PMID- 27905214 OWN - NLM STAT- MEDLINE DCOM- 20170323 LR - 20181202 IS - 1502-7686 (Electronic) IS - 0036-5513 (Linking) VI - 77 IP - 2 DP - 2017 Apr TI - The association of plasma oxidative status and inflammation with the development of atrial fibrillation in patients presenting with ST elevation myocardial infarction. PG - 77-82 LID - 10.1080/00365513.2016.1244857 [doi] AB - Atrial fibrillation (AF) is the most common supraventricular arrhythmia following ST elevation myocardial infarction (STEMI). Oxidative stress and inflammation may cause structural and electrical remodeling in the atria making these critical processes in the pathology of AF. In this study, we aimed to evaluate the association between total oxidative status (TOS), total antioxidative capacity (TAC) and high-sensitivity C-reactive protein (hs-CRP) in the development of AF in patients presenting with STEMI. This prospective cohort study consisted of 346 patients with STEMI. Serum TAC and TOS were assessed by Erel's method. Patients were divided into two groups: those with and those without AF. Predictors of AF were determined by multivariate regression analysis. In the present study, 9.5% of patients developed AF. In the patients with AF, plasma TOS and oxidative stress index (OSI) values were significantly higher and plasma TAC levels were significantly lower compared to those without AF (p = .003, p = .002, p < .0001, respectively). Multivariate regression analysis results showed that, female gender (Odds ratio [OR] = 3.07; 95% Confidence Interval [CI] = 1.26-7.47; p = .01), left atrial diameter (OR =1.28; 95% CI =1.12-1.47; p < .0001), hs-CRP (OR =1.02; 95% CI =1.00-1.03; p = .001) and OSI (OR =1.10; 95% CI =1.04-1.18; p = .001) were associated with the development of AF in patients presenting with STEMI. The main finding of this study is that oxidative stress and inflammation parameters were associated with the development of AF in patients presenting with STEMI. Other independent predictors of AF were female gender, left atrial diameter and hs-CRP. FAU - Bas, Hasan Aydin AU - Bas HA AD - a Department of Cardiology , Isparta State Hospital , Isparta , Turkey. FAU - Aksoy, Fatih AU - Aksoy F AD - b Department of Cardiology , Dinar state Hospital , Afyonkarahisar , Turkey. FAU - Icli, Atilla AU - Icli A AD - c Department of Cardiology , Ahi Evran University , Kirsehir , Turkey. FAU - Varol, Ercan AU - Varol E AD - d Department of Cardiology , Suleyman Demirel University School of Medicine , Isparta , Turkey. FAU - Dogan, Abdullah AU - Dogan A AD - d Department of Cardiology , Suleyman Demirel University School of Medicine , Isparta , Turkey. FAU - Erdogan, Dogan AU - Erdogan D AD - d Department of Cardiology , Suleyman Demirel University School of Medicine , Isparta , Turkey. FAU - Ersoy, Ibrahim AU - Ersoy I AD - a Department of Cardiology , Isparta State Hospital , Isparta , Turkey. FAU - Arslan, Akif AU - Arslan A AD - d Department of Cardiology , Suleyman Demirel University School of Medicine , Isparta , Turkey. FAU - Ari, Hatem AU - Ari H AD - d Department of Cardiology , Suleyman Demirel University School of Medicine , Isparta , Turkey. FAU - Bas, Nihal AU - Bas N AD - e Internal Medicine , Isparta State Hospital , Isparta , Turkey. FAU - Sutcu, Recep AU - Sutcu R AD - f Department of Clinical Chemistry , Izmir Katip Celebi University School of Medicine , Izmir , Turkey. FAU - Ozaydin, Mehmet AU - Ozaydin M AD - d Department of Cardiology , Suleyman Demirel University School of Medicine , Isparta , Turkey. LA - eng PT - Journal Article DEP - 20161201 PL - England TA - Scand J Clin Lab Invest JT - Scandinavian journal of clinical and laboratory investigation JID - 0404375 RN - 0 (Biomarkers) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Atrial Fibrillation/*blood/diagnosis/etiology/pathology MH - Biomarkers/blood MH - C-Reactive Protein/*metabolism MH - Female MH - Heart Atria/metabolism/*pathology MH - Humans MH - Inflammation MH - Male MH - Middle Aged MH - Myocardium/metabolism/*pathology MH - Odds Ratio MH - Oxidative Stress MH - Prospective Studies MH - Regression Analysis MH - Risk Factors MH - ST Elevation Myocardial Infarction/*blood/complications/diagnosis/pathology MH - Sex Factors OTO - NOTNLM OT - Antioxidants OT - atrial fibrillation OT - inflammation OT - myocardial infarction OT - oxidative stress EDAT- 2016/12/03 06:00 MHDA- 2017/03/24 06:00 CRDT- 2016/12/02 06:00 PHST- 2016/12/03 06:00 [pubmed] PHST- 2017/03/24 06:00 [medline] PHST- 2016/12/02 06:00 [entrez] AID - 10.1080/00365513.2016.1244857 [doi] PST - ppublish SO - Scand J Clin Lab Invest. 2017 Apr;77(2):77-82. doi: 10.1080/00365513.2016.1244857. Epub 2016 Dec 1.