Normal coronary diameters in Turkish population
Yıl: 2020 Cilt: 28 Sayı: 1 Sayfa Aralığı: 108 - 113 Metin Dili: İngilizce DOI: 10.5606/tgkdc.dergisi.2020.18475 İndeks Tarihi: 11-11-2020
Normal coronary diameters in Turkish population
Öz: Background: This study aims to define normal coronary arterydiameters of males and females in a sample of Turkish population,compared to Asian-Indian and Western Caucasian populations.Methods: Angiographic and demographic data of a total of 324patients (147 males, 177 females; mean age 55.3±10.1 years; range,32 to 82 years) who underwent elective coronary angiography withangiographically normal coronary arteries between July 2017 andMarch 2019 were analyzed retrospectively. Proximal diametersof major epicardial coronary arteries were measured using theAxiom Artis software according to edge detection method. All themeasurements were adjusted to the body surface area. Unadjustedand adjusted values were compared between genders and with theAsian-Indian and Caucasian population samples.Results: The mean diameters of unadjusted/adjusted left maincoronary artery, proximal left anterior descending artery, proximalleft circumflex artery, and proximal right coronary artery were4.5±0.6 mm/2.4±0.4 mm/m2, 3.7±0.5 mm/1.9±0.3 mm/m2,3.3±0.6 mm/1.7±0.3 mm/m2, and 3.4±0.6 mm/1.8±0.4 mm/m2,respectively. Adjusted left main coronary artery and proximal leftcircumflex artery were narrower, and unadjusted proximal leftanterior descending artery and unadjusted/adjusted proximal rightcoronary artery were larger in men, compared to women in theTurkish population. Turkish population had similar body surfacearea and unadjusted/adjusted coronary diameters with Caucasians,whereas adjusted proximal left anterior descending artery was largerin the Turkish population than in Asian-Indians.Conclusion: Our study findings on the Turkish populationcontradict the traditional belief that women have narrowercoronary arteries then men. Furthermore, the Turkish populationhave comparable adjusted/unadjusted coronary diameters withthe Western Caucasians, but larger adjusted/unadjusted proximalleft anterior descending artery, compared to Asian-Indians. Webelieve that our findings may contribute to the global data pool ofnormal coronary diameters and can be utilized in future studies asa database.
Anahtar Kelime: Türk toplumunda normal koroner çapları
Öz: Amaç: Bu çalışmada Asya-Hindistan ve Batılı beyaz ırk toplumlarına kıyasla, Türk toplum örnekleminde erkeklerin ve kadınların normal koroner arter çapları tanımlandı. Çalışma planı: Temmuz 2017 ile Mart 2019 tarihleri arasında elektif koroner anjiyografi yapılan ve anjiyografide koroner arterleri normal olan toplam 324 hastanın (147 erkek, 177 kadın; ort. yaş 55.3±10.1 yıl; dağılım, 32-82 yıl) anjiyografik ve demografik verileri retrospektif olarak incelendi. Majör epikardiyal koroner arterlerin proksimal çapları, Axiom Artis yazılımı kullanılarak kenar saptama yöntemi ile ölçüldü. Tüm ölçümler vücut yüzey alanına göre endekslendi. Endekslenmiş ve endekslenmemiş veriler cinsiyetler arasında ve Asya-Hindistan ve beyaz ırk toplum örneklemleri ile karşılaştırıldı. Bulgular: Endekslenmemiş/endekslenmiş sol ana koroner arter, prosimal sol ön inen arter, proksimal sol sirkumfleks arter ve proksimal sağ koroner arterin ortalama çapları sırasıyla 4.5±0.6 mm/2.4±0.4 mm/m2, 3.7±0.5 mm/1.9±0.3 mm/m2, 3.3±0.6 mm/1.7±0.3 mm/m2 ve 3.4±0.6 mm/1.8±0.4 mm/m2 idi. Kadınlara kıyasla erkeklerde endekslenmiş sol ana koroner arter ve proksimal sol sirkumfleks arter daha dar ve endekslenmemiş proksimal sol ön inen arter ve endekslenmemiş/endekslenmiş proksimal sağ koroner arter daha geniş bulundu. Türk toplumu, beyaz ırk toplumuna benzer vücut yüzey alanına ve endekslenmemiş/endekslenmiş koroner çapa sahip iken, endekslenmiş proksimal sol ön inen arter Asya-Hindistan toplumuna kıyasla Türk toplumunda daha geniş idi. Sonuç: Türk toplumunda saptadığımız bulgular, geleneksel inanış olan kadınların erkeklerden daha dar koroner arter çaplarına sahip olduğu inanışıyla çelişmektedir. Ayrıca, Türk toplumu Batılı beyaz ırk toplumuna benzer koroner arter çaplarına sahip iken, Asya-Hindistan toplumuna kıyasla endekslenmiş/endekslenmemiş proksimal sol ön inen arter çapı daha geniştir. Bu bulguların normal koroner çapları konusunda küresel veri havuzuna katkı sağlayabileceği ve gelecek çalışmalarda veri tabanı olarak kullanılabileceği kanısındayız.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | ÖZDEMİR L, Sokmen E (2020). Normal coronary diameters in Turkish population. , 108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
Chicago | ÖZDEMİR Levent,Sokmen Erdogan Normal coronary diameters in Turkish population. (2020): 108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
MLA | ÖZDEMİR Levent,Sokmen Erdogan Normal coronary diameters in Turkish population. , 2020, ss.108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
AMA | ÖZDEMİR L,Sokmen E Normal coronary diameters in Turkish population. . 2020; 108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
Vancouver | ÖZDEMİR L,Sokmen E Normal coronary diameters in Turkish population. . 2020; 108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
IEEE | ÖZDEMİR L,Sokmen E "Normal coronary diameters in Turkish population." , ss.108 - 113, 2020. 10.5606/tgkdc.dergisi.2020.18475 |
ISNAD | ÖZDEMİR, Levent - Sokmen, Erdogan. "Normal coronary diameters in Turkish population". (2020), 108-113. https://doi.org/10.5606/tgkdc.dergisi.2020.18475 |
APA | ÖZDEMİR L, Sokmen E (2020). Normal coronary diameters in Turkish population. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 28(1), 108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
Chicago | ÖZDEMİR Levent,Sokmen Erdogan Normal coronary diameters in Turkish population. Türk Göğüs Kalp Damar Cerrahisi Dergisi 28, no.1 (2020): 108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
MLA | ÖZDEMİR Levent,Sokmen Erdogan Normal coronary diameters in Turkish population. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.28, no.1, 2020, ss.108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
AMA | ÖZDEMİR L,Sokmen E Normal coronary diameters in Turkish population. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2020; 28(1): 108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
Vancouver | ÖZDEMİR L,Sokmen E Normal coronary diameters in Turkish population. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2020; 28(1): 108 - 113. 10.5606/tgkdc.dergisi.2020.18475 |
IEEE | ÖZDEMİR L,Sokmen E "Normal coronary diameters in Turkish population." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 28, ss.108 - 113, 2020. 10.5606/tgkdc.dergisi.2020.18475 |
ISNAD | ÖZDEMİR, Levent - Sokmen, Erdogan. "Normal coronary diameters in Turkish population". Türk Göğüs Kalp Damar Cerrahisi Dergisi 28/1 (2020), 108-113. https://doi.org/10.5606/tgkdc.dergisi.2020.18475 |