Usefulness of the systemic immune-inflammation index in predicting atrial fibrillation recurrence after direct current cardioversion

Author:

Kuş Görkem1ORCID,Çağırcı Göksel1ORCID,Bayar Nermin1ORCID,Özgünoğlu Edip C1ORCID,Güven Ramazan2ORCID,Arslan Şakir1ORCID

Affiliation:

1. Department of Cardiology, Antalya Education & Research Hospital, Antalya, 07050, Turkey

2. Department of Emergency Medicine, University of Health Sciences, Basaksehir Cam ve Sakura City Hospital, İstanbul, 34010, Turkey

Abstract

Background: We aimed to determine whether there is a relationship between the systemic immune-inflammation (SII) index and the recurrence of atrial fibrillation (AF) after successful direct current cardioversion (DCCV). Methods: The study included 99 patients with persistent AF who underwent successful cardioversion between 2015 and 2020. Results: In multiple regression analyses, the SII index was found to be a better independent predictor of AF recurrence after successful DCCV (p < 0.001). The cut-off value of SII (563) was associated with 96.9% sensitivity and 55.2% specificity to predict AF recurrence after DCCV. Conclusion: As a simple biomarker, SII index is an independent parameter for predicting AF recurrence after successful DCCV in patients with persistent AF. Also, SII levels can predict AF recurrence better than neutrophil-to-lymphocyte ratio.

Publisher

Future Medicine Ltd

Subject

Biochemistry (medical),Clinical Biochemistry,Drug Discovery

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