A real-life correlation between clinical SYNTAX score II and carotid intima-media thickness in patients with stable coronary artery disease.

Cardiovascular events Carotid artery Carotid intima-media thickness Coronary angiogram Coronary artery disease Correlation SYNTAX score II Ultrasound

Journal

Journal of the Saudi Heart Association
ISSN: 1016-7315
Titre abrégé: J Saudi Heart Assoc
Pays: Saudi Arabia
ID NLM: 9887261

Informations de publication

Date de publication:
2020
Historique:
received: 09 09 2019
revised: 17 10 2019
accepted: 20 10 2019
entrez: 6 11 2020
pubmed: 7 11 2020
medline: 7 11 2020
Statut: epublish

Résumé

SYNTAX score II (SSII) is an update of the established SYNTAX score (SS) that uses clinical variables such as age, sex, creatinine clearance, left ventricular ejection fraction, chronic obstructive pulmonary disease, and peripheral arterial disease. Furthermore, SSII has been proven to be a more powerful predictive tool than SS in patients with complex coronary artery disease (CAD). Carotid õntima-media thickness (CIMT) is a widely used noninvasive evidence for subclinical or early atherosclerosis, and it was proved to be an independent predictor for cardiovascular events. Most of the previously published articles studied the association between the CIMT with old cardiovascular scoring systems such as SSI and Gensini score with debatable data about their correlation. To study the correlation between SSII and CIMT in stable CAD patients undergoing elective coronary angiography (CA). A prospective study including 155 patients undergoing elective CA for stable CAD excluding patients with history of acute coronary syndrome, previous coronary revascularization either by percutaneous coronary intervention or coronary artery bypass grafting, and previous cerebrovascular stroke. The mean age of patients was 58.25 ± 16.46 years, and 79 patients (50.96%) were men. The mean SSII score was 10.23 ± 11.36 and mean CIMT was 0.85 ± 0.24. The correlation between SSII and CIMT using Spearman correlation showed a strong correlation between SSII score and CIMT with correlation coefficient The study showed a strong positive correlation between SSII and CIMT in stable CAD patients undergoing elective CA.

Sections du résumé

BACKGROUND BACKGROUND
SYNTAX score II (SSII) is an update of the established SYNTAX score (SS) that uses clinical variables such as age, sex, creatinine clearance, left ventricular ejection fraction, chronic obstructive pulmonary disease, and peripheral arterial disease. Furthermore, SSII has been proven to be a more powerful predictive tool than SS in patients with complex coronary artery disease (CAD). Carotid õntima-media thickness (CIMT) is a widely used noninvasive evidence for subclinical or early atherosclerosis, and it was proved to be an independent predictor for cardiovascular events. Most of the previously published articles studied the association between the CIMT with old cardiovascular scoring systems such as SSI and Gensini score with debatable data about their correlation.
AIM OBJECTIVE
To study the correlation between SSII and CIMT in stable CAD patients undergoing elective coronary angiography (CA).
METHOD AND PATIENTS METHODS
A prospective study including 155 patients undergoing elective CA for stable CAD excluding patients with history of acute coronary syndrome, previous coronary revascularization either by percutaneous coronary intervention or coronary artery bypass grafting, and previous cerebrovascular stroke.
RESULTS RESULTS
The mean age of patients was 58.25 ± 16.46 years, and 79 patients (50.96%) were men. The mean SSII score was 10.23 ± 11.36 and mean CIMT was 0.85 ± 0.24. The correlation between SSII and CIMT using Spearman correlation showed a strong correlation between SSII score and CIMT with correlation coefficient
CONCLUSION CONCLUSIONS
The study showed a strong positive correlation between SSII and CIMT in stable CAD patients undergoing elective CA.

Identifiants

pubmed: 33154885
doi: 10.37616/2212-5043.1002
pii: sha-32-01-008
pmc: PMC7640613
doi:

Types de publication

Journal Article

Langues

eng

Pagination

8-11

Informations de copyright

© 2020 Saudi Heart Association.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Mahmoud Abdelnabi (M)

Cardiology and Angiology Unit, Department of Clinical and Experimental Internal Medicine, Medical Research Institute, University of Alexandria, Alexandria, Egypt.

Abdallah Almaghraby (A)

Department of Cardiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.

Özge Özden Tok (ÖÖ)

Memorial Bahcelievler Hospital, Istanbul, Turkey.

Tuğba Kemaloğlu Öz (TK)

liv Hospital Ulus, Istanbul, Turkey.

Yehia Saleh (Y)

Department of Cardiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.
Michigan State University, East Lansing, MI, USA.

Ahmed Morsi (A)

Fayoum University, Faculty of Medicine, Fayoum, Egypt.

Hiatham Badran (H)

Department of Cardiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Classifications MeSH