Are preoperative monocytes and HDL values ​​an early predictor of recurrence in the surgical ablation treatment of atrial fibrillation?

Abstract

Objective: Monocyte HDL (high-density lipoprotein) cholesterol ratio has been accepted as a newly emerging cardiovascular prognostic marker. The aim of this study is to investigate the determinants of monocyte and HDL cholesterol values ​​in the early recurrence of atrial fibrillation (AF) treated with cryoablation and radiofrequency ablation. Materials and Methods: This retrospective study was conducted between September 2006 and July 2014 in the Department of Cardiovascular Surgery, Adana City Hospital, Health Sciences University, including 100 patients who underwent surgical AF ablation with open heart surgery. Logistic regression analysis was used to determine monocytes and HDL cholesterol values, which are among the factors affecting recurrence in the first 3 months postoperatively. Results: 100 patients who underwent surgical ablation together with open heart surgery were evaluated for early postoperative recurrence. According to the logistic regression analysis, the most effective features and measurements for early recurrence were diabetes mellitus (DM), AF duration, left atrial diameter, and low HDL cholesterol and high monocyte values ​​before the procedure. Conclusion: Preoperative low HDL and high monocyte values ​​can be considered as a determining factor for early recurrence in surgical ablation treatment of AF.