Predicting Postoperative Atrial Fibrillation Using HARMS2-AF Score.

IF 1.4 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Anatolian Journal of Cardiology Pub Date : 2024-09-18 DOI:10.14744/AnatolJCardiol.2024.4470

Can Ramazan Öncel, Cemal Köseoğlu, Göksel Dağaşan, Ali Çoner, Selçuk Ayhan, Özgür Akkaya, Oğuz Karahan

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Abstract

Background: Postoperative atrial fibrillation (POAF) remains a common complication after cardiac surgery. The ability to accurately identify patients at risk through previous risk scores is limited. This study aimed to evaluate the new HARMS2-AF risk score to predict POAF after coronary artery bypass grafting (CABG) surgery.

Methods: In this retrospective cohort study, we included 265 patients undergoing CABG surgery from 2022-2023. Data were obtained from the medical files of the patients and hospital records. Each patient was assigned a HARMS2-AF risk score. A univariate and multivariate regression analyses were done to analyze independent predictors of POAF.

Results: Of 265 patients, 49 had postoperative atrial fibrillation. HARMS2-AF score was significantly higher in patients with POAF. Age, sleep apnea,a left atrial diameter (LAd), and HARMS2-AF score were independently associated with POAF. A HARMS2-AF score ≥ 4.5 predicted POAF with 91% sensitivity and 64% specificity (AUC = 0.787, 95% CI = 0.731-0.842, P < .001).

Conclusion: The HARMS2-AF score is a strong predictor of atrial fibrillation (AF) development after isolated CABG surgery. It can be used as a novel stratification tool to estimate AF after cardiac surgery.

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使用 HARMS2-AF 评分预测术后心房颤动

背景：术后心房颤动（POAF）仍是心脏手术后常见的并发症。通过以往的风险评分准确识别高危患者的能力有限。本研究旨在评估新的 HARMS2-AF 风险评分，以预测冠状动脉旁路移植术（CABG）术后的 POAF：在这项回顾性队列研究中，我们纳入了 2022-2023 年间接受 CABG 手术的 265 名患者。数据来源于患者的医疗档案和医院记录。每位患者都进行了 HARMS2-AF 风险评分。通过单变量和多变量回归分析来分析POAF的独立预测因素：结果：在265名患者中，49人术后出现心房颤动。POAF患者的HARMS2-AF评分明显更高。年龄、睡眠呼吸暂停、a 左心房直径（LAd）和 HARMS2-AF 评分与 POAF 存在独立关联。HARMS2-AF评分≥4.5可预测POAF，灵敏度为91%，特异度为64%（AUC = 0.787, 95% CI = 0.731-0.842, P < .001）：结论：HARMS2-AF 评分是孤立 CABG 手术后心房颤动 (AF) 发生的有力预测指标。结论：HARMS2-AF 评分是孤立的 CABG 手术后心房颤动（房颤）发生的有力预测指标，可作为一种新的分层工具来估计心脏手术后的房颤。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Anatolian Journal of Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.30

自引率

7.70%

发文量

270

审稿时长

12 weeks

期刊介绍： The Anatolian Journal of Cardiology is an international monthly periodical on cardiology published on independent, unbiased, double-blinded and peer-review principles. The journal’s publication language is English. The Anatolian Journal of Cardiology aims to publish qualified and original clinical, experimental and basic research on cardiology at the international level. The journal’s scope also covers editorial comments, reviews of innovations in medical education and practice, case reports, original images, scientific letters, educational articles, letters to the editor, articles on publication ethics, diagnostic puzzles, and issues in social cardiology. The target readership includes academic members, specialists, residents, and general practitioners working in the fields of adult cardiology, pediatric cardiology, cardiovascular surgery and internal medicine.