The association of new atherosclerosis markers with coronary collaterals in chronic total occlusion patients

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dc.contributor.authorÖzyıldız, Ali Gökhan
dc.contributor.authorErgül, Elif
dc.contributor.authorÖğütveren, Muhammed Mürsel
dc.contributor.authorÖztürk, Muhammet
dc.contributor.authorEmlek, Nadir
dc.contributor.authorAydın, Cihan
dc.date.accessioned2023-05-06T17:23:33Z
dc.date.available2023-05-06T17:23:33Z
dc.date.issued2022
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.description.abstractObjectives: In the present study, we investigated the relationship between mentioned markers and chronic total occlusion collateral development. Patients and methods: A total of 243 patients (210 males, 33 females; mean age: 63.3±11.5; range, 51 to 76 years) who underwent coronary angiography due to typical chest pain or myocardial ischemia detected in noninvasive stress tests and diagnosed with ?1 major coronary artery occlusion between January and September 2020 were included in the cross-sectional observational study. The angiographic collateral index was determined according to the Cohen-Rentrop classification. The patients were divided into two groups according to the sufficiency of collateral development: the well-developed collaterals group (n=155) and the poor-developed collaterals group (n=88). Results: Statistically significant parameters in univariate logistic regression analysis were evaluated with multivariate (stepwise) logistic regression analysis; as a result, presence of chronic total occlusion in left anterior descending artery (odds ratio [OR]=2.447; 95% confidence interval [CI], 1.160-5.162; p=0.019), total number of occlusions (OR=3.503; 95% CI, 1.445-8.494; p=0.006), left ventricular ejection fraction (OR=1.056; 95% CI, 1.022-1.091; p=0.001), and the atherogenic index of plasma (OR=0.017; 95% CI, 1.022-1.091; p<0.001) were independently associated with well-developed collaterals. Although the triglyceride-glucose index had statistical significance in the univariate analysis, it was not detected as an independent variable in the multivariate analysis. The monocyte-lymphocyte ratio was not significant in the univariate analysis. Conclusion: Of the new atherosclerosis markers, only the atherogenic index of plasma had an independent association with poor collateral development.
dc.identifier.doi10.5606/e-cvsi.2022.1368
dc.identifier.endpage158
dc.identifier.issn2148-9211
dc.identifier.issue3en_US
dc.identifier.startpage152
dc.identifier.trdizinid1135808
dc.identifier.urihttps://doi.org/10.5606/e-cvsi.2022.1368
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1135808
dc.identifier.urihttps://hdl.handle.net/20.500.11776/12152
dc.identifier.volume9
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorAydın, Cihan
dc.language.isoen
dc.relation.ispartofCardiovascular surgery and interventions
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleThe association of new atherosclerosis markers with coronary collaterals in chronic total occlusion patients
dc.typeArticle

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