Prediction of coronary artery disease severity in lower extremity artery disease patients: A correlation study of TASC II classification, Syntax and Syntax II scores

Vuruşkan, Ertan; Saraçoğlu, Erhan; Polat, Mustafa; Düzen, İrfan Veysel

doi:10.5603/cj.a2017.0033

Cited by 8 publications

(7 citation statements)

References 22 publications

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“…Vuruskan et al found that angiographic critical stenosis in femoro-popliteal segment was most reliable for the determination of subjects with high SS [30]. In the present study, significant and total occlusion of the femoro-popliteal segment arteries by DUS were found in significantly more proportion of subjects with high SS (p = 0.02).…”

Section: Distribution Of Leadsupporting

confidence: 57%

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RETRACTED ARTICLE: Association of severity of coronary artery disease by SYNTAX score (SS) and lower extremity arterial disease by duplex ultrasound (DUS) study—an Indian perspective

2020

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Background Coronary artery disease (CAD) and lower extremity artery disease (LEAD) often coexist. Ankle brachial index (ABI) has been shown to be an independent predictor of CAD. Studies have reported correlation of CAD and LEAD on the basis of ABI and also invasive angiography. But rigorous searching did not reveal any similar research where severity of LEAD was assessed by duplex ultrasound (DUS). In this study, we assessed the association of severity and localisation of LEAD by DUS with SYNTAX score (SS). Results A total of 637 subjects above 45 years of age with coronary angiographic confirmation of CAD were studied in this single centre cross-sectional, descriptive and analytical research. High SS was significantly more common in subjects with LEAD (p = 0.04). In the femoro-popliteal segment, total occlusion of arteries was found in significantly more proportion of subjects with high SS. A progressive increase in mean SS was noted across the grades of arterial disease in the femoro-popliteal segment (p = 0.007). 85.2% of the LEAD was in the femoro-popliteal segment, while below-knee arterial disease was present in 98.5% of subjects with LEAD. Hypertension, smoking, history of CVE and presentation with ACS independently increased the risk of LEAD. Conclusion High prevalence of asymptomatic LEAD and association of high SS with LEAD as a whole as well as femoro-popliteal involvement suggests the need for a point of care DUS study (POCUS) since treatment varies with location and extent of disease which cannot be fathomed by ABI alone. Being the largest study on association of CAD and LEAD from Indian subcontinent till date and also the first study to use non-invasive tool as DUS for LEAD assessment while studying its association with CAD makes this a landmark experience.

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Section: Distribution Of Leadsupporting

confidence: 57%

“…com) was used to deduce the SS [11]. The SS was graded into low (0-22), intermediate (23)(24)(25)(26)(27)(28)(29)(30)(31)(32) and high (> 32) risk.…”

Section: Cad and Ssmentioning

confidence: 99%

RETRACTED ARTICLE: Association of severity of coronary artery disease by SYNTAX score (SS) and lower extremity arterial disease by duplex ultrasound (DUS) study—an Indian perspective

2020

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“…Furthermore, several studies reported that patients with an abnormal ankle-brachial index, greater carotid artery intima media thickness, or greater carotid artery stenosis have more complex CAD [28][29][30][31]. Moreover, a recent study observed an association of total peripheral score, which evaluated the extent of lower-extremity artery disease, with SYNTAX score [32]. The panvascular inflammatory process observed in our study is consistent with previous findings.…”

Section: Oct Findingssupporting

confidence: 92%

Differences in coronary plaque characteristics between patients with and those without peripheral arterial disease

Bryniarski

Yamamoto²,

Higuma³

et al. 2017

Coronary Artery Disease

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“…[40][41][42] A relationship between PAD and increased SXscore has also been shown. 43,44 Increased rates of PAD and higher cIMT may explain why SXscore increases in patients with ATC.…”

Section: Discussionmentioning

confidence: 99%

Anterior Tragal Crease Is Associated With SYNTAX Score in Non-ST-Segment Elevation Myocardial Infarction

et al. 2020

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The main aim of this study was to investigate the relation between anterior tragal crease (ATC) and coronary artery lesion complexity and severity assessed using the SYNTAX score (SXscore) in patients with non-ST-segment elevation myocardial infarction (NSTEMI). A total of 121 patients with a first-time diagnosis of NSTEMI were consecutively enrolled. ATC was defined as ≥1 crease that was close to the tragus and descended anteriorly. SXscore was calculated using the SXscore algorithm. The SXscore was higher in the ATC-positive group than in the ATC-negative group (11.85 ± 8.20 vs 7.52 ± 6.38, P = .003). In the univariate analysis, hemoglobin (male: 11.7-17.4 g/dL, female: 11.7-16.1 g/dL; P = .006), diabetes mellitus ( P = .031), current smoking ( P = .022), and presence of ATC ( P = .022) were significantly associated with increased SXscore. Multivariate analysis revealed ATC (95% confidence interval [CI]: 1.313-7.800, P = .011), current smoking (95% CI: 2.034-13.893, P = .001), and hemoglobin (95% CI: 0.433-0.822, P = .002) as independent determinants of increased SXscore. Anterior tragal crease is easily detected by physical examination. Presence of ATC in patients with NSTEMI may be a warning signal of complexity and severity of coronary artery disease (CAD).

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Prediction of coronary artery disease severity in lower extremity artery disease patients: A correlation study of TASC II classification, Syntax and Syntax II scores

Cited by 8 publications

References 22 publications

RETRACTED ARTICLE: Association of severity of coronary artery disease by SYNTAX score (SS) and lower extremity arterial disease by duplex ultrasound (DUS) study—an Indian perspective

RETRACTED ARTICLE: Association of severity of coronary artery disease by SYNTAX score (SS) and lower extremity arterial disease by duplex ultrasound (DUS) study—an Indian perspective

Differences in coronary plaque characteristics between patients with and those without peripheral arterial disease

Anterior Tragal Crease Is Associated With SYNTAX Score in Non-ST-Segment Elevation Myocardial Infarction

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