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Journals / Dicle Tıp Dergisi / 2021 / Cilt: 48 Sayı: 4

Evaluation Of The Relationship Between Mitral Annular Plane Systolic Function (Mapse) and Syntax Score In Non-St Elevation Myocardial Infarction

Seyhmus Külahcioglu(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL KARTAL KOŞUYOLU YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ)
Murat Karacam(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Nesri Danısman(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Seref Berk Tuncer(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Barkın Kültürsay(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Ali Furkan Tekatli(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Ayhan Tosun(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Ravza Betül Akbas(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Ayhan Küp(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Mehmet Aytürk(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Ender Özgün Çakmak(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Abdülkadir Uslu(UNIVERSITY OF HEALTH SCIENCES, HEALTH RESEARCH CENTER, DEPARTMENT OF INTERNAL MEDICINE)
Pages
782–787
Publication Date
2021-12-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No significant correlation was found between MAPSE and SS.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Acute coronary syndromes (ACS) are still the main cause of mortality in the world.
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Key Findings & Data:Methods: 138 consecutive patients who underwent coronary angiography after diagnosis of NSTEMI were included.
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Conclusion & Impact:No significant correlation was found between MAPSE and SS.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Mitral annular plane systolic excursion (MAPSE) · SYNTAX score · Non-ST elevation myocardial infarction

Abstract

Objective: Acute coronary syndromes (ACS) are still the main cause of mortality in the world. Scoring systems are important for risk evaluation in ACS. Angiographic The Synergy between Percutaneous Coronary Intervention (SYNTAX) score is universal. For cardiac pump function, left ventricular (LV) longitudinal shortening has a major role. It can be assessed by some echocardiographic parameters. Mitral annular plane systolic excursion (MAPSE) is well defined for the LV longitudinal function evaluation and clues with LV systolic function. In this study, we aimed to research the relationship between SYNTAX score and MAPSE in Non-ST elevation myocardial infarction (NSTEMI) patients. Methods: 138 consecutive patients who underwent coronary angiography after diagnosis of NSTEMI were included. Transthoracic echocardiography was performed to all patients by an experienced physician who was uninformed patient’s data. Coronary angiography via the femoral approach was performed for all patients within 48 hours. ≥ 50% coronary lesion stenosis in vessels ≥ 1.5 mm was scored separately and SYNTAX scores were obtained. Results: The median age was 64.5 (54.0-70.8) years and 80.4% were male. Hypertension was the most common risk factor (72.5%). Left anterior descending artery (LAD) stenosis was the most common artery stenosis (58.7%). The mean MAPSE was 14.0 (13.0-15.8) and the mean SYNTAX score was 10.0 (7.0-14). Correlation of our outcome variable SYNTAX score between physiological and clinical variables of age, troponin and LVEF were calculated. No significant p value was detected. The relationship between SYNTAX Score and categorical variables such as gender, hypertension, diabetes mellitus, hyperlipidemia, left main coronary artery (LMCA), LAD, right coronary artery (RCA), circumflex artery (CX), peripheral arterial disease (PAD) was evaluated. None of the variables included in the regression model were associated with the SYNTAX score Conclusion: In this study, we have investigated the relationship between MAPSE and SS in NSTEMI patients. No significant correlation was found between MAPSE and SS.

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Cite This Article

Külahcioglu, S., Karacam, M., Danısman, N., Tuncer, S. B., Kültürsay, B., Tekatli, A. F., Tosun, A., Akbas, R. B., Küp, A., Aytürk, M., Çakmak, E. Ö., Uslu, A. (2021). Evaluation Of The Relationship Between Mitral Annular Plane Systolic Function (Mapse) and Syntax Score In Non-St Elevation Myocardial Infarction. Dicle Tıp Dergisi, Cilt: 48 Sayı: 4, 782–787. https://doi.org/10.5798/dicletip.1037638

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References (2)

  1. Roffi M, Patrono C, Collet JP, et al. 2015 ESCguidelines for the management of acute coronarysyndromes in patients presenting withoutpersistent ST-segment elevation: task force for theManagement of Acute Coronary Syndromes inpatients presenting without persistent ST-segmentelevation of the European Society of Cardiology(ESC). Eur Heart J 2016; 37: 267–315.
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