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Journals / Journal of Experimental and Clinical Medicine / 2022 / Cilt: 39 - Sayı: 3

Periaortic Adipose Tissue Index: A New Approach to the Relationship between Coronary Stenosis Severity/Lesion Complexity and Periaortic Adipose Tissue

Ertan AKBAY
Sinan AKINCI
Ibrahim UYSAL
Adem ADAR
Ali ÇONER
Haldun MÜDERRİSOĞLU
Pages
822–828
Publication Date
2022-08-30
DOI
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AI Summary & Key Takeaways

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

PAT volume and PATI were significantly higher in patients with severe stenosis (p

📌 3 Key Takeaways

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Objective & Hypothesis:Periaortic adipose tissue (PAT) is associated with atherosclerosis.
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Key Findings & Data:Patients who underwent CAG and thoracic computed tomography (CT) between January 2017 and January 2022 were included in the study.
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Conclusion & Impact:PAT volume and PATI were significantly higher in patients with severe stenosis (p
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:koroner arter hastalığı · periaortik yağ dokusu · syntax skoru

Abstract

Periaortic adipose tissue (PAT) is associated with atherosclerosis. The severity of coronary stenosis with PAT has not been evaluated with conventional coronary angiography (CAG). The aim of the study is to determine the relationship between PAT and coronary stenosis severity/ complexity, and to evaluate it with the periaortic adipose tissue index (PATI), a new index derived from PAT. Patients who underwent CAG and thoracic computed tomography (CT) between January 2017 and January 2022 were included in the study. PAT volume was calculated by evaluating CT images, and PATI was calculated by dividing the PAT volume by the circumference of the descending aorta. Patients were divided into two groups according to the presence of ≥50% stenosis on CAG. The correlation of PAT and PATI with the SYNTAX score was evaluated. In our study, 263 patients [mean age 64.5(54/72), male 164 (62.4%)] were evaluated. Severe coronary artery disease (CAD) was observed in 181 patients (68.8%). PAT volume and PATI were significantly higher in patients with severe stenosis (p

Özet

Periaortik yağ dokusu (PYD) ile ateroskleroz ile ilişkilidir. PYD ile koroner darlık ciddiyeti konvansiyonel koroner anjiyografi (KAG) ile değerlendirilmemiştir. Çalışmanın amacı, PYD ile koroner darlık ciddiyeti/yaygınlığı arasındaki ilişkiyi saptamak, ek olarak, PYD’den türetilen yeni bir indeks olan periaortik yağ dokusu indeksi (PYDI) ile değerlendirmektir. Ocak 2017 ile Ocak 2022 tarihleri arasında KAG ve toraks bilgisayarlı tomografisi (BT) yapılan hastalar çalışmaya dahil edildi. PYD volümü BT görüntüleri değerlendirilerek, PYDI ise, PYD volümünün desendan aort çevresine bölünmesiyle hesaplandı. KAG’de ≥%50 darlık varlığına göre hastalar iki gruba ayrıldı. PYD ve PYDI'nın SYNTAX puanı ile korelasyonu değerlendirildi. Çalışmamızda 263 hasta [ortalama yaş 64.5(54/72), erkek 164 (%62.4)) değerlendirildi. 181 hastada (%68.8) ciddi KAH görüldü. Ciddi darlık bulunanlarda PYD hacmi ve PYDI anlamlı olarak daha yüksekti (her ikisi için p

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Cite This Article

AKBAY, E., AKINCI, S., UYSAL, I., ADAR, A., ÇONER, A., MÜDERRİSOĞLU, H. (2022). Periaortic Adipose Tissue Index: A New Approach to the Relationship between Coronary Stenosis Severity/Lesion Complexity and Periaortic Adipose Tissue. Journal of Experimental and Clinical Medicine, Cilt: 39 - Sayı: 3, 822–828. https://ajindex.com/articles/677660

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