Mitral annular plane systolic excursion (MAPSE) as a predictor of atrial fibrillation development after coronary artery bypass surgery

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dc.contributor.authorKoseoglu, Cemal
dc.contributor.authorOncel, Can Ramazan
dc.contributor.authorDagasan, Goksel
dc.contributor.authorConer, Ali
dc.contributor.authorAkkaya, Ozgur
dc.contributor.authorKeykubat, Alanya Alaaddin
dc.date.accessioned2026-01-24T12:26:40Z
dc.date.available2026-01-24T12:26:40Z
dc.date.issued2024
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractOBJECTIVE: 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
dc.identifier.doi10.4149/BLL_2024_78
dc.identifier.endpage507
dc.identifier.issn0006-9248
dc.identifier.issn1336-0345
dc.identifier.issue8
dc.identifier.pmid38989752
dc.identifier.scopus2-s2.0-85200170152
dc.identifier.scopusqualityQ2
dc.identifier.startpage503
dc.identifier.urihttps://doi.org/10.4149/BLL_2024_78
dc.identifier.urihttps://hdl.handle.net/20.500.12868/4847
dc.identifier.volume125
dc.identifier.wosWOS:001301125300008
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAepress Sro
dc.relation.ispartofBratislava Medical Journal-Bratislavske Lekarske Listy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectatrial fibrillation
dc.subjectcoronary artery bypass surgery
dc.subjectmitral annular plane systolic excursion
dc.titleMitral annular plane systolic excursion (MAPSE) as a predictor of atrial fibrillation development after coronary artery bypass surgery
dc.typeArticle

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