Systemic immune-inflammation index as a tool for predicting the need for a permanent pacemaker in patients with drug-induced atrioventricular block

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dc.authorscopusid56157249300
dc.authorscopusid56054200300
dc.contributor.authorŞenöz, Oktay
dc.contributor.authorErsecgin, Ahmet
dc.date.accessioned2022-02-15T16:58:28Z
dc.date.available2022-02-15T16:58:28Z
dc.date.issued2021
dc.departmentBakırçay Üniversitesien_US
dc.description.abstractBackground Drug-induced atrioventricular block (AVB) is generally considered reversible and does not require a permanent pacemaker implantation (PPM). However, some studies have demonstrated a failure of AVB cessation even when the inducing agent has been discontinued. This study has investigated the use of systemic immune-inflammation index (SII) to predict irreversible drug-induced AVB after drug discontinuation. Method Files of patients with high-degree AVB that required a temporary pacemaker (TPM) were retrospectively analyzed. Sixty-three patients in which AVB was drug-induced were included in the study. The patients were divided into the following two groups: (1) those whose AVB reversed after discontinuation of the related drug, and (2) those in which AVB did not reverse. Results AVB reversed in 24 patients (38%) after the inducing agent was discontinued while in the remaining 39 patients (62%) PPM was required. The most common drugs to induce AVB were beta-blockers (n = 46, 73%). Follow-up time with TPM was significantly longer in the irreversible group (2.91 +/- 1.05 days vs. 4.94 +/- 2.15 days, p < .001). Multivariate logistic regression analysis showed that SII (odds ratio [OR] = 1.002; 95% confidence interval [CI] = 1.000-1.003; p = .01) was an independent predictor of the requirement for a PPM. An SII > 752.05 was found to be a predictor of irreversible AVB requiring PPM with a sensitivity of 64% and specificity of 75% (receiving-operating characteristics [ROC] area under the ROC curve [AUC]: 0.704, 95% CI = 0.570-0.838, p = .007). Conclusion Approximately 2/3 of drug-induced high-degree AVBs are irreversible. SII is an easily available and cheap inflammatory biomarker that can be used to predict irreversible AVB.en_US
dc.identifier.doi10.1111/pace.14377
dc.identifier.endpage1978en_US
dc.identifier.issn0147-8389
dc.identifier.issn1540-8159
dc.identifier.issue12en_US
dc.identifier.pmid34624137en_US
dc.identifier.scopus2-s2.0-85117833351en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1972en_US
dc.identifier.urihttps://doi.org/10.1111/pace.14377
dc.identifier.urihttps://hdl.handle.net/20.500.14034/412
dc.identifier.volume44en_US
dc.identifier.wosWOS:000710413200001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.journalPace-Pacing And Clinical Electrophysiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectatrioventricular blocken_US
dc.subjectpacemakeren_US
dc.subjectproarrhythmiaen_US
dc.subjectsystemic immune-inflammation indexen_US
dc.subjectDiscontinuationen_US
dc.titleSystemic immune-inflammation index as a tool for predicting the need for a permanent pacemaker in patients with drug-induced atrioventricular blocken_US
dc.typeArticleen_US

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