Predictive Value of Previous Coronary Angiography in Acute Coronary Syndrome

Yıl 2026, Cilt: 8 Sayı: 1 , 17 - 20 , 31.03.2026

Merve Demiryürek , Kadir Küçükceran , Mustafa Kürşat Ayrancı , Sedat Koçak , Abdullah Sadık Girişgin , Zerrin Defne Dündar

https://doi.org/10.38175/phnx.1891115

https://izlik.org/JA28XR99EM

Öz

Objective: We aimed to evaluate patients presenting to the emergency department with chest pain in terms of acute coronary syndrome (ACS) risk based on previous coronary angiography (CAG) findings and recent cardiology evaluations.
Material and Method: Patients presenting with chest pain were prospectively evaluated and categorized according to the development of major adverse cardiac events (MACE). Prior angiographic findings and recent cardiology evaluations were analyzed for their association with short-term outcomes.
Results: A total of 159 patients were included. When patients with and without MACE were compared in terms of significant CAG findings within the last year, no statistically significant difference was observed between the groups (p = 0.576). However, coronary artery disease risk identified during recent cardiology evaluations was significantly higher in patients who developed MACE compared with those who did not (p = 0.022).
Conclusion: Prior angiographic stenosis alone does not appear to predict acute adverse cardiac events in emergency presentations. However, recent cardiology evaluations identifying coronary risk may provide more meaningful insight into short-term clinical outcomes.

Anahtar Kelimeler

chest pain; , acute coronary syndrome; , coronary angiography; , major adverse cardiac events;

Destekleyen Kurum

The author(s) received no financial support for the research.

Teşekkür

There is no statement of acknowledgment for this research.

Önceki Koroner Anjiyografinin Akut Koroner Sendromu Öngörmedeki Değeri

https://izlik.org/JA28XR99EM

Öz

Amaç: Acil servise göğüs ağrısı ile başvuran hastaları, önceki koroner anjiyografi (KAG) bulguları ve yakın dönem kardiyoloji değerlendirmeleri temelinde akut koroner sendrom (AKS) riski açısından değerlendirmeyi amaçladık.
Gereç ve Yöntem: Göğüs ağrısı ile başvuran hastalar prospektif olarak değerlendirildi ve majör advers kardiyak olay (MACE) gelişimine göre sınıflandırıldı. Önceki anjiyografik bulgular ile yakın dönem kardiyoloji değerlendirmelerinin kısa dönem sonuçlarla ilişkisi analiz edildi.
Bulgular: Toplam 159 hasta çalışmaya dahil edildi. Son bir yıl içinde anlamlı KAG bulguları açısından MACE gelişen ve gelişmeyen hastalar karşılaştırıldığında gruplar arasında istatistiksel olarak anlamlı fark saptanmadı (p = 0.576). Ancak yakın dönem kardiyoloji değerlendirmelerinde koroner arter hastalığı riski belirlenen hastalarda MACE gelişimi, belirlenmeyenlere kıyasla anlamlı derecede daha yüksekti (p = 0.022).
Sonuç: Önceki anjiyografik stenoz varlığı tek başına acil başvurularda gelişen akut kardiyak olayları öngörmede yeterli görünmemektedir. Buna karşın, yakın dönem kardiyoloji değerlendirmelerinde belirlenen koroner risk, kısa dönem klinik sonuçlar hakkında daha anlamlı bilgi sağlayabilir.

Anahtar Kelimeler

göğüs ağrısı; , akut koroner sendrom; , koroner anjiyografi; , majör advers kardiyak olaylar;

Destekleyen Kurum

Yazar(lar) bu araştırma için herhangi bir mali destek almamıştır.

Teşekkür

Bu araştırma için herhangi bir teşekkür beyanı bulunmamaktadır.

Kaynakça

• Alderwish E, Schultz E, Kassam Z, Poon M, Coplan N. Evaluation of acute chest pain: evolving paradigm of coronary risk scores and imaging. Rev Cardiovasc Med. 2019;20(4):231–244. doi:10.31083/j.rcm.2019.04.550
• Nilsson T, Lundberg G, Larsson D, Mokhtari A, Ekelund U. Emergency department chest pain patients with or without ongoing pain: characteristics, outcome, and diagnostic value of the electrocardiogram. J Emerg Med. 2020;58(6):874–881. doi:10.1016/j.jemermed.2020.02.003
• Rossini R, Capodanno D, Lettieri C, Musumeci G, Limbruno U, Molfese M, et al. Long-term outcomes of patients with acute coronary syndrome and nonobstructive coronary artery disease. Am J Cardiol. 2013;112(2):150–155. doi:10.1016/j.amjcard.2013.03.006
• Bugiardini R, Badimon L; ISACS-TC Investigators. The International Survey of Acute Coronary Syndromes in Transitional Countries (ISACS-TC): 2010–2015. Int J Cardiol. 2016;217 Suppl:S1–S6. doi:10.1016/j.ijcard.2016.06.204
• Collet JP, Thiele H, Barbato E, Barthélémy O, Bauersachs J, Bhatt DL, et al. 2023 ESC Guidelines for the management of acute coronary syndromes. Eur Heart J. 2023;44(38):3720–3826. doi:10.1093/eurheartj/ehad191
• Hjort M, Eggers KM, Lindhagen L, Baron T, Erlinge D, Jernberg T, et al. Differences in biomarker concentrations and predictions of long-term outcome in patients with ST-elevation and non-ST-elevation myocardial infarction. Clin Biochem. 2021;98:17–23. doi:10.1016/j.clinbiochem.2021.08.005
• Choi BG, Rha SW, Yoon SG, Choi CU, Lee MW, Kim SW. Association of major adverse cardiac events up to 5 years in patients with chest pain without significant coronary artery disease in the Korean population. J Am Heart Assoc. 2019;8(4):e010541. doi:10.1161/JAHA.118.010541
• Juan-Salvadores P, Jimenez Diaz VA, Iglesia Carreno C, Guitian Gonzalez A, Veiga C, Martinez Reglero C, et al. Coronary artery disease in very young patients: analysis of risk factors and long-term follow-up. J Cardiovasc Dev Dis. 2022;9(2):51. doi:10.3390/jcdd9020051
• Madhavan MV, Kirtane AJ, Redfors B, Genereux P, Ben-Yehuda O, Palmerini T, et al. Stent-related adverse events >1 year after percutaneous coronary intervention. J Am Coll Cardiol. 2020;75(6):590–604. doi:10.1016/j.jacc.2019.11.058
• Gurevitz O, Jonas M, Boyko V, Rabinowitz B, Reicher-Reiss H. Clinical profile and long-term prognosis of women ≤50 years of age referred for coronary angiography for evaluation of chest pain. Am J Cardiol. 2000;85(7):806–809. doi:10.1016/S0002-9149(99)00895-0