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Research Article
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Are preoperative monocytes and HDL values ​​an early predictor of recurrence in the surgical ablation treatment of atrial fibrillation?

Year 2023, Volume: 45 Issue: 1, 109 - 114, 31.03.2023

Muhittin Zafer Samsa , Funda Tor Ocak

https://doi.org/10.7197/cmj.1099970

Abstract

Objective: Monocyte HDL (high-density lipoprotein) cholesterol ratio has been accepted as a newly emerging cardiovascular prognostic marker. The aim of this study is to investigate the determinants of monocyte and HDL cholesterol values ​​in the early recurrence of atrial fibrillation (AF) treated with cryoablation and radiofrequency ablation.

Materials and Methods: This retrospective study was conducted between September 2006 and July 2014 in the Department of Cardiovascular Surgery, Adana City Hospital, Health Sciences University, including 100 patients who underwent surgical AF ablation with open heart surgery. Logistic regression analysis was used to determine monocytes and HDL cholesterol values, which are among the factors affecting recurrence in the first 3 months postoperatively.

Results: 100 patients who underwent surgical ablation together with open heart surgery were evaluated for early postoperative recurrence. According to the logistic regression analysis, the most effective features and measurements for early recurrence were diabetes mellitus (DM), AF duration, left atrial diameter, and low HDL cholesterol and high monocyte values ​​before the procedure.

Conclusion: Preoperative low HDL and high monocyte values ​​can be considered as a determining factor for early recurrence in surgical ablation treatment of AF.

Keywords

atrial fibrilation monocytes ablation

References

  • 1.) Kültürsay H. Atriyumların fibrilasyonu, epidemiyoloji ve inme ile ilişkisi. Türk Kardiyol Dern Ars. Arch Turk Soc Cardiol 2013;41 Suppl 4;1-6.
  • 2.) Tatlı BA, Pala AA, Engin M, Taner T, Ata Y. Retrospective investigation of postoperative mid-term results of cryoablation and radiofrequency ablation methods used in atrial fibrillation surgery treatment. The European Research Journal 2021;7(5):501-508.
  • 3.) Kim JS, Lee JH, Chang HW, Kim KH. Surgical outcomes of Cox-Maze IV using bipolar irrigated radio-frequency ablation and cryothermy in valvular heart diseasei. Korean J Thorac Cardiovasc Surgery. 2011;144:18-24.
  • 4.) Canpolat U, Aydemir K, Yorgun H. et al. Role of preablation Netrophil/Lymphocyte Ratio on Outcomes of Cryoballon-Based Atrial Fibrillation Ablation. The American Journal of Cardiology. 2013;112(4):513-519.
  • 5.) Adili A,Wong y, Zhu X, Cao H, Fan F. Preoperative monocyte to HDL cholesterol ratio predicts early recurrence after radiofrequency maze procedure of valvular atrial fibrillation. J Clin Lab Anal. 2021;35(2):e23595.
  • 6.) Hu YF, Chen YJ, Lin YJ, Chen SA. İnflammation and the pathogenesis of atrial fibrillation. Nat Rev Cardiol. 2015;12(4):230-243.
  • 7.) Samman Tahhan A, Sondeseca PB, Hayek SS. Et al. Association between oxidative stress and atrial fibrillation. Heart Rhythm 2017;14(12):1849-1855.
  • 8.) Chen MC, Chang JP, Liı WH, et al. İncreased inflammatory cell infiltration in the atrial myocardium of patients with atrial fibrillation. Am J Cardiol.2008;102(7):861-865,
  • 9.) Siri-Tarino PW, Krauss RM. Diet, lipids and cardiovascular disease. Curr Opin Lipidol. 2016;27(4):323-328.
  • 10.) Hessler JR, Robertson AL, Chisolm GM. LDL-induced cytotoxicity and its inhibition by HDL in human vascular smooth muscle and endothelial cells in culture. Atherosclerosis 1979;32(3):213-29.
  • 11.) Alonso A, Yin x,Roetker NS, et al. Blood lipids and the incidence of atrial fibrillation: the Multi-Ethnic Study of Atherosclerosis and the Framingham Heart Study. Jam Heart Assoc. 2014;3(5):e001211.
  • 12.) Wu YP, Cao C, Wu YF, Li M,Lai TW,Zhu C, Li W. Activity transcription factor 3 represses cigarette smoke-ınduced IL-6 and IL-8 evpression via supreeing NF-KB activation. Toxicol Lett 2017;270:17-24.
  • 13.) Köylü E, Korkut Kurtoğlu Y.Relationship between elevated monocyte HDL ratio, an inflammatory marker, with smoking. The Journal of Turkish Family Physician. 2021;12(1):e2148-550X.

