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Dergiler / Interdisciplinary Medical Journal / 2025 / Volume: 16 Issue: 56

The role of cervical lordosis angle in the differential diagnosis of chest pain after Exercise electrocardiography test

Emre Melik Faideci(Bilecik Training and Research Hospital, Department of Cardiology, Bilecik, Türkiye)0000-0002-0272-9271
Zeynep Dağlar(Hatay Dörtyol State Hospital, Department of Neurosurgery, Hatay, Türkiye)0000-0001-5144-9666
Sinan Güzel(Kayseri State Hospital, Department of Cardiovascular Surgery, Kayseri, Türkiye)0000-0001-6564-2360
Mustafa Bestami Maraşlı(Hatay Dörtyol State Hospital, Statistics, Hatay, Türkiye)0009-0006-8951-6063
Tolga Türkmen(Hatay Dörtyol State Hospital, Department of Neurosurgery, Hatay, Türkiye)0000-0002-0113-2617
Mehmet Dokur(Bilecik Seyh Edebali University Faculty of Medicine, Department of Emergency Medicine, Bilecik, Türkiye)0000-0003-2119-3801
Murat Ziyrek(Konya Farabi Hospital, Department of Cardiology, Konya, Türkiye)0000-0003-4032-7561
Sayfa
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Yayın Tarihi
2025-12-16
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Conclusion: The measurement of CLA post-cervical spine assessment may facilitate clinical decision-making in the differential diagnosis of chest pain subsequent to EET and assist in directing secondary testing procedures.

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Amaç & Hipotez:Objectives: The exercise electrocardiography test (EET) is extensively utilized for diagnosing stable angina pectoris (SAP).
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Temel Bulgular & Veri:Methods: This retrospective study evaluated 216 patients who experienced chest pain during EET without ischemic ECG changes and underwent invasive coronary angiography (ICA) and cervical spine radiography (CSR).
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Sonuç & Katkı:Conclusion: The measurement of CLA post-cervical spine assessment may facilitate clinical decision-making in the differential diagnosis of chest pain subsequent to EET and assist in directing secondary testing procedures.
🔬Tür:Research Article
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Cardiac chest pain · cervical lordosis · chest pain

Abstract

Objectives: The exercise electrocardiography test (EET) is extensively utilized for diagnosing stable angina pectoris (SAP). Nonetheless, differential diagnosis may prove difficult in instances of chest discomfort absent ischemic indicators. The loss of cervical lordosis (LCL) and several cervical diseases may be implicated in non-cardiac chest discomfort. Methods: This retrospective study evaluated 216 patients who experienced chest pain during EET without ischemic ECG changes and underwent invasive coronary angiography (ICA) and cervical spine radiography (CSR). Among them, 18 patients with significant cervical pathologies apart from LCL were excluded from angle measurements. Cervical lordosis angle (CLA) was measured only in patients without additional cervical pathology. Results: CLA was significantly lower in the CAD (–) group compared to the CAD (+) group (13.97° ± 8.82 vs. 29.20° ± 7.58; p<0.001). An increase in CLA independently predicted the presence of CAD (OR: 1.197; 95% CI: 1.135–1.264; p<0.001). Using a cut-off value of 20.5°, CAD could be predicted with 78.3% sensitivity and 79.6% specificity (AUC: 0.892). However, a decrease in CLA was insufficient to exclude cardiac etiology in chest pain. Conclusion: The measurement of CLA post-cervical spine assessment may facilitate clinical decision-making in the differential diagnosis of chest pain subsequent to EET and assist in directing secondary testing procedures.

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Bu Makaleye Atıf Yap

Faideci, E. M., Dağlar, Z., Güzel, S., Maraşlı, M. B., Türkmen, T., Dokur, M., Ziyrek, M. (2025). The role of cervical lordosis angle in the differential diagnosis of chest pain after Exercise electrocardiography test. Interdisciplinary Medical Journal, Volume: 16 Issue: 56. https://doi.org/10.17944/interdiscip.1708493

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