electronic search was carried out to identify all articles describing an epidemiological association between RDW and AF in adult human populations. Data abstraction was conducted on a final number of 35 articles (13 cross-sectional, 12 prospective and 10 retrospective studies). The results of these epidemiological investigations were all virtually concordant to emphasize that an enhanced RDW value is not only a predictive factor and a marker of AF but its measurement may also be helpful for predicting the risk of developing many adverse complications in patients with AF, such as recurrence and duration of AF, hospitalization for heart failure, bleeding, left atrial thrombosis and stasis, thromboembolic events and mortality. AF patients with RDW values exceeding the local reference range may be more aggressively investigated and managed, in order to identify and attenuate the impact of possible underlying disorders causing both anisocytosis and AF.

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“…Various inflammatory biomarkers such as C-reactive protein, interleukins, and tumor necrosis factor-α have been extensively studied in relation to AF. In addition to these markers, hematological indices obtained from complete blood count (CBC) test such as white blood cell (WBC) 5 , red cell distribution width (RDW) 6 , mean platelet volume (MPV) 6 , neutrophil/lymphocyte ratio (NLR) 7 , and platelet/lymphocyte ratio (PLR) 8 have been investigated as potential prognostic and predictive biomarkers for postoperative new-onset AF.…”

Section: Introductionmentioning

confidence: 99%

Systemic immune-inflammation index as a novel predictor of atrial fibrillation after off-pump coronary artery bypass grafting

Topal

Korkmaz

Velioğlu

et al. 2022

Rev. Assoc. Med. Bras.

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OBJECTIVE: This study aims to examine the predictive role of systemic immune-inflammation index on postoperative new-onset atrial fibrillation in patients undergoing off-pump coronary artery bypass grafting. METHODS: A total of 722 patients undergoing elective off-pump coronary artery bypass grafting between January 2017 and September 2021 were included in this study and divided into two groups as the atrial fibrillation group (n=172) and the non-atrial fibrillation group (n=550). Both groups were compared in terms of patients' baseline clinical features, operative and postoperative variables, and preoperative hematological indices derived from the complete blood count analysis. Multivariate logistic regression and receiver-operating characteristic curve analyses were performed to detect the independent predictors of postoperative new-onset atrial fibrillation. RESULTS: The median age and length of hospital stay in the atrial fibrillation group were significantly higher than those in the non-atrial fibrillation group. The median values of white blood cell, platelet, neutrophil, neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, and systemic immuneinflammation in the atrial fibrillation group were significantly greater than in those in the non-atrial fibrillation group. Logistic regression analysis demonstrated that age, platelet, platelet/lymphocyte ratio, and systemic immune-inflammation were independent predictors of postoperative newonset atrial fibrillation. receiver-operating characteristic curve analysis revealed that systemic immune-inflammation of 706.7×10 3 /mm 3 constituted cut-off value to predict the occurrence of new-onset atrial fibrillation with 86.6% sensitivity and 29.3% specificity. CONCLUSION: Our study revealed for the first time that systemic immune-inflammation predicted new-onset atrial fibrillation after off-pump coronary artery bypass grafting.

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

Cited by 11 publications

References 22 publications

Predictive Value of QT Interval for Postoperative Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery

Predictive Value of QT Interval for Postoperative Atrial Fibrillation in Patients Undergoing Off-Pump Coronary Artery Bypass Surgery

Red blood cell distribution width: A marker of anisocytosis potentially associated with atrial fibrillation

Systemic immune-inflammation index as a novel predictor of atrial fibrillation after off-pump coronary artery bypass grafting

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