CardioSomaticsCardioSomaticsCardioСоматика2221-71852658-5707Eco-Vector4592610.26442/2221-7185_2018.1.5-9ArticlesСтатьиResearch ArticleThe relationship between the SYNTAX score and atrial fibrillation in the early postoperative period in patients after isolated coronary artery bypass graftingВзаимосвязь SYNTAX score и фибрилляции предсердий в раннем послеоперационном периоде у пациентов после изолированного коронарного шунтированияBazylevV. VБазылевВладлен Владленович

д-р мед. наук, глав. врач

galana2004@mail.ruNemchenkoE. VНемченкоЕвгений Владимирович

д-р мед. наук, зав. кардиохирургическим отд-нием №1

SlastinYa. SСластинЯрослав Сергеевич

врач сердечно-сосудистый хирург

KarnakhinV. AКарнахинВадим Александромвич

врач сердечно-сосудистый хирург

vkhin@mail.ruPavlovA. AПавловАлександр Александрович

врач сердечно-сосудистый хирург

Federal Center for Cardiovascular Surgery of the Ministry of Health of the Russian FederationФГБУ ФЦССХ1503201891VOL 9, NO1 (2018)ТОМ 9, №1 (2018)5925092020Copyright ©; 2018, Eco-VectorCopyright ©; 2018, ООО "Эко-Вектор"2018Eco-VectorООО "Эко-Вектор"https://creativecommons.org/licenses/by-nc-sa/4.0https://cardiosomatics.ru/2221-7185/article/view/45926

The goal is to reveal the relationship between the score SYNTAX score and the development of postoperative atrial fibrillation (AF). Materials and methods. Retrospective study included 156 patients (mean age 59±7 years) undergoing an isolated coronary bypass (CB). Exclusion criteria were: AF in the anamnesis, lesions of the valvular heart apparatus, diameter of the left atrium more than 50 mm, repeated surgical interventions on the heart. SYNTAX score, clinical, laboratory and echocardiographic parameters were evaluated. Results. The average score of the SYNTAX score was 26.7; postoperative AF was detected in 23 (14.7%) patients. Statistically significant differences were revealed during the time of mechanical ventilation (10.6±5.9 in comparison with 21.6±33.5, p=0.001) and SYNTAX score (25.7±8.7 vs 32.7±11.4, p=0.001). SYNTAX score and time of artificial ventilation are independent predictors of postoperative AF. Conclusion: a high score SYNTAX score is associated with a more frequent postoperative rhythm disturbance in the type of AF in patients undergoing an isolated CB.

Цель - выявить взаимосвязь между баллом SYNTAX score и развитием послеоперационной фибрилляции предсердий (ФП). Материалы и методы. В ретроспективное исследование включены 156 пациентов (средний возраст 59±7 лет), подвергшихся изолированному коронарному шунтированию (КШ). Критериями исключения являлись: ФП в анамнезе, поражения клапанного аппарата сердца, диаметр левого предсердия более 50 мм, повторные оперативные вмешательства на сердце. Были оценены SYNTAX score, клинические, лабораторные и эхокардиографические параметры. Результаты. Средний балл SYNTAX score составил 26,7; постоперационная ФП выявлена у 23 (14,7%) пациентов. Статистически значимые отличия выявлены во времени искусственной вентиляции легких (10,6±5,9 в сравнении с 21,6±33,5, p=0,001) и SYNTAX score-оценкой (25,7±8,7 против 32,7±11,4, р=0,001). SYNTAX score и время искусственной вентиляции легких являются независимыми предикторами возникновения послеоперационной ФП. Вывод. Высокий балл SYNTAX score связан с более частым послеоперационным нарушением ритма по типу ФП у пациентов, подвергающихся изолированному КШ.

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