EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ

Abstract

Amaç: Koroner arter çapları akut koroner sendromlar sırasında kullanılacak stent çapını belirlemek için çok önemlidir. Özellikle osteal lezyonlarda referans alınacak başka bir damar olmaması sorun oluşturmaktadır. Çalışmamızın amacı normal koroner arter yapısına sahip koroner arter hastalığı (obstrüktif veya ektatik koroner arter) olmayan hastalarda, koroner arter çaplarıyla hastaların antropometrik ölçümlerinin korelasyonunu incelemektir. Gereç ve Yöntemler: Retrospektif olarak yürütülen bu çalışmaya koroner anjiografi yapılmış ve anjiografik olarak plak ve ektazi izlenmeyen 102 hasta dahil edildi. Hastalar el bilek çevrelerine göre üç gruba ayrıldı. Hastaların klinik ve anjiografik görüntüleri hastane otomasyon sisteminden değerlendirildi. Bulgular: Bilek çevresi grupları arasındaki değerlendirmede gruplar arasında istatistiksel olarak anlamlı bir fark olduğu izlenmiştir. Sol ana koroner arter, sirkumfleks arter, sol ön inen arter için bilek çevresi çapları ile pozitif korelasyon izlenmiştir. Bilek çevresi ile sol ana koroner çapı arasında r=0.390, p<0.001, sol ön inen arter çapı arasında r=0.244, p=0.013, sirkumfleks arter çapı arasında r=0.303, p=0.002 ve sağ ana koroner çapı arasında r=0.223, p=0.024 pozitif korelasyon olduğu görülmüştür (Spearman, p<0.05). Çalışmamızda elde ettiğimiz sonuçlara göre bilek çevresi 15.5 üstünde olan hastaların %80 inin sol ana koroner arter arter çapı 4.0 mm üzerindedir. Sonuç: Bu çalışmada özellikle, bilek çevresi ile sol ana koroner arter çapı arasında istatistiksel açıdan önemli pozitif korelasyon bulunmuştur. Sol ana koroner arter, osteal lezyonlarında intravasküler ultrasonografi kullanılamayan durumlarda kullanılacak stent boyutunun belirlenmesinde bu pozitif korelasyonun önemli bir özellik olabileceği düşünülmektedir. Daha geniş kapsamlı çalışmalarla bilek çevresi ve sol ana koroner arter çapı arasında bir formülasyon elde edilebilir

Keywords

• Koroner arter çapları
• anjiografi
• bilek çevresi

The Relationship Between Wrist Circumferences and Coronary Artery Diameters

Abstract

Objective: Coronary artery diameters are crucial in determining the stent size to be used during acute coronary syndromes. Especially in cases of osteal lesions where there is no other reference vessel, it becomes challenging. The aim of our study is to investigate the correlation between coronary artery diameters and anthropometric measurements in patients without normal coronary artery structure (obstructive or ectatic coronary artery disease). Material and Methods: This retrospective study included 102 patients who underwent coronary angiography and showed no signs of plaque or ectasia angiographically. Patients were divided into three groups based on their wrist circumference. The clinical and angiographic images of the patients were evaluated using the hospital automation system. Results: A statistically significant difference was observed among the wrist circumference groups. Positive correlations were found between wrist circumference measurements and the diameters of the left main coronary artery, circumflex artery, and left anterior descending artery. The correlation coefficients were r=0.390, p<0.001 for the left main coronary artery, r=0.244, p=0.013 for the left anterior descending artery, r=0.303, p=0.002 for the circumflex artery, and r=0.223, p=0.024 for the right main coronary artery (Spearman, p<0.05). According to the results obtained in our study, 80% of patients with a wrist circumference above 15.5 have a left main coronary artery diameter of above 4.0 mm. Conclusion: In this study, a statistically significant positive correlation was found especially between wrist circumference and the diameter of the left main coronary artery. This positive correlation could be an important feature in determining the stent size to be used in left main coronary artery osteal lesions where intravascular ultrasound cannot be used. With more comprehensive studies, a formulation between wrist circumference and left main coronary artery diameter can be obtained.

Keywords

• Coronary artery diameters
• angiography
• wrist circumference

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