N末端脑钠肽前体在预测术后房颤中的作用。
The role of N-terminal pro-brain natriuretic peptide in prediction of postoperative atrial fibrillation.
作者信息
Lednev P V, Belov Iu V, Komarov R N, Stonogin A V
机构信息
Department of Cardiac Surgery of Clinic of Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University, Moscow.
acad. B.V. Petrovsky Russian Research Surgery Center.
出版信息
Khirurgiia (Mosk). 2016(1):4-14. doi: 10.17116/hirurgia201614-14.
AIM
To analyze prognostic value of different factors in postoperative atrial fibrillation prediction.
MATERIAL AND METHODS
Study included 39 patients with coronary artery disease without previous paroxysmal atrial fibrillation. Multiple correlation, logistic regression and ROC-analysis were performed to create predictive model of postoperative atrial fibrillation prognosis. Authors have analyzed most of described in literature preoperative predictors of atrial fibrillation to define the role of different risk factors. Prognostic role of N-terminal pro-brain natriuretic peptide (NT-proBNP) is assessed.
RESULTS
We revealed high informativeness of NT-proBNP to predict postoperative atrial fibrillation after on-pump coronary artery bypass grafting.
目的
分析不同因素对术后房颤预测的预后价值。
材料与方法
研究纳入39例无阵发性房颤病史的冠心病患者。采用多重相关性分析、逻辑回归分析和受试者工作特征（ROC）分析建立术后房颤预后的预测模型。作者分析了文献中描述的大多数术前房颤预测指标，以确定不同危险因素的作用。评估N末端脑钠肽前体（NT-proBNP）的预后作用。
结果
我们发现NT-proBNP对预测体外循环冠状动脉搭桥术后房颤具有较高的信息量。
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