Naples Prognostic Score Predicts New-Onset Atrial Fibrillation in Patients with ST-Elevated Myocardial Infarction Undergoing Primary Angioplasty

dc.contributor.authorOkşen, Doğaç
dc.contributor.authorArslan, Şükrü
dc.contributor.authorHeja Geçit, Muhammed
dc.contributor.authorErtürk Tekin, Esra
dc.contributor.authorOktay ,Veysel
dc.contributor.authorAbacı, Okay
dc.date.accessioned2025-08-14T17:36:29Z
dc.date.available2025-08-14T17:36:29Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.descriptionArticle number : e20240671
dc.description.abstractBackground: New-onset atrial fibrillation (NOAF) is a typical complication in patients with ST-segment elevated myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (pPCI). Previous studies have investigated inflammation as a NOAF predictor. The Naples prognostic score (NPS) is a novel marker of inflammation and nutritional status. Objective: The objective of this study was to evaluate the predictive power of the NPS for NOAF. Methods: This study enrolled 1537 consecutive STEMI who underwent pPCI. The patients who presented NOAF during hospital admission and those who remained in sinus rhythm (RSR) were compared in terms of baseline characteristics. Univariate and multivariate analyses were carried out to identify variables predicting NOAF development, and p< 0.05 was considered statistically significant. Results: NOAF was detected in 7.74% (n: 119) of the participants. The mean age (67.03±13.48 vs 57.84±11.31; p <0.001) and NPS (2.53±1.17 vs 2.25±1.10, p=0.008) were significantly higher in the NOAF group. Multivariate analysis revealed age (Odds ratio [OR]: 1.045 for a year, 95% confidence interval [CI]: 1.019–1.071, p=0.001), NPS (OR: 1.645, 95% CI: 0.984–2.748, p=0.037) and left atrial dimensions (OR: 2.542 for cm, 95% CI: 1.488–4.342, p=0.001) as independent predictors of NOAF. Conclusions: The NPS was an independent predictor of NOAF in STEMI patients, in addition to classical factors such as age and left atrial dimensions. This score, mostly related to an inflammatory burden, may help to predict NOAF incidence and select better potential therapies aimed at abating inflammation after myocardial infarction.
dc.identifier.citationNaples Prognostic Score Predicts New-Onset Atrial Fibrillation in Patients with ST-Elevated Myocardial Infarction Undergoing Primary Angioplasty. 10.36660/abc.20240671
dc.identifier.doi10.36660/abc.20240671
dc.identifier.issn0066-782X
dc.identifier.issn1678-4170
dc.identifier.issue6
dc.identifier.pmid40498924
dc.identifier.scopus2-s2.0-105008306496
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://hdl.handle.net/20.500.12939/5895
dc.identifier.volume122
dc.identifier.wosWOS:001509557700001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.institutionauthorOkşen, Doğaç
dc.language.isoen
dc.publisherSociedad Brasileira De Cardiologia
dc.relation.ispartofArquivos Brasileiros de Cardiologia
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAngioplasty
dc.subjectAtrial Fibrillation
dc.subjectMyocardial Infarction
dc.subjectPrognosis
dc.titleNaples Prognostic Score Predicts New-Onset Atrial Fibrillation in Patients with ST-Elevated Myocardial Infarction Undergoing Primary Angioplasty
dc.title.alternativeO Escore Prognóstico de Nápoles Prevê Fibrilação Atrial de Início Recente em Pacientes com Infarto do Miocárdio com Supradesnivelamento do Segmento ST Submetidos à Angioplastia Primária
dc.typeArticle

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