The utility of SYNTAX score predictability by electrocardiogram parameters in patients with unstable angina

Hatamnejad, Mohammad Reza; Heydari, Amir Arsalan; Salimi, Maryam; Jahangiri, Soodeh; Bazrafshan, Mehdi; Drissi, Hamed Bazrafshan

doi:10.1186/s12872-022-02455-6

Cited by 9 publications

(4 citation statements)

References 37 publications

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“…APV was significantly correlated with STNTAX score inversely, which demonstrates that as APV decreases, the SYNTAX score will be increase. SYNTAX score is an indicator of CAD severity [24] and by using the APV index as an available marker, risk stratification of CAD patients would be easier, especially for transferring patients for invasive procedures.…”

Section: Discussionmentioning

confidence: 99%

Aortic propagation velocity in predicting coronary artery disease: A systematic review and meta-analysis

Ghaderi,

Niroomand,

Poorzand

et al. 2023

Medicine

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Introduction: Coronary artery disease (CAD) and its outcome, myocardial infarction, is yet a significant etiology of mortality and morbidity nowadays. The aortic propagation velocity (APV) can be a simple, straightforward and novel echocardiographic index for the risk stratification in the evaluation of CAD. In this meta-analysis, we evaluated the predictive role of APV in CAD. Material and methods: Relevant electronic bibliographies (PubMed, ScienceDirect, Scopus, EMbase, the Cochrane library) were explored. Related reports were selected according to the inclusion and exclusion criteria. Meta-analysis was performed using the Comprehensive Meta-analysis 2.0 software. Results: Eventually, 5 articles met the inclusion criteria and included in the meta-analysis. Five studies with 490 patients reported the APV mean in CAD and non-CAD groups. A random-effect model was used and the pooled findings demonstrated a significant higher APV in non-CAD group compared to CAD group (SMD: 2.39, 95% CI: 1.70–3.07, P < .001, I 2: 84%, Q: 19.03). The diagnostic value of APV in predicting CAD showed 86.3% sensitivity (95% CI: 74–91, P value < .001, I 2: 65%, Q: 8.53, P value: .03) and 83.8% specificity (95% CI: 69–94, P value < .001, I 2: 60%, Q: 9.89, P value: .01). Conclusion: There was a predictive role of APV in CAD with suitable specificity and sensitivity. Moreover, aortic distensibility and aortic strain were significantly different in CAD and non-CAD patients. APV could be used as a good noninvasive tool for screening CAD.

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Section: Discussionmentioning

confidence: 99%

Aortic propagation velocity in predicting coronary artery disease: A systematic review and meta-analysis

Ghaderi,

Niroomand,

Poorzand

et al. 2023

Medicine

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“…Based on our result, the level of the D-dimer is significantly higher in those who developed VTE (p-value = 0.004). There is an overall agreement on D-dimer elevation during VTE in the literature, even though several studies have shown that this assay has a high negative predictive value and is a relatively sensitive but nonspecific marker for DVT [23]. Brotman et al evaluated the utility and limitations of D-dimer testing for the evaluation of VTE in hospitalized patients [24].…”

Section: Discussionmentioning

confidence: 99%

Thromboembolic Events among Multiple Trauma Victims with Pelvic Fractures with Injury Severity Score Greater Than 16 with and without Deep Vein Thrombosis Prophylactic Doses of Enoxaparin

2022

Surg Insights

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Introduction: Venous thromboembolism (VTE) is a common life-threatening complication in patients affected by severe trauma. The clinical manifestations of VTE are deep venous thrombosis (DVT) and pulmonary embolism (PE). Various prophylactic pharmacological strategies are used.We studied the efficacy of enoxaparin in preventing VTE in our level 1 trauma center. Materials and Methods:This cross-sectional study included patients with polytrauma with an Injury Severity Score (ISS) of greater than 16 units and a pelvis fracture diagnosis. Clinical features, laboratory data, and images were reviewed from medical documents. Moreover, the prophylactic medication regimens were recorded. Development of VTE was identified in patients, and a p-value <0.05 was considered statistically significant.Results: A total of 327 patients were examined, of which 18 had developed VTE (5.5%). The frequency was relatively higher in males, cases with fractures, and cases with a history of VTE.Patients with two or more pelvic fracture sites and those with a history of VTE manifested are statistically more likely to develop VTE than those with fewer than two pelvic fracture sites and no history of VTE (p-value = 0.02 and 0.006, respectively). Moreover, the administration of prophylactic doses of enoxaparin n had no statistically significant effect on VTE prevention (pvalue = 0.08). Conclusion:In conclusion, we found no significant correlation between the prophylactic doses of enoxaparin and VTE probability. Furthermore, a history of VTE and more fracture sites would increase the probability of VTE.

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“…Moreover, assessing ECG parameters in conduction system disease in victims of COVID-19, ST-T changes, fragmented QRS, axis deviation, presence of S1Q3T3, and poor R wave progression were significantly related to conduction disease in victims of COVID-19. possible suggestive of new-onset myocardial infarctions during the infection, increasing the risk of mortality (38)(39)(40). This may indicate that COVID-19 adversely affects cardiac myocardial tissue more than how it was taken for granted.…”

Section: Discussionmentioning

confidence: 99%

Conduction System Disease in Victims of COVID-19

Sarejloo¹,

Asadi²,

Salimi³

2022

IJMRA

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Background: Electrophysiological-related manifestation of COVID-19 is a matter of debate in the literature nowadays. A wide spectrum of arrhythmias was observed among patients who have been infected with COVID-19. Objectives: This study discussed the prevalence of arrhythmias and conduction system disease in patients with COVID-19. Method: In this retrospective study, demographic and electrocardiographic data of 432 expired COVID-19 patients who had been admitted to Faghihi Hospital of Shiraz University of Medical Sciences from August 2020 until December 2020 were reviewed. Results: Atrioventricular nodal block (AVB) was found in 40(9.3%) patients. Furthermore, 28(6.5%) of them suffered from the first degree of AVB, and 12(2.8%) suffered from complete heart block (CHB). Among 189 cases (59.0%) ST-T changes agreed with myocardial infarction or localized myocarditis. Findings of myocardial injury including fragmented QRS and prolonged QTc were observed among 91 (21.1%) and 28 (6.5%) respectively. In victims of COVID-19, conduction disease was not related to any comorbidities. Fragmented QRS, axis deviation, presence of S1Q3T3, and poor R wave progression were significantly related to conduction system abnormalities in victims of COVID-19 (P-value > 0.05) Conclusion: Our findings can serve in future studies that aim to develop a risk stratification method for susceptible COVID-19 patients. The myocardial injury appears to role significantly in COVID-19 morbidity and mortality. Consequently, we recommend health policymakers consider separate catheterization laboratories that provide service only to COVID-19 patients.

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The utility of SYNTAX score predictability by electrocardiogram parameters in patients with unstable angina

Cited by 9 publications

References 37 publications

Aortic propagation velocity in predicting coronary artery disease: A systematic review and meta-analysis

Aortic propagation velocity in predicting coronary artery disease: A systematic review and meta-analysis

Thromboembolic Events among Multiple Trauma Victims with Pelvic Fractures with Injury Severity Score Greater Than 16 with and without Deep Vein Thrombosis Prophylactic Doses of Enoxaparin

Conduction System Disease in Victims of COVID-19

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