Öncel Can Ramazan, Köseoğlu Cemal, Dağaşan Göksel, Çoner Ali, Ayhan Selçuk, Akkaya Özgür, Karahan Oğuz
Department of Cardiology, Alanya Alaaddin Keykubat University, Faculty of Medicine, Antalya, Türkiye.
Department of Cardiology, Alanya Training and Research Hospital, Antalya, Türkiye.
Anatol J Cardiol. 2024 Sep 18;28(11):550-4. doi: 10.14744/AnatolJCardiol.2024.4470.
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 predict POAF after coronary artery bypass grafting (CABG) surgery.
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.
Of 265 patients, 49 had postoperative atrial fibrillation. HARMS2-AF score was significantly higher in patients with POAF. Age, sleep apnea,a 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).
The HARMS2-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.
术后房颤（POAF）仍是心脏手术后常见的并发症。通过既往风险评分准确识别高危患者的能力有限。本研究旨在评估新的HARMS2-AF风险评分，以预测冠状动脉旁路移植术（CABG）后的POAF。
在这项回顾性队列研究中，我们纳入了2022年至2023年接受CABG手术的265例患者。数据来自患者的病历和医院记录。为每位患者分配一个HARMS2-AF风险评分。进行单因素和多因素回归分析，以分析POAF的独立预测因素。
265例患者中，49例发生术后房颤。POAF患者的HARMS2-AF评分显著更高。年龄、睡眠呼吸暂停、左心房直径（LAd）和HARMS2-AF评分与POAF独立相关。HARMS2-AF评分≥4.5预测POAF的敏感性为91%，特异性为64%（AUC = 0.787，95%CI = 0.731-0.842，P <.001）。
HARMS2-AF评分是孤立性CABG手术后房颤（AF）发生的有力预测指标。它可作为一种新的分层工具，用于评估心脏手术后的AF。
