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    Mitral annular plane systolic excursion (MAPSE) as a predictor of atrial fibrillation development after coronary artery bypass surgery
    (Aepress Sro, 2024) Koseoglu, Cemal; Oncel, Can Ramazan; Dagasan, Goksel; Coner, Ali; Akkaya, Ozgur; Keykubat, Alanya Alaaddin
    OBJECTIVE: To predict the possibility of postoperative atrial fibrillation (AF) with mitral annular plane systolic excursion (MAPSE) measurement, which is a cheap, reproducible echocardiographic method and to monitor these patients more closely and to evaluate them more effectively postoperatively. MATERIAL AND METHODS: 247 patients scheduled for coronary artery bypass surgery were evaluated and 200 patients were included in the study. The enrolled patients were classified into the two groups according to the occurrence of postoperative AF or maintained sinus rhythm after coronary artery bypass surgery (normal sinus rhythm [NSR] group vs. AF group).The clinical and demographic data of all the patients were recorded on admission. Two-dimensional transthoracic echocardiography (TTE) was performed prior to elective surgery. RESULTS: Postoperative new onset AF occurred in 37 (18.5%) patients. In the multivariate logistic regression analysis carried out after the formation of the model based on the parameters related to AF development, the relationships with white blood cell count, LAd and MAPSE were observed to be prevalent. When MAPSE, which is a parameter used to predict the development of postoperative atrial fibrillation, was compared in the ROC analysis, the area under the curve was found to be 0.831, 95% CI lower-95% CI upper (0.761-0.901) (p<0.001). The distinguishing MAPSE value in predicting postoperative atrial fibrillation development was found to be 11.6 (sensitivity: 90%, specificity: 81%). CONCLUSIONS: We showed that MAPSE could play a role in determining postoperative atrial fibrillation development after coronary artery bypass surgery (Tab. 2, Fig. 2, Ref. 28). Text in PDF www.elis.sk
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    Multiple factors are related to the development of exaggerated blood pressure response to exercise
    (Wiley, 2024) Coner, Ali; Oncel, Can Ramazan; Koseoglu, Cemal; Dagasan, Goksel
    [Abstract Not Available]
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    Predicting Postoperative Atrial Fibrillation Using HARMS2-AF Score
    (2024) Öncel, Can Ramazan; Köseoğlu, Cemal; Dagasan, Goksel; Çoner, Ali; Ayhan, Selçuk; Akkaya, Özgür; Karahan, Oğuz
    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 pre- dict 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, 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) develop- ment after isolated CABG surgery. It can be used as a novel stratification tool to estimate AF after cardiac surgery.
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    Predicting Postoperative Atrial Fibrillation Using HARMS2-AF Score
    (Kare Publ, 2024) Oncel, Can Ramazan; Koseoglu, Cemal; Dagasan, Goksel; Coner, Ali; Ayhan, Selcuk; Akkaya, Ozgur; Karahan, Oguz
    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 HARMS(2)-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 HARMS(2)-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. HARMS(2)-AF score was significantly higher in patients with POAF. Age, sleep apnea, left atrial diameter (LAd), and HARMS(2)-AF score were independently associated with POAF. A HARMS(2)-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 HARMS(2)-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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    Re: Factors associated with favorable outcomes in cardiac arrest and target temperature management by Kimura et al.
    (Mary Ann Liebert, Inc, 2024) Coner, Ali; Koseoglu, Cemal; Oncel, Can Ramazan; Dagasan, Goksel
    [Abstract Not Available]
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    Resting Blood Pressure is an Essential Determinant of Blood Pressure Response to Exercise
    (Wolters Kluwer Medknow Publications, 2024) Coner, Ali; Oncel, Can Ramazan; Koseoglu, Cemal; Dagasan, Goksel
    [Abstract Not Available]