Relationship Between Duke Treadmill Score and Coronary Artery Lesion Complexity

Acar, Zeydin; Korkmaz, Levent; Ağaç, Mustafa Tarık; Erkan, Hakan; Dursun, İhsan; Kalaycıoğlu, Ezgi; Kırış, Gülhanım; Çelık, Şükrü

doi:10.25011/cim.v35i6.19208

Cited by 9 publications

(16 citation statements)

References 11 publications

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“…The difference between correlation coefficients can be attributed to the difference in the average DTS values. Acar et al [17] found the average DTS value to be -2.5 ± 7, while it was -6 ± 6 in our study. Our study population had lower DTS values.…”

Section: Discussioncontrasting

confidence: 44%

“…Acar et al [17] identified strong negative correlation between DTS and SS (r = -0.93). In our study the r-value was detected to be 0.75.…”

Section: Discussionmentioning

confidence: 99%

“…In this context, the outcomes of these two studies support each other. Unlike in the study of Acar et al [17] we also divided the patients into SS = 0 and SS > 0 groups firstly. Then the patients with SS > 0 were divided into two groups: low and high SS.…”

Section: Discussionmentioning

confidence: 99%

“…The difference in the number of patients may also be the rea- son for this inequality in correlation coefficients. Acar et al [17] divided the patients into three tertiles considering DTS (£ -11, -10 to 4, ≥ 5) and calculated the average SS of each group. The patients with an average DTS value of -11 or less, who were defined as group 3, had an average SS of 23 ± 6.…”

Section: Discussionmentioning

confidence: 99%

“…Dr Zeki Yüksel Günaydın, Department of Cardiology, Ordu University, Ordu Egitim Arastıma Hastanesi 52100, Ordu, Turkey, e-mail: doktorzeki28@gmail.com Praca wpłynęła: 17 …”

Section: Adres Do Korespondencjimentioning

confidence: 99%

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The value of the Duke treadmill score in predicting the presence and severity of coronary artery disease

et al. 2016

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Section: Discussioncontrasting

confidence: 44%

“…Acar et al [17] identified strong negative correlation between DTS and SS (r = -0.93). In our study the r-value was detected to be 0.75.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Dr Zeki Yüksel Günaydın, Department of Cardiology, Ordu University, Ordu Egitim Arastıma Hastanesi 52100, Ordu, Turkey, e-mail: doktorzeki28@gmail.com Praca wpłynęła: 17 …”

Section: Adres Do Korespondencjimentioning

confidence: 99%

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The value of the Duke treadmill score in predicting the presence and severity of coronary artery disease

et al. 2016

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A new scoring system for evaluating coronary artery disease by using blood pressure variability

Zhu

Qiu

et al. 2017

Australas Phys Eng Sci Med

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The aim of this study was to develop a new scoring system using ambulatory blood pressure monitoring (ABPM) to assist in the evaluation of coronary artery disease (CAD). One hundred twenty-five subjects (53.1 ± 9.6 years of age) were included. Pearson's tests were first performed to identify the parameters that correlated with Duke Treadmill Score (DTS). Blood test parameters and blood pressure variability (BPV) measures that were extracted from the ABPM were included. Next, a multiple linear regression analysis was performed to train a new scoring system in the 84 patients from the 125 patients. Then, a correlation analysis was conducted to validate the correlation between the new scoring system and DTS in the remaining 41 subjects. A further correlation analysis was used to verify the clinical value of the new scoring system using ultrasonic cardiogram (UCG) and brachial-ankle pulse wave velocity (baPWV). Our new scoring system, which had a 24.096 - 0.083 × residual standard deviation of night systolic blood pressure (SBP) - 0.130 × age - 0.206 × average real variability of night SBP, was correlated with DTS (r = 0.312, P = 0.047). Moreover, our new scoring system was also correlated with various markers of cardiac function (r = -0.290, P = 0.001; r = -0.262, P = 0.004; r = -0.303, P = 0.001; r = -0.306, P = 0.001, respectively) measured by UCG and with baPWV (r = 0.529, P = 0.001). Furthermore, the r-values for the BPV Score versus the markers were closer to -1 than the corresponding r-values for the Duke Score vs the same parameters. And the differences in r-values between Duke Score and BPV Score were statistically significant (P = 0.022). In conclusion, the new scoring system based on ABPM has potential as a non-invasive tool for evaluating CAD.

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Decreased heart rate recovery may predict a high SYNTAX score in patients with stable coronary artery disease

Emren

Gediz

Şenöz

et al. 2019

Bosn J of Basic Med Sci

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An impaired heart rate recovery (HRR) has been associated with increased risk of cardiovascular events, cardiovascular, and all‐cause mortality. However, the diagnostic ability of HRR for the presence and severity of coronary artery disease (CAD) has not been clearly elucidated. Our aim was to investigate the relationship between HRR and the SYNTAX (SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery) score in patients with stable CAD (SCAD). A total of 406 patients with an abnormal treadmill exercise test and ≥50% coronary stenosis on coronary angiography were included. The HRR was calculated by subtracting the HR in the first minute of the recovery period from the maximum HR during exercise. The SYNTAX score ≥23 was accepted as high. Correlation of HRR with SYNTAX score and independent predictors of high SYNTAX score were determined. A high SYNTAX score was present in 172 (42%) patients. Mean HRR was lower in patients with a high SYNTAX score (9.8 ± 4.5 vs. 21.3 ± 9, p < 0.001). The SYNTAX score was negatively correlated with HRR (r: -0.580, p < 0.001). In multivariate logistic regression analysis, peripheral arterial disease (OR: 13.3; 95% CI: 3.120–34.520; p < 0.001), decreased HRR (OR: 0.780; 95% CI: 0.674–0.902; p = 0.001), peak systolic blood pressure (OR: 1.054; 95% CI: 1.023–1.087; p = 0.001), and peak HR (OR: 0.950; 95% CI: 0.923–0.977; p < 0.001) were found to be independent predictors of a high SYNTAX score. Our results showed that HRR is significantly correlated with the SYNTAX score, and a decreased HRR is an independent predictor of a high SYNTAX score in patients with SCAD.

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Relationship Between Duke Treadmill Score and Coronary Artery Lesion Complexity

Cited by 9 publications

References 11 publications

The value of the Duke treadmill score in predicting the presence and severity of coronary artery disease

The value of the Duke treadmill score in predicting the presence and severity of coronary artery disease

A new scoring system for evaluating coronary artery disease by using blood pressure variability

Decreased heart rate recovery may predict a high SYNTAX score in patients with stable coronary artery disease

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