Predictors of coronary tortuosity in patients with chronic coronary syndrome

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dc.authoridYurdam, Ferhat Siyamend/0000-0002-8494-2980
dc.authoridGüzel, Tuncay/0000-0001-8470-1928
dc.authoridAkhan, Onur/0000-0003-4440-9599
dc.authoridKış, Mehmet/0000-0003-0775-8992
dc.authoridBAKIR, EREN OZAN/0000-0001-7168-9157
dc.authorwosidYurdam, Ferhat Siyamend/HOF-9253-2023
dc.authorwosidGüzel, Tuncay/AAC-9120-2022
dc.authorwosidAkhan, Onur/AEU-8033-2022
dc.authorwosidKış, Mehmet/AAE-3815-2021
dc.contributor.authorYurdam, Ferhat Siyamend
dc.contributor.authorKis, Mehmet
dc.contributor.authorDemir, Yusuf
dc.contributor.authorBakir, Eren Ozan
dc.contributor.authorAkhan, Onur
dc.contributor.authorGuzel, Tuncay
dc.date.accessioned2024-03-09T18:48:44Z
dc.date.available2024-03-09T18:48:44Z
dc.date.issued2023
dc.departmentİzmir Bakırçay Üniversitesien_US
dc.description.abstractAim Coronary artery tortuosity is a common coronary angiographic finding. This tortuosity can cause myocardial ischemia even in the absence of significant coronary artery stenosis. Our aim was to compare the demographic, clinical and echocardiographic features of patients with chronic coronary syndrome (CCS) and with and without coronary artery tortuosity. Material and methods 361 patients who underwent elective coronary angiography (CAG) due to CCS were included in the study. These patients divided into two groups, those with coronary tortuosity (Group 1) and those without (Group 2). Univariable and multivariable logistic regression analysis was performed to identify predictors associated with coronary artery tortuosity. Results The mean age of the 361 CCS patients (44 % female; 56 % male) was 56.7 +/- 11.5 years. In the univariable regression analysis, age, female sex, hypertension (HT), PR interval, QTc interval, ST /T segment changes, left ventricle diastolic dysfunction (LVDD), left ventricle hypertrophia (LVH) were identified as predictors of coronary tortuosity. In the multivariable regression analysis, age (OR: 1.059; 95 %CI: 1.032-1.087, p<0.001) and hypertension (OR: 0.484; 95%CI: 0.278-0.843, p=0.01) were identified as independent predictors of coronary tortuosity. Conclusion Coronary artery tortuosity is an angiographic finding that develops as a result of adaptive mechanisms in the heart and can cause myocardial ischemia. Predictors of coronary artery tortuosity in patients with CCS were long PR and QTc intervals, ST/T segment changes, LVH, LVDD, advanced age, and female gender. Evaluation of these demographic, electrocardiographic, and echocardiographic data may help clinicans to anticipate coronary artery tortuosity in patients with CCS and to be precautious for PCI.en_US
dc.identifier.doi10.18087/cardio.2023.8.n2485
dc.identifier.endpage61en_US
dc.identifier.issn0022-9040
dc.identifier.issue8en_US
dc.identifier.pmid37691506en_US
dc.identifier.scopus2-s2.0-85174498262en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage56en_US
dc.identifier.urihttps://doi.org/10.18087/cardio.2023.8.n2485
dc.identifier.urihttps://hdl.handle.net/20.500.14034/1442
dc.identifier.volume63en_US
dc.identifier.wosWOS:001103158800008en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherRussian Heart Failure Socen_US
dc.relation.ispartofKardiologiyaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChronic Coronary Syndrome; Coronary Tortuosity; Coronary Angiography; Clinical Features; Predictorsen_US
dc.titlePredictors of coronary tortuosity in patients with chronic coronary syndromeen_US
dc.typeArticleen_US

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