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

KORKMAZ, Levent; AĞAÇ, Mustafa Tarık; ACAR, Zeydin; AKYÜZ, Ali Rıza; Erkan, Hakan; BEKTAŞ, Hüseyin; ÇELİK, Şükrü; KORKMAZ ATA, Ayça; adar, adem

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

Levent KORKMAZ, (Sağlık Bakanlığı, Ahi Evren Damar Cerrahisi, Eğitim Araştırma Hastanesi, Trabzon, Türkiye)

Adem ADAR, (Sağlık Bakanlığı, Ahi Evren Damar Cerrahisi, Eğitim Araştırma Hastanesi, Trabzon, Türkiye)

Ayça KORKMAZ ATA, (Sağlık Bakanlığı, Akçaabat Hackalı Baba Devlet Hastanesi, Trabzon, Türkiye)

Hakan ERKAN, (Sağlık Bakanlığı, Ahi Evren Damar Cerrahisi, Eğitim Araştırma Hastanesi, Trabzon, Türkiye)

Mustafa Tarık AĞAÇ, (Sağlık Bakanlığı, Ahi Evren Damar Cerrahisi, Eğitim Araştırma Hastanesi, Trabzon, Türkiye)

Zeydin ACAR, (Sağlık Bakanlığı, Ahi Evren Damar Cerrahisi, Eğitim Araştırma Hastanesi, Trabzon, Türkiye)

Ali Rıza AKYÜZ, (Sağlık Bakanlığı, Ahi Evren Damar Cerrahisi, Eğitim Araştırma Hastanesi, Trabzon, Türkiye)

Hüseyin BEKTAŞ, (Sağlık Bakanlığı, Ahi Evren Damar Cerrahisi, Eğitim Araştırma Hastanesi, Trabzon, Türkiye)

Şükrü ÇELİK (Sağlık Bakanlığı, Ahi Evren Damar Cerrahisi, Eğitim Araştırma Hastanesi, Trabzon, Türkiye)

Türk Kardiyoloji Derneği Arşivi

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Yıl: 2012 Cilt: 40 Sayı: 7 Sayfa Aralığı: 606 - 611 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

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

Öz:

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.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

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

Öz:

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.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KORKMAZ L, adar a, KORKMAZ ATA A, Erkan H, AĞAÇ M, ACAR Z, AKYÜZ A, BEKTAŞ H, ÇELİK Ş (2012). Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. , 606 - 611.
Chicago	KORKMAZ Levent,adar adem,KORKMAZ ATA Ayça,Erkan Hakan,AĞAÇ Mustafa Tarık,ACAR Zeydin,AKYÜZ Ali Rıza,BEKTAŞ Hüseyin,ÇELİK Şükrü Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. (2012): 606 - 611.
MLA	KORKMAZ Levent,adar adem,KORKMAZ ATA Ayça,Erkan Hakan,AĞAÇ Mustafa Tarık,ACAR Zeydin,AKYÜZ Ali Rıza,BEKTAŞ Hüseyin,ÇELİK Şükrü Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. , 2012, ss.606 - 611.
AMA	KORKMAZ L,adar a,KORKMAZ ATA A,Erkan H,AĞAÇ M,ACAR Z,AKYÜZ A,BEKTAŞ H,ÇELİK Ş Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. . 2012; 606 - 611.
Vancouver	KORKMAZ L,adar a,KORKMAZ ATA A,Erkan H,AĞAÇ M,ACAR Z,AKYÜZ A,BEKTAŞ H,ÇELİK Ş Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. . 2012; 606 - 611.
IEEE	KORKMAZ L,adar a,KORKMAZ ATA A,Erkan H,AĞAÇ M,ACAR Z,AKYÜZ A,BEKTAŞ H,ÇELİK Ş "Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients." , ss.606 - 611, 2012.
ISNAD	KORKMAZ, Levent vd. "Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients". (2012), 606-611.

APA	KORKMAZ L, adar a, KORKMAZ ATA A, Erkan H, AĞAÇ M, ACAR Z, AKYÜZ A, BEKTAŞ H, ÇELİK Ş (2012). Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. Türk Kardiyoloji Derneği Arşivi, 40(7), 606 - 611.
Chicago	KORKMAZ Levent,adar adem,KORKMAZ ATA Ayça,Erkan Hakan,AĞAÇ Mustafa Tarık,ACAR Zeydin,AKYÜZ Ali Rıza,BEKTAŞ Hüseyin,ÇELİK Şükrü Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. Türk Kardiyoloji Derneği Arşivi 40, no.7 (2012): 606 - 611.
MLA	KORKMAZ Levent,adar adem,KORKMAZ ATA Ayça,Erkan Hakan,AĞAÇ Mustafa Tarık,ACAR Zeydin,AKYÜZ Ali Rıza,BEKTAŞ Hüseyin,ÇELİK Şükrü Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. Türk Kardiyoloji Derneği Arşivi, vol.40, no.7, 2012, ss.606 - 611.
AMA	KORKMAZ L,adar a,KORKMAZ ATA A,Erkan H,AĞAÇ M,ACAR Z,AKYÜZ A,BEKTAŞ H,ÇELİK Ş Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. Türk Kardiyoloji Derneği Arşivi. 2012; 40(7): 606 - 611.
Vancouver	KORKMAZ L,adar a,KORKMAZ ATA A,Erkan H,AĞAÇ M,ACAR Z,AKYÜZ A,BEKTAŞ H,ÇELİK Ş Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients. Türk Kardiyoloji Derneği Arşivi. 2012; 40(7): 606 - 611.
IEEE	KORKMAZ L,adar a,KORKMAZ ATA A,Erkan H,AĞAÇ M,ACAR Z,AKYÜZ A,BEKTAŞ H,ÇELİK Ş "Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients." Türk Kardiyoloji Derneği Arşivi, 40, ss.606 - 611, 2012.
ISNAD	KORKMAZ, Levent vd. "Aortic knob calcification and coronary artery lesion complexity in non-ST-segment elevation acute coronary syndrome patients". Türk Kardiyoloji Derneği Arşivi 40/7 (2012), 606-611.