{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T23:25:16Z","timestamp":1790033116584,"version":"4.0.1"},"reference-count":41,"publisher":"Sociedade Brasileira de Cardiologia","issue":"5","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento  A permeabilidade do enxerto de veia safena (EVS) continua sendo um desafio em casos de doen\u00e7a arterial coron\u00e1ria ap\u00f3s cirurgia de revasculariza\u00e7\u00e3o do mioc\u00e1rdio (CRM). O escore progn\u00f3stico de N\u00e1poles (NPS) constitui um novo sistema de pontua\u00e7\u00e3o projetado para avaliar tanto o estado nutricional quanto a inflama\u00e7\u00e3o.  Objetivos  Nosso estudo teve como objetivo explorar a associa\u00e7\u00e3o entre NPS e doen\u00e7a do EVS em pacientes com hist\u00f3rico pr\u00e9vio de CRM.  M\u00e9todos  Foram revisados um total de 702 pacientes submetidos \u00e0 CRM e \u00e0 angiografia coron\u00e1riaretrospectivamente. A doen\u00e7a do EVS foi definida como a presen\u00e7a de estenose \u226550% em pelo menos um EVS. Os pacientes foram categorizados em dois grupos com base na presen\u00e7a ou aus\u00eancia de doen\u00e7a do EVS. Valores de p&lt;0,05 foram aceitos como estatisticamente significativos.  Resultados  A popula\u00e7\u00e3o do estudo consistiu em 702 pacientes, com 269 (38,3%) apresentando EVSs degenerativos e 433 (61,7%) sem EVSs degenerativos. O NPS foi maior no grupo com degenera\u00e7\u00e3o da veia safena e surgiu como um preditor significativo de doen\u00e7a do EVS (OR: 1,596, IC 95%: 1,198-2,125, p=0,001). Al\u00e9m disso, hipertens\u00e3o (OR: 2,344, IC 95%: 1,137-4,833, p=0,02), doen\u00e7a renal cr\u00f4nica (OR: 3,337, IC 95%: 1,554-7,168, p=0,002), uso de estatina (OR: 0,434, IC 95%: 0,239-0,789, p=0,006), intervalo de tempo desde a CRM (OR: 1,138, IC 95%: 1,213-1,432, p&lt;0,001) e n\u00famero de EVSs (OR: 2,708, IC 95%: 1,902-3,855, p&lt;0,001) foram preditores significativos da doen\u00e7a do EVS.  Conclus\u00e3o  O NPS, uma ferramenta \u00fatil para avaliar inflama\u00e7\u00e3o e estado nutricional, pode fornecer informa\u00e7\u00f5es valiosas sobre a permeabilidade de EVSs ap\u00f3s cirurgia de CRM. Pacientes com NPS elevado ap\u00f3s CRM devem passar por monitoramento cuidadoso para o desenvolvimento de doen\u00e7a de EVS.<\/jats:p>","DOI":"10.36660\/abc.20240519","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T14:56:54Z","timestamp":1748876214000},"source":"Crossref","is-referenced-by-count":1,"title":["Rela\u00e7\u00e3o entre o Escore Progn\u00f3stico de N\u00e1poles e a Doen\u00e7a do Enxerto de Veia Safena ap\u00f3s Cirurgia de Revasculariza\u00e7\u00e3o do Mioc\u00e1rdio"],"prefix":"10.36660","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4039-1259","authenticated-orcid":false,"given":"Ahmet","family":"Karaduman","sequence":"first","affiliation":[{"name":"Kartal Kosuyolu Research and Education Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4140-9139","authenticated-orcid":false,"given":"Cemalettin","family":"Y\u0131lmaz","sequence":"additional","affiliation":[{"name":"Mus State Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4882-9072","authenticated-orcid":false,"given":"Muhammet Mucahit","family":"Tiryaki","sequence":"additional","affiliation":[{"name":"Mus State Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130smail","family":"Balaban","sequence":"additional","affiliation":[{"name":"Kartal Kosuyolu Research and Education Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa Ferhat","family":"Keten","sequence":"additional","affiliation":[{"name":"Kartal Kosuyolu Research and Education Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuba","family":"Unkun","sequence":"additional","affiliation":[{"name":"Kartal Kosuyolu Research and Education Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Servet","family":"\u0130zci","sequence":"additional","affiliation":[{"name":"Kartal Kosuyolu Research and Education Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6067-6841","authenticated-orcid":false,"given":"Suleyman \u00c7a\u011fan","family":"Efe","sequence":"additional","affiliation":[{"name":"Kartal Kosuyolu Research and Education Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elnur","family":"Alizade","sequence":"additional","affiliation":[{"name":"Kartal Kosuyolu Research and Education Hospital,  Turquia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22636","published-online":{"date-parts":[[2025]]},"reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1038\/nrcardio.2016.76","article-title":"Vein Graft Failure: From Pathophysiology to Clinical Outcomes","volume":"13","author":"Vries MR","year":"2016","journal-title":"Nat Rev Cardiol"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.jvs.2009.07.102","article-title":"Adaptive Changes in Autogenous Vein Grafts for Arterial Reconstruction: Clinical Implications","volume":"51","author":"Owens CD","year":"2010","journal-title":"J Vasc Surg"},{"issue":"9","key":"ref3","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1161\/01.CIR.97.9.916","article-title":"Aortocoronary Saphenous Vein Graft Disease: Pathogenesis, Predisposition, and Prevention","volume":"97","author":"Motwani JG","year":"1998","journal-title":"Circulation"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1016\/S0828-282X(09)70486-6","article-title":"Coronary Vein Graft Disease: Pathogenesis and Prevention","volume":"25","author":"Parang P","year":"2009","journal-title":"Can J Cardiol"},{"issue":"6 Pt 2","key":"ref5","first-page":"71","article-title":"Long-Term Fate of Bypass Grafts: The Coronary Artery Surgery Study (CASS) and Montreal Heart Institute experiences","volume":"72","author":"Bourassa MG","year":"1985","journal-title":"Circulation"},{"issue":"12","key":"ref6","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1097\/DCR.0000000000000961","article-title":"Naples Prognostic Score, Based on Nutritional and Inflammatory Status, is an Independent Predictor of Long-Term Outcome in Patients Undergoing Surgery for Colorectal Cancer","volume":"60","author":"Galizia G","year":"2017","journal-title":"Dis Colon Rectum"},{"key":"ref7","first-page":"404","article-title":"Inflammatory and Nutritional Status is a Predictor of Long-Term Outcome in Patients Undergoing Surgery for Gastric Cancer. 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