Can neutrophil/lymphocyte ratio predict recurrence of non-valvular atrial fibrillation after cardioversion?

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dc.contributor.authorAribas, Alpay
dc.contributor.authorAkilli, Hakan
dc.contributor.authorGul, Enes Elvin
dc.contributor.authorKayrak, Mehmet
dc.contributor.authorDemir, Kenan
dc.contributor.authorDuman, Cetin
dc.contributor.authorAlibasic, Hajrudin
dc.date.accessioned2020-03-26T18:41:14Z
dc.date.available2020-03-26T18:41:14Z
dc.date.issued2013
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: High neutrophil/lymphocyte ratio (NLR) has been associated with post-operative AF development in patients who underwent cardiac surgery. In this study, effectiveness of NLR for prediction of recurrence after electrical cardioversion (CV) in non-valvular AF was investigated. Methods: A total of 149 patients who underwent a successful CV were included in this prospective cohort study. Baseline complete blood cell count, routine biochemical tests, high sensitive C-reactive protein (hs-CRP), and echocardiographic measurements were examined. After CV, patients were monitored over six months for recurrence. Baseline characteristics of recurrence group were compared with sinus rhythm group by using Student's t -test. Logistic regression analysis was used to determine predictors of recurrence. Results: Recurrence occurred in a total of 46 patients (30.9%). Median AF duration [16 (IQR:14.25) vs. 12 (IQR: 11) months, p=0.01], baseline hs-CRP [9.80 (IQR:8.50) mg/dL vs. 4.28 (IQR:5.65) mg/dL, p=0.002] and left atrium (LA) diameter (4.5 +/- 0.4 cm, 4.3 +/- 0.5 cm, p=0.023) were significantly higher in the recurrence group than sinus rhythm group. Median NLR was comparable in recurrence and sinus groups [2.38 (IQR:2.09) vs. 2.23, (IQR: 1.23) p=0.96, respectively]. There was a weak correlation between NLR and hs-CRP (r=0.22, p=0.05) and age (r=0.24, p=0.02). In multiple logistic regression analysis, hs-CRP [OR: 1.34 (1.09-1.65 95% CI) p=0.006], LA diameter [OR: 11.92 (1.84-77.07 95% CI) p=0.01], spontaneous echo contrast positivity, [OR: 5.40 (1.04-12.02 95% CI) p=0.045] and systolic blood pressure [OR: 1.05 (1.01-1.10 95% CI) p=0.03] were independent predictors of AF recurrence. Conclusion: NLR failed to predict AF recurrence after a successful electrical CV, but hs-CRP remained an inflammatory marker of AF recurrence. (Anadolu Kardiyol Derg 2013; 13: 123-30)en_US
dc.identifier.doi10.5152/akd.2013.036en_US
dc.identifier.endpage130en_US
dc.identifier.issn2149-2263en_US
dc.identifier.issn2149-2271en_US
dc.identifier.issue2en_US
dc.identifier.pmid23228974en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage123en_US
dc.identifier.urihttps://dx.doi.org/10.5152/akd.2013.036
dc.identifier.urihttps://hdl.handle.net/20.500.12395/29280
dc.identifier.volume13en_US
dc.identifier.wosWOS:000317362300006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTURKISH SOC CARDIOLOGYen_US
dc.relation.ispartofANATOLIAN JOURNAL OF CARDIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAtrial fibrillationen_US
dc.subjectelectric countershocken_US
dc.subjectinflammationen_US
dc.subjectrecurrenceen_US
dc.subjectneutrophils-lymphocytesen_US
dc.subjectlogistic regression analysisen_US
dc.titleCan neutrophil/lymphocyte ratio predict recurrence of non-valvular atrial fibrillation after cardioversion?en_US
dc.typeArticleen_US

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