Department of Cardiovascular Surgery, Giresun University Faculty of Medicine, Giresun, Turkey.
Department of Gastroenterology, Giresun University Faculty of Medicine, Giresun, Turkey.
Braz J Cardiovasc Surg. 2024 May 15;39(3):e20230366. doi: 10.21470/1678-9741-2023-0366.
Although there are publications in the literature stating that parameters related to the nutritional status of patients are associated with the clinical outcomes of those with coronary artery disease, it is also stated that there is insufficient data on the relationship between nutritional indices and long-term outcomes and major adverse cardiovascular events in patients undergoing isolated coronary artery bypass grafting.
This retrospective study was conducted with patients who underwent isolated elective on-pump coronary artery bypass grafting in our hospital. Patients who underwent emergency coronary artery bypass grafting or those with known atrial fibrillation in the preoperative period were excluded. Patients were analyzed and compared in two groups according to the development of postoperative atrial fibrillation.
The data of 93 coronary artery bypass grafting patients (71 [76%] males) with a mean age of 62.86 ± 9.53 years included in the study were evaluated. Both groups had similar preoperative ejection fraction value, hemoglobin level, age, number of distal bypasses, and postoperative mortality rates. Although the mean cardiopulmonary bypass and aortic cross-clamping times were higher in Group 1, they were not statistically significant. In our study, the mean prognostic nutrition index value was 51.76 ± 3002.
According to our study results, there was no statistically significant difference between prognostic nutrition index values and the development of atrial fibrillation after coronary artery bypass grafting, which is similar to some publications in the literature. We think that it would be beneficial to conduct randomized studies involving more patients on this subject.
尽管文献中有出版物指出，与冠心病患者临床结局相关的患者营养状况参数，但也有报道称，在接受单纯冠状动脉旁路移植术的患者中，营养指数与长期结局和主要不良心血管事件之间的关系数据不足。
本回顾性研究纳入了在我院行单纯择期体外循环冠状动脉旁路移植术的患者。排除行急诊冠状动脉旁路移植术或术前已知心房颤动的患者。根据术后心房颤动的发生情况，将患者分为两组进行分析和比较。
研究共纳入 93 例（71 例[76%]为男性）接受冠状动脉旁路移植术的患者，平均年龄为 62.86±9.53 岁。两组患者术前射血分数值、血红蛋白水平、年龄、远端旁路数量和术后死亡率相似。虽然第 1 组的体外循环和主动脉阻断时间的平均值较高，但无统计学意义。在我们的研究中，预后营养指数的平均值为 51.76±3002。
根据我们的研究结果，冠状动脉旁路移植术后心房颤动的发生与预后营养指数值之间无统计学显著差异，与文献中的一些报道相似。我们认为，在这个问题上进行涉及更多患者的随机研究将是有益的。
