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Association between Neutrophil to Lymphocyte Ratio and Post Operative Atrial Fibrillation after Coronary Artery Bypass Graft operation.

Journal of Biomedicine and Translational Research · Vol. 10 No. 1 (2024) · hlm. 21–25

DOI
10.14710/jbtr.v10i1.20804
ISSN
2503-2178
Terbit
2024-04-30
Penerbit
Faculty of Medicine, Universitas Diponegoro
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

ABSTRACT Background: Post operative atrial fibrillation (POAF) is associated with cardiovascular outcomes such as stroke, heart failure, and mortality. Neutrophil to lymphocyte ratio (NLR) is one of biomarker of inflammation. The use of cor pulmonary bypass(CPB), surgical trauma and reperfusion injury during cardiac surgery causes inflammation. NLR is suspected to be a biomarker that represents the inflammatory response as a modulator of POAF, but data are still lacking.This study analyzed the association between NLR and POAF after coronary artery bypass graft (CABG) operation.Methods: This was an Observational analytic study, involving patients after the CABG procedure in Kariadi Hospital between June 2022 to September 2023. NLR was assessed in the first three hours after operation. ECG Holter was attained for 96 hours post-CABG procedure.Results: The total subject was 62 patients, consisting of 57 men and 5 women with a mean age of 58,7 ± 6.39 years. Mean postoperative NLR 4.95 ± 2.17 with a median of 4.56 (1.52-11.00). There was a significant association between post-operative NLR with POAF after CABG (p=0.006, OR 4.64, 95%CI 1.50-14.35). High inotropic dose and β blocker initiation time less than 45 hours correlate significantly with POAF after CABG (p<0.001, OR 6.94 dan p=0.001, OR 0.17).Conclusions: Postoperative NLR is associated significantly with POAF after CABG. Keywords: Neutrophil to Lymphocyte Ratio, Post Operative Atrial Fibrillation, coronary artery bypass graft, ECG Holter

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  • Diponegoro University
  • Dr. Kariadi Hospital
  • Tottori University
  • Sultan Agung Islamic University
  • Toranomon Hospital
  • Rumah Sakit Umum Pusat Dr. Sardjito
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Rekan penulisOrganisasiArtikel bersama
Nani MaharaniDiponegoro University3
Desy Ayu PuspitasariDr. Kariadi Hospital3
Ilham UddinDr. Kariadi Hospital3
Anindia WardhaniDr. Kariadi Hospital3
Misbah Hari CahyadiDr. Kariadi Hospital3
Sodiqur RifqiDr. Kariadi Hospital3
Ardi YudhaDiponegoro University1
Sultana MH FaradzDiponegoro University1
Hery Djagat PurnomoDiponegoro University1
Rayvita AN MeagratiaDiponegoro University1
Ferdy Kurniawan CayamiDiponegoro University1
Wiwik LestariDiponegoro University1
Fikri TaufiqSultan Agung Islamic University1
Ichiro HisatomeTottori University1
Peili LiTottori University1
Masanari KuwabaraToranomon Hospital1
Haruaki NinomiyaTottori University1
Yan Wisnu PrajokoDiponegoro University1
Nyoman Suci WidyastitiDiponegoro University1
Qorry AmandaDiponegoro University1
Reza Maulana MunandarDiponegoro University1
Susi HerminingsihDiponegoro University1
Putrika Prastuti Ratna GhariniRumah Sakit Umum Pusat Dr. Sardjito1
Mochamad Ali SobirinDiponegoro University1

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Sumber metadata: OAI-PMH (metadata jurnal) https://ejournal2.undip.ac.id/index.php/jbtr/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Association between Neutrophil to Lymphocyte Ratio and Post Operative Atrial Fibrillation after Coronary Artery Bypass Graft operation.</dc:title>
	<dc:creator>Sidiek, Aboesina</dc:creator>
	<dc:creator>Herry, Yan</dc:creator>
	<dc:creator>Ardhianto, Pipin</dc:creator>
	<dc:creator>Bahrudin, Udin</dc:creator>
	<dc:subject xml:lang="en-US">Neutrophil to Lymphocyte Ratio, Post Operative Atrial Fibrillation, coronary artery bypass graft, ECG Holter</dc:subject>
	<dc:description xml:lang="en-US">ABSTRACT Background: Post operative atrial fibrillation (POAF) is associated with cardiovascular outcomes such as stroke, heart failure, and mortality. Neutrophil to lymphocyte ratio (NLR) is one of biomarker of inflammation. The use of cor pulmonary bypass(CPB), surgical trauma and reperfusion injury during cardiac surgery causes inflammation. NLR is suspected to be a biomarker that represents the inflammatory response as a modulator of POAF, but data are still lacking.This study analyzed the association between NLR and POAF after coronary artery bypass graft (CABG) operation.Methods: This was an Observational analytic study, involving patients after the CABG procedure in Kariadi Hospital between June 2022 to September 2023. NLR was assessed in the first three hours after operation. ECG Holter was attained for 96 hours post-CABG procedure.Results: The total subject was 62 patients, consisting of 57 men and 5 women with a mean age of 58,7 ± 6.39 years. Mean postoperative NLR 4.95 ± 2.17 with a median of 4.56 (1.52-11.00). There was a significant association between post-operative NLR with POAF after CABG (p=0.006, OR 4.64, 95%CI 1.50-14.35). High inotropic dose and β blocker initiation time less than 45 hours correlate significantly with POAF after CABG (p&lt;0.001, OR 6.94 dan p=0.001, OR 0.17).Conclusions: Postoperative NLR is associated significantly with POAF after CABG. Keywords: Neutrophil to Lymphocyte Ratio, Post Operative Atrial Fibrillation, coronary artery bypass graft, ECG Holter</dc:description>
	<dc:publisher xml:lang="en-US">Faculty of Medicine, Universitas Diponegoro</dc:publisher>
	<dc:date>2024-04-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US"></dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://ejournal2.undip.ac.id/index.php/jbtr/article/view/20804</dc:identifier>
	<dc:identifier>10.14710/jbtr.v10i1.20804</dc:identifier>
	<dc:source xml:lang="en-US">Journal of Biomedicine and Translational Research; Vol 10, No 1 (2024): April 2024; 21-25</dc:source>
	<dc:source>2503-2178</dc:source>
	<dc:source>10.14710/jbtr.v10i1</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://ejournal2.undip.ac.id/index.php/jbtr/article/view/20804/10757</dc:relation>
	<dc:relation>https://ejournal2.undip.ac.id/index.php/jbtr/article/downloadSuppFile/20804/5617</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2024 Journal of Biomedicine and Translational Research</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>