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

Görkem Kuş1, Göksel Çağırcı1, Nermin Bayar1

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

Biomarkers in Medicine
|July 14, 2022
PubMed

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.

Keywords:
atrial fibrillationelectrical cardioversionrecurrencesystemic immune-inflammation index

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