肥胖患者行袖胃切除术后心房颤动的频率及相关参数。

IF 1.3 Q3 Medicine Minerva chirurgica Pub Date : 2020-08-06 DOI:10.23736/S0026-4733.20.08358-3
Adnan Kuvvetli, Atilla Bulut, H. Sumbul, H. Koca, Akkan Avcı, B. S. Avci, Mevlüt Koç
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引用次数: 0

摘要

背景在本研究中,我们计划确定接受减肥手术的病态肥胖患者术后房颤的频率及其相关参数。方法该研究包括300名没有房颤病史并成功接受减肥手术的病态肥胖患者。记录患者的常规记忆、体格检查和实验室参数。检测到术后房颤患者。参与者被分为患有和不患有房颤的患者。结果19名(6.3%)患者发生了术后房颤。年龄、BMI和左心房直径参数独立决定了房颤的存在。当使用ROC曲线来识别房颤患者时,年龄、BMI、左心房直径的ROC曲线下面积分别为0.841、0.785和0.902。根据该分析,50岁年龄、43kg/m2 BMI和40mm LAd用于确定具有可接受的敏感性和特异性(各>70%)的AF患者。结论术后AF最重要的决定因素是年龄、LAd和基础BMI。因此,LAd>40mm、BMI>43kg/m2和年龄>50岁的病态肥胖患者应更密切地随访术后房颤的发展,并应采取术前预防措施防止房颤的发生。
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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.
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来源期刊
Minerva chirurgica
Minerva chirurgica 医学-外科
CiteScore
1.40
自引率
0.00%
发文量
0
审稿时长
>12 weeks
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.
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