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Journals / Türk Kardiyoloji Derneği Arşivi / 2012 / Cilt: 40 - Sayı: 7

ST-segment yükselmesi olmayan akut koroner sendromlu hastalarda aort topuzu kalsifikasyonu ile koroner lezyonunun kompleksliği arasında ilişki

Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients

Levent KORKMAZ
Ali Rıza AKYÜZ
Mustafa Tarık AĞAÇ
Adem ADAR
Zeydin ACAR
Hakan ERKAN
Ayça KORKMAZ ATA
Hüseyin BEKTAŞ
Şükrü ÇELİK
Pages
606–611
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

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

Conclusion: Aortic calcification detected on chest X-ray is an independent predictor of complex coronary artery lesions in patients with ACS.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Coronary artery lesion complexity is important for risk stratification of acute coronary syndrome (ACS) patients undergoing cardiac catheterization.
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Key Findings & Data:Study design: 135 consecutive patients with first time diagnosis of non-ST segment elevation ACS were enrolled.
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Conclusion & Impact:Conclusion: Aortic calcification detected on chest X-ray is an independent predictor of complex coronary artery lesions in patients with ACS.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Coronary artery lesion complexity is important for risk stratification of acute coronary syndrome (ACS) patients undergoing cardiac catheterization. SYNTAX score is a pure angiographic measure of anatomic coronary complexity. Chest radiography is a routine examination for evaluating patients with chest pain. There have been no studies to date exploring the relation between aortic knob calcification (AKC) and coronary lesion complexity assessed by SYNTAX score. Study design: 135 consecutive patients with first time diagnosis of non-ST segment elevation ACS were enrolled. SYNTAX score was calculated by dedicated computer software. Aortic calcification was assessed visually. Results: Patients with AKC had higher SYNTAX score compared to those without AKC (16±6 vs. 11±7, p=0.019). Also, patients with AKC had higher TIMI risk score and were more elderly. Linear regression analysis demonstrated AKC (95% confidence interval [CI] 1.7-6.9, p=0.002), diabetes (95% CI, 1.1-5.7, p=0.005), and smoking (95% CI, 1.2-13.5, p=0.004) as independent determinants of SYNTAX score. Conclusion: Aortic calcification detected on chest X-ray is an independent predictor of complex coronary artery lesions in patients with ACS.

Özet

Amaç: Koroner arter lezyonunun kompleksliği akut koroner sendromlu (AKS) hastalarda risk katmanlaması için önemlidir. SYNTAX skoru koroner anatominin kompleksliğini gösteren bir parametredir. Akciğer grafisi göğüs ağrısı olan hastaların değerlendirilmesinde rutin olarak yapılan bir incelemedir. Teleradyografide aort topuzu kalsifikasyonu (ATK) ile koroner lezyon kompleksliği arasındaki ilişkiyi inceleyen herhangi bir SYNTAX skoru çalışması yoktur. Çalışma planı: Çalışmaya ST-yükselmesi olmayan AKS tanısıyla başvuran ardışık 135 hasta alındı. SYNTAX skoru bilgisayar programı ile hesaplandı. ATK akciğer grafisinde değerlendirildi. Bulgular: SYNTAX skoru ATKsi olanlarda olmayanlara göre daha yüksek idi (16±6 ve 11±7, p=0.019). Ayrıca ATKsi olan hastaların TIMI risk skoru daha yüksek ve yaşları daha ileri idi. Lineer regresyon analizinde ATK (%95 Güven Aralığı [GA] 1.7-6.9, p=0.002) diyabet (%95 GA, 1.1-5.7, p=0.005) ve sigara içimi (%95 GA, 1.2-13.5, p=0.004) SYNTAX skorunun bağımsız öngördürücüleri idi. Sonuç: Akciğer grafisinde ATKnin varlığı AKSli hastalarda kompleks koroner lezyonlarının bağımsız bir öngördürücüsüdür.

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Cite This Article

KORKMAZ, L., AKYÜZ, A. R., AĞAÇ, M. T., ADAR, A., ACAR, Z., ERKAN, H., ATA, A. K., BEKTAŞ, H., ÇELİK, Ş. (2022). ST-segment yükselmesi olmayan akut koroner sendromlu hastalarda aort topuzu kalsifikasyonu ile koroner lezyonunun kompleksliği arasında ilişki. Türk Kardiyoloji Derneği Arşivi, Cilt: 40 - Sayı: 7, 606–611. https://ajindex.com/articles/633004

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