Research Article
BibTex RIS Cite

The Relationship Between Wrist Circumferences and Coronary Artery Diameters

Year 2024, Volume: 26 Issue: 3, 289 - 294, 24.12.2024

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.

References

  • Yang NI, Kuo LT, Lee CC, et al. Associations of three-dimensional anthropometric body surface scanning measurements and coronary artery disease. Medicina. 2023;59(3):570.
  • Zhang X, Shu XO, Gao YT, et al. Anthropometric predictors of coronary heart disease in Chinese women. Int J Obes Relat Metab Disord.. 2004;28(6):734-740.
  • Ender PT, Phares J, Gerson G, et al. Association of Bartonella species and Coxiella burnetii infection with coronary artery disease. J Infect Dis. 2001;183(5):831-834.
  • Polonskaya YV, Kashtanova EV, Murashov IS, et al. Association of matriks metalloproteinases with coronary artery calcification in patients with CHD. J Pers Med. 2021;11(6):506.
  • Lip GYH, Rathore VS, Katira R, Watson RDS, Singh SP. Do Indo-Asians have smaller coronary arteries? Postgrad Med J. 1999;75(886),463-466.
  • Leung WH, Stadius ML, Alderman EL. Determinants of normal coronary artery dimensions in humans. Circulation. 1991;84(6):2294-2306.
  • Saikrishna C, Talwar S, Gulati G, Kumar AS. Normal coronary artery dimensions in Indians. Ind J Thorac Cardiovasc Surg. 2006;22:159-164.
  • Dhawan J, Bray CL. Angiographic comparison of coronary artery disease between Asians and Caucasians. Postgrad Med J. 1994;70(827):625-630.
  • Welch T, Rampersad F, Motilal S, Seecheran NA. Comparison of cardiac CT angiography coronary artery dimensions and ethnicity in Trinidad: The CADET pilot study. Open Heart, 2022;9(1):e001922.
  • Restrepo C, Eggen DA, Guzman MA, Tejada C. Postmortem dimensions of the coronary arteries in different geographic locations. Lab Invest. 1973;28(2):244-251.
  • Brown BG, Bolson E, Frimer M, Dodge HT. Quantitative coronary arteriography: Estimation of dimensions, hemodynamic resistance, and atheroma mass of coronary artery lesions using the arteriogram and digital computation. Circulation. 1977;55(2):329-337.
  • Litovsky SH, Farb A, Burke AP, et al. Effect of age, race, body surface area, heart weight and atherosclerosis on coronary artery dimensions in young males. Atherosclerosis. 1996;123(1-2):243-250.
  • Mahadevappa M, Hegde M, Math R. Normal proximal coronary artery diameters in adults from India as assessed by computed tomography angiography. J Clin Diagn Res. 2016;10(5):TC10-13.
  • Yang F, Minutello RM, Bhagan S, Sharma A, Wong SC. The impact of gender on vessel size in patients with angiographically normal coronary arteries. J Interv Cardiol. 2006;19(4):340-344.
  • Schwertz DW, Penckofer S. Sex differences and the effects of sex hormones on hemostasis and vascular reactivity. Heart & Lung. 2001;30(6):401-428.
  • Perrot-Applanat M. Effect of estrogens on vascular proliferation. Therapie. 1999;54(3):333-337.
  • Nakatsu MN, Sainson RC, Pérez-del-Pulgar S, et al. VEGF121 and VEGF165 regulate blood vessel diameter through vascular endothelial growth factor receptor 2 in an in vitro angiogenesis model. Lab Invest. 2003;83(12):1873-1885.
  • Seecheran N, Nandlal N, Nankissoon S, et al. A Trinidadian cardiovascular medication adherence survey: The ADHERE TNT study. Int J Community Med Public Health. 2017;4(10):3601-3606.
  • Seecheran N, Jagdeo CL, Seecheran R, et al. Screening for depressive symptoms in cardiovascular patients at a tertiary centre in Trinidad and Tobago: Investigation of correlates in the SAD CAT study. BMC Psychiatry. 2020;20(1):498.
  • Lai R, Ju J, Lin Q, Xu H. Coronary artery calcification under statin therapy and its effect on cardiovascular outcomes: A systematic review and meta-analysis. Front Cardiovasc Med. 2020;7:600497.
  • Al Rifai M, Blaha MJ, Patel J, et al. Coronary artery calcification, statin use and long-term risk of atherosclerotic cardiovascular disease events (from the multi-ethnic study of atherosclerosis). Am J Cardiol. 2020;125(6):835-839.
  • Dodge Jr JT, Brown BG, Bolson EL, Dodge HT. Lumen diameter of normal human coronary arteries. Influence of age, sex, anatomic variation, and left ventricular hypertrophy or dilation. Circulation. 1992;86(1):232-246.
  • Austen WG, Edwards JE, Frye RL, et al. A reporting system on patients evaluated for coronary artery disease. Report of the ad hoc committee for grading of coronary artery disease, Council on Cardiovascular Surgery, American Heart Association. Circulation. 1975;51(4):5-40.

EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ

Year 2024, Volume: 26 Issue: 3, 289 - 294, 24.12.2024

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

References

  • Yang NI, Kuo LT, Lee CC, et al. Associations of three-dimensional anthropometric body surface scanning measurements and coronary artery disease. Medicina. 2023;59(3):570.
  • Zhang X, Shu XO, Gao YT, et al. Anthropometric predictors of coronary heart disease in Chinese women. Int J Obes Relat Metab Disord.. 2004;28(6):734-740.
  • Ender PT, Phares J, Gerson G, et al. Association of Bartonella species and Coxiella burnetii infection with coronary artery disease. J Infect Dis. 2001;183(5):831-834.
  • Polonskaya YV, Kashtanova EV, Murashov IS, et al. Association of matriks metalloproteinases with coronary artery calcification in patients with CHD. J Pers Med. 2021;11(6):506.
  • Lip GYH, Rathore VS, Katira R, Watson RDS, Singh SP. Do Indo-Asians have smaller coronary arteries? Postgrad Med J. 1999;75(886),463-466.
  • Leung WH, Stadius ML, Alderman EL. Determinants of normal coronary artery dimensions in humans. Circulation. 1991;84(6):2294-2306.
  • Saikrishna C, Talwar S, Gulati G, Kumar AS. Normal coronary artery dimensions in Indians. Ind J Thorac Cardiovasc Surg. 2006;22:159-164.
  • Dhawan J, Bray CL. Angiographic comparison of coronary artery disease between Asians and Caucasians. Postgrad Med J. 1994;70(827):625-630.
  • Welch T, Rampersad F, Motilal S, Seecheran NA. Comparison of cardiac CT angiography coronary artery dimensions and ethnicity in Trinidad: The CADET pilot study. Open Heart, 2022;9(1):e001922.
  • Restrepo C, Eggen DA, Guzman MA, Tejada C. Postmortem dimensions of the coronary arteries in different geographic locations. Lab Invest. 1973;28(2):244-251.
  • Brown BG, Bolson E, Frimer M, Dodge HT. Quantitative coronary arteriography: Estimation of dimensions, hemodynamic resistance, and atheroma mass of coronary artery lesions using the arteriogram and digital computation. Circulation. 1977;55(2):329-337.
  • Litovsky SH, Farb A, Burke AP, et al. Effect of age, race, body surface area, heart weight and atherosclerosis on coronary artery dimensions in young males. Atherosclerosis. 1996;123(1-2):243-250.
  • Mahadevappa M, Hegde M, Math R. Normal proximal coronary artery diameters in adults from India as assessed by computed tomography angiography. J Clin Diagn Res. 2016;10(5):TC10-13.
  • Yang F, Minutello RM, Bhagan S, Sharma A, Wong SC. The impact of gender on vessel size in patients with angiographically normal coronary arteries. J Interv Cardiol. 2006;19(4):340-344.
  • Schwertz DW, Penckofer S. Sex differences and the effects of sex hormones on hemostasis and vascular reactivity. Heart & Lung. 2001;30(6):401-428.
  • Perrot-Applanat M. Effect of estrogens on vascular proliferation. Therapie. 1999;54(3):333-337.
  • Nakatsu MN, Sainson RC, Pérez-del-Pulgar S, et al. VEGF121 and VEGF165 regulate blood vessel diameter through vascular endothelial growth factor receptor 2 in an in vitro angiogenesis model. Lab Invest. 2003;83(12):1873-1885.
  • Seecheran N, Nandlal N, Nankissoon S, et al. A Trinidadian cardiovascular medication adherence survey: The ADHERE TNT study. Int J Community Med Public Health. 2017;4(10):3601-3606.
  • Seecheran N, Jagdeo CL, Seecheran R, et al. Screening for depressive symptoms in cardiovascular patients at a tertiary centre in Trinidad and Tobago: Investigation of correlates in the SAD CAT study. BMC Psychiatry. 2020;20(1):498.
  • Lai R, Ju J, Lin Q, Xu H. Coronary artery calcification under statin therapy and its effect on cardiovascular outcomes: A systematic review and meta-analysis. Front Cardiovasc Med. 2020;7:600497.
  • Al Rifai M, Blaha MJ, Patel J, et al. Coronary artery calcification, statin use and long-term risk of atherosclerotic cardiovascular disease events (from the multi-ethnic study of atherosclerosis). Am J Cardiol. 2020;125(6):835-839.
  • Dodge Jr JT, Brown BG, Bolson EL, Dodge HT. Lumen diameter of normal human coronary arteries. Influence of age, sex, anatomic variation, and left ventricular hypertrophy or dilation. Circulation. 1992;86(1):232-246.
  • Austen WG, Edwards JE, Frye RL, et al. A reporting system on patients evaluated for coronary artery disease. Report of the ad hoc committee for grading of coronary artery disease, Council on Cardiovascular Surgery, American Heart Association. Circulation. 1975;51(4):5-40.
There are 23 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Özgün Araştırma
Authors

