TY  - JOUR
T1  - Evaluation Of The Relationship Between Mitral Annular Plane Systolic Function (Mapse) and Syntax Score In Non-St Elevation Myocardial Infarction
TT  - Evaluation Of The Relationship Between Mitral Annular Plane Systolic Function (Mapse) and Syntax Score In Non-St Elevation Myocardial Infarction
AU  - Külahcioglu, Seyhmus
AU  - Karacam, Murat
AU  - Danısman, Nesri
AU  - Tuncer, Seref Berk
AU  - Kültürsay, Barkın
AU  - Tekatli, Ali Furkan
AU  - Tosun, Ayhan
AU  - Akbas, Ravza Betül
AU  - Küp, Ayhan
AU  - Aytürk, Mehmet
AU  - Çakmak, Ender Özgün
AU  - Uslu, Abdülkadir
PY  - 2021
DA  - December
DO  - 10.5798/dicletip.1037638
JF  - Dicle Medical Journal
JO  - diclemedj
PB  - Dicle Üniversitesi
WT  - DergiPark
SN  - 1300-2945
SP  - 782
EP  - 787
VL  - 48
IS  - 4
LA  - en
AB  - Objective: Acute coronary syndromes (ACS) are still the main cause of mortality in the world. Scoring systems are important for risk evaluation in ACS. Angiographic The Synergy between Percutaneous Coronary Intervention (SYNTAX) score is universal. For cardiac pump function, left ventricular (LV) longitudinal shortening has a major role. It can be assessed by some echocardiographic parameters. Mitral annular plane systolic excursion (MAPSE) is well defined for the LV longitudinal function evaluation and clues with LV systolic function. In this study, we aimed to research the relationship between SYNTAX score and MAPSE in Non-ST elevation myocardial infarction (NSTEMI) patients.Methods: 138 consecutive patients who underwent coronary angiography after diagnosis of NSTEMI were included. Transthoracic echocardiography was performed to all patients by an experienced physician who was uninformed patient’s data. Coronary angiography via the femoral approach was performed for all patients within 48 hours. ≥ 50% coronary lesion stenosis in vessels ≥ 1.5 mm was scored separately and SYNTAX scores were obtained.Results: The median age was 64.5 (54.0-70.8) years and 80.4% were male. Hypertension was the most common risk factor (72.5%). Left anterior descending artery (LAD) stenosis was the most common artery stenosis (58.7%). The mean MAPSE was 14.0 (13.0-15.8) and the mean SYNTAX score was 10.0 (7.0-14). Correlation of our outcome variable SYNTAX score between physiological and clinical variables of age, troponin and LVEF were calculated. No significant p value was detected. The relationship between SYNTAX Score and categorical variables such as gender, hypertension, diabetes mellitus, hyperlipidemia, left main coronary artery (LMCA), LAD, right coronary artery (RCA), circumflex artery (CX), peripheral arterial disease (PAD) was evaluated. None of the variables included in the regression model were associated with the SYNTAX scoreConclusion: In this study, we have investigated the relationship between MAPSE and SS in NSTEMI patients. No significant correlation was found between MAPSE and SS.
KW  - Mitral annular plane systolic excursion (MAPSE)
KW  - SYNTAX score
KW  - Non-ST elevation myocardial infarction
CR  - 1.Roffi M, Patrono C, Collet JP, et al. 2015 ESCguidelines for the management of acute coronarysyndromes in patients presenting withoutpersistent ST-segment elevation: task force for theManagement of Acute Coronary Syndromes inpatients presenting without persistent ST-segmentelevation of the European Society of Cardiology(ESC). Eur Heart J 2016; 37: 267–315.
CR  - 2.Granger CB, Goldberg RJ, Dabbous O, et al.Predictors of hospital mortality in the global registry of acute coronary events. Arch Intern Med 2003;163: 2345–53.
CR  - .Sianos G, Morel MA, Kappetein AP, et al. TheSYNTAX score: an angiographic tool grading thecomplexity of coronary artery disease.EuroIntervention 2005; 1: 219–27.
UR  - https://doi.org/10.5798/dicletip.1037638
L1  - https://dergipark.org.tr/tr/download/article-file/2136330
ER  -