Adnan Kuvvetli, Atilla Bulut, H. Sumbul, H. Koca, Akkan Avcı, B. S. Avci, Mevlüt Koç
{"title":"肥胖患者行袖胃切除术后心房颤动的频率及相关参数。","authors":"Adnan Kuvvetli, Atilla Bulut, H. Sumbul, H. Koca, Akkan Avcı, B. S. Avci, Mevlüt Koç","doi":"10.23736/S0026-4733.20.08358-3","DOIUrl":null,"url":null,"abstract":"BACKGROUND\nIn this study, we planned to determine the frequency of post-operative AF and its related parameters in morbidly obese patients who underwent bariatric surgery.\n\n\nMETHODS\nThe study included 300 patients with morbidly obese who had no history of AF and underwent successful bariatric surgery. Routine anamnesis, physical examination and laboratory parameters of the patients were recorded. Patients with post-operative AF were detected. The participants were grouped as patients with and without AF.\n\n\nRESULTS\nPostoperative AF occurred in 19 (6.3%) patients. Age, BMI and LAd diameter parameters independently determined the presence of AF. When the ROC curve was performed to identify patients with AF, the area under the ROC curve was found to be 0.841, 0.785 and 0.902 for age, BMI and LAd diameter, respectively. According to this analysis, 50 years for age, 43kg/m2 for BMI and 40mm for LAd were used to determine patients with AF with acceptable sensitivity and specificity (>70% each).\n\n\nCONCLUSIONS\nThe most important determinants of postoperative AF are age, LAd and basal BMI. Therefore, morbidly obese patients with LAd >40mm, BMI >43kg/m2 and >50-years of age should be followed up more closely for postoperative AF development and preoperative precautions should be taken to prevent AF development.","PeriodicalId":18714,"journal":{"name":"Minerva chirurgica","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2020-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Frequency of postoperative atrial fibrillation and related parameters in patients who underwent sleeve gastrectomy for obesity.\",\"authors\":\"Adnan Kuvvetli, Atilla Bulut, H. Sumbul, H. Koca, Akkan Avcı, B. S. Avci, Mevlüt Koç\",\"doi\":\"10.23736/S0026-4733.20.08358-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"BACKGROUND\\nIn this study, we planned to determine the frequency of post-operative AF and its related parameters in morbidly obese patients who underwent bariatric surgery.\\n\\n\\nMETHODS\\nThe study included 300 patients with morbidly obese who had no history of AF and underwent successful bariatric surgery. Routine anamnesis, physical examination and laboratory parameters of the patients were recorded. Patients with post-operative AF were detected. The participants were grouped as patients with and without AF.\\n\\n\\nRESULTS\\nPostoperative AF occurred in 19 (6.3%) patients. Age, BMI and LAd diameter parameters independently determined the presence of AF. When the ROC curve was performed to identify patients with AF, the area under the ROC curve was found to be 0.841, 0.785 and 0.902 for age, BMI and LAd diameter, respectively. According to this analysis, 50 years for age, 43kg/m2 for BMI and 40mm for LAd were used to determine patients with AF with acceptable sensitivity and specificity (>70% each).\\n\\n\\nCONCLUSIONS\\nThe most important determinants of postoperative AF are age, LAd and basal BMI. Therefore, morbidly obese patients with LAd >40mm, BMI >43kg/m2 and >50-years of age should be followed up more closely for postoperative AF development and preoperative precautions should be taken to prevent AF development.\",\"PeriodicalId\":18714,\"journal\":{\"name\":\"Minerva chirurgica\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2020-08-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Minerva chirurgica\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.23736/S0026-4733.20.08358-3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Minerva chirurgica","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.23736/S0026-4733.20.08358-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Frequency of postoperative atrial fibrillation and related parameters in patients who underwent sleeve gastrectomy for obesity.
BACKGROUND
In this study, we planned to determine the frequency of post-operative AF and its related parameters in morbidly obese patients who underwent bariatric surgery.
METHODS
The study included 300 patients with morbidly obese who had no history of AF and underwent successful bariatric surgery. Routine anamnesis, physical examination and laboratory parameters of the patients were recorded. Patients with post-operative AF were detected. The participants were grouped as patients with and without AF.
RESULTS
Postoperative AF occurred in 19 (6.3%) patients. Age, BMI and LAd diameter parameters independently determined the presence of AF. When the ROC curve was performed to identify patients with AF, the area under the ROC curve was found to be 0.841, 0.785 and 0.902 for age, BMI and LAd diameter, respectively. According to this analysis, 50 years for age, 43kg/m2 for BMI and 40mm for LAd were used to determine patients with AF with acceptable sensitivity and specificity (>70% each).
CONCLUSIONS
The most important determinants of postoperative AF are age, LAd and basal BMI. Therefore, morbidly obese patients with LAd >40mm, BMI >43kg/m2 and >50-years of age should be followed up more closely for postoperative AF development and preoperative precautions should be taken to prevent AF development.
期刊介绍:
Minerva Chirurgica publishes scientific papers on surgery. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.