Özet:

Postoperative atrial fibrilation (POAF) is one of the most common complications after heart surgery. Heart failure, stroke, chronic kidney failure, coronary arterial disease and ST segment rising myocardial infarction have been shown to have a low prognostic nitric index (PNI) value associated with negative results. In this study, we aimed at evaluating the relationship between PNI and POAF in patients diagnosed with chronic coronary syndrome performed coronary angiography and coronary artery bacterial greft surgery (KABG). Method: Between March 2014 and 2019, patients diagnosed with chronic coronary syndrome with a CABG surgery decision were recurrently assessed. A total of 314 patients were included in the study. According to the development of POAF, two groups were formed. Fifty eight patients formed the POAF (+) and 256 patients formed the POAF (-) group. Age, body mass index (BMI), hypertension, coronary artery disease, chronic obstructive lungs disease, creatin was statistically significantly high in the POAF (+) group and hemoglobin, hematocrit, left ventricular injection fraction (SVEF) and PNI were significantly lower. Advanced age, high VKI and creatine, low SVEF and PNI were identified as independent risk factors for POAF development. The conclusion was that the 53.13 marginal value for PNI could predict POAF development with a sensitivity of 70.9% and a specificity of 69.6%. The result: it has been found that POAF develops more frequently in low PNI values. The PNI is an index that makes it easy to use and quickly results and ensures that the inflammatory and nitrational condition can be evaluated together. In patients with stable coronary artery disease, in addition to the treatment of dislipidemia specific to a person, the aggressive treatment of malnutrition will be important.

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