Year 2023, Volume: 45 Issue: 1, 109 - 114, 31.03.2023

Muhittin Zafer Samsa , Funda Tor Ocak

https://doi.org/10.7197/cmj.1099970

Abstract

References

  • 1.) Kültürsay H. Atriyumların fibrilasyonu, epidemiyoloji ve inme ile ilişkisi. Türk Kardiyol Dern Ars. Arch Turk Soc Cardiol 2013;41 Suppl 4;1-6.
  • 2.) Tatlı BA, Pala AA, Engin M, Taner T, Ata Y. Retrospective investigation of postoperative mid-term results of cryoablation and radiofrequency ablation methods used in atrial fibrillation surgery treatment. The European Research Journal 2021;7(5):501-508.
  • 3.) Kim JS, Lee JH, Chang HW, Kim KH. Surgical outcomes of Cox-Maze IV using bipolar irrigated radio-frequency ablation and cryothermy in valvular heart diseasei. Korean J Thorac Cardiovasc Surgery. 2011;144:18-24.
  • 4.) Canpolat U, Aydemir K, Yorgun H. et al. Role of preablation Netrophil/Lymphocyte Ratio on Outcomes of Cryoballon-Based Atrial Fibrillation Ablation. The American Journal of Cardiology. 2013;112(4):513-519.
  • 5.) Adili A,Wong y, Zhu X, Cao H, Fan F. Preoperative monocyte to HDL cholesterol ratio predicts early recurrence after radiofrequency maze procedure of valvular atrial fibrillation. J Clin Lab Anal. 2021;35(2):e23595.
  • 6.) Hu YF, Chen YJ, Lin YJ, Chen SA. İnflammation and the pathogenesis of atrial fibrillation. Nat Rev Cardiol. 2015;12(4):230-243.
  • 7.) Samman Tahhan A, Sondeseca PB, Hayek SS. Et al. Association between oxidative stress and atrial fibrillation. Heart Rhythm 2017;14(12):1849-1855.
  • 8.) Chen MC, Chang JP, Liı WH, et al. İncreased inflammatory cell infiltration in the atrial myocardium of patients with atrial fibrillation. Am J Cardiol.2008;102(7):861-865,
  • 9.) Siri-Tarino PW, Krauss RM. Diet, lipids and cardiovascular disease. Curr Opin Lipidol. 2016;27(4):323-328.
  • 10.) Hessler JR, Robertson AL, Chisolm GM. LDL-induced cytotoxicity and its inhibition by HDL in human vascular smooth muscle and endothelial cells in culture. Atherosclerosis 1979;32(3):213-29.
  • 11.) Alonso A, Yin x,Roetker NS, et al. Blood lipids and the incidence of atrial fibrillation: the Multi-Ethnic Study of Atherosclerosis and the Framingham Heart Study. Jam Heart Assoc. 2014;3(5):e001211.
  • 12.) Wu YP, Cao C, Wu YF, Li M,Lai TW,Zhu C, Li W. Activity transcription factor 3 represses cigarette smoke-ınduced IL-6 and IL-8 evpression via supreeing NF-KB activation. Toxicol Lett 2017;270:17-24.
  • 13.) Köylü E, Korkut Kurtoğlu Y.Relationship between elevated monocyte HDL ratio, an inflammatory marker, with smoking. The Journal of Turkish Family Physician. 2021;12(1):e2148-550X.
There are 13 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Surgical Science Research Articles
Authors

Muhittin Zafer Samsa 0000-0001-7159-1694

Funda Tor Ocak 0000-0003-4809-7860

Publication Date March 31, 2023
Acceptance Date March 30, 2023
Published in Issue Year 2023 Volume: 45 Issue: 1

Cite

AMA Samsa MZ, Tor Ocak F. Are preoperative monocytes and HDL values ​​an early predictor of recurrence in the surgical ablation treatment of atrial fibrillation? CMJ. March 2023;45(1):109-114. doi:10.7197/cmj.1099970
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