Predicting Postoperative Atrial Fibrillation Using HARMS2-AF Score

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dc.authorid0000-0003-3482-5900
dc.contributor.authorOncel, Can Ramazan
dc.contributor.authorKoseoglu, Cemal
dc.contributor.authorDagasan, Goksel
dc.contributor.authorConer, Ali
dc.contributor.authorAyhan, Selcuk
dc.contributor.authorAkkaya, Ozgur
dc.contributor.authorKarahan, Oguz
dc.date.accessioned2026-01-24T12:29:12Z
dc.date.available2026-01-24T12:29:12Z
dc.date.issued2024
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractBackground 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.
dc.identifier.doi10.14744/AnatolJCardiol.2024.4470
dc.identifier.endpage554
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue11
dc.identifier.pmid39292154
dc.identifier.scopus2-s2.0-85208402829
dc.identifier.scopusqualityQ3
dc.identifier.startpage550
dc.identifier.trdizinid1360694
dc.identifier.urihttps://doi.org/10.14744/AnatolJCardiol.2024.4470
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1360694
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5201
dc.identifier.volume28
dc.identifier.wosWOS:001386391700007
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKare Publ
dc.relation.ispartofAnatolian Journal of Cardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectHARMS(2)-AF score
dc.subjectcoronary artery bypass grafting
dc.subjectatrial fibrillation
dc.titlePredicting Postoperative Atrial Fibrillation Using HARMS2-AF Score
dc.typeArticle

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