Relatıonshıp Between Epıcardıal Adıpose Tıssue And Syntax Score In Patıents Wıth Acute Coronary Syndrome

Objective: The aim of this study was to evaluate the relationship between epicardial adipose tissue (EAT) thickness and SYNTAX score in patients with acute coronary syndrome (ACS). Methods: The study included 200 patients with ACS and 150 non-ACS. Systolic (EAT-S) and diastolic EAT (EAT-D) thickness was measured in each patient. EAT thickness and the relationship between EAT thickness and SYNTAX score were compared between the patient and control groups. Results: Age, body mass index, and presence of hypertension and diabetes mellitus (DM) established a significant difference while smoking status and presence of hyperlipidemia caused no significant difference between the patient and non-ACS. Both EAT-S and EAT-D thickness established a significant difference between the two groups (5.57±1.15 vs. 4.47± 0.60, p<0.001; 3.18±0.81 vs. 2.71±1.90, p=0.014, respectively). EAT thickness established a significant correlation with SYNTAX score in the patient group (p<0.001; r=0.740). Conclusion: EAT thickness was greater in the patient group and established a significant correlation with SYNTAX score. This situation offers us the opportunity to determine the severity of the disease with a non-invasive method before performing coronary angiography.