Çağlar Alp 0000-0001-5984-1857

Rukiye Gönen 0000-0002-4485-5508

Mehmet Tolga Doğru 0000-0001-8505-489X

Publication Date December 24, 2024
Submission Date May 16, 2024
Acceptance Date November 19, 2024
Published in Issue Year 2024 Volume: 26 Issue: 3

Cite

APA Alp, Ç., Gönen, R., & Doğru, M. T. (2024). EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ. The Journal of Kırıkkale University Faculty of Medicine, 26(3), 289-294.
AMA Alp Ç, Gönen R, Doğru MT. EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ. Kırıkkale Uni Med J. December 2024;26(3):289-294.
Chicago Alp, Çağlar, Rukiye Gönen, and Mehmet Tolga Doğru. “EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ”. The Journal of Kırıkkale University Faculty of Medicine 26, no. 3 (December 2024): 289-94.
EndNote Alp Ç, Gönen R, Doğru MT (December 1, 2024) EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ. The Journal of Kırıkkale University Faculty of Medicine 26 3 289–294.
IEEE Ç. Alp, R. Gönen, and M. T. Doğru, “EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ”, Kırıkkale Uni Med J, vol. 26, no. 3, pp. 289–294, 2024.
ISNAD Alp, Çağlar et al. “EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ”. The Journal of Kırıkkale University Faculty of Medicine 26/3 (December 2024), 289-294.
JAMA Alp Ç, Gönen R, Doğru MT. EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ. Kırıkkale Uni Med J. 2024;26:289–294.
MLA Alp, Çağlar et al. “EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ”. The Journal of Kırıkkale University Faculty of Medicine, vol. 26, no. 3, 2024, pp. 289-94.
Vancouver Alp Ç, Gönen R, Doğru MT. EL BİLEK ÇEVRESİ VE KORONER ARTER ÇAPLARI ARASINDAKİ İLİŞKİ. Kırıkkale Uni Med J. 2024;26(3):289-94.

This Journal is a Publication of Kırıkkale University Faculty of Medicine.