The relationship between degree of coronary artery stenosis detected by coronary computed tomography angiography and ACEF risk score in patients with chronic coronary syndrome

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dc.authorscopusid57202717071
dc.authorscopusid58090662900
dc.contributor.authorKis M.
dc.contributor.authorYurdam F.S.
dc.date.accessioned2023-03-22T19:47:54Z
dc.date.available2023-03-22T19:47:54Z
dc.date.issued2023
dc.departmentBelirleneceken_US
dc.description.abstractBACKGROUND: The ACEF risk score (age, creatinine, and ejection fraction) has been associated with satisfactory predictive values not only for short-term and long-term mortality but also for major adverse cardiovascular events. OBJECTIVES: Investigate the relationship between ACEF risk score and degree of coronary artery stenosis. DESIGN: Retrospective, observational study. SETTING: Tertiary percutaneous coronary intervention center. PATIENTS AND METHODS: In patients with coronary coronary artery stenosis <70% were compared with patients with stenosis ?70%. All were diagnosed with chronic coronary syndrome (CCS) and had undergone coronary computed tomography angiography (CTA). Receiver operating characteristic analysis was performed for the cut-off value of the ACEF risk score. Univariable and multivariable regression analyses were performed for significant parameters related to degree of coronary artery stenosis in coronary CTA. MAIN OUTCOME MEASURES: Relationship between ACEF risk score and degree of coronary artery stenosis in coronary CTA. SAMPLE SIZE: 148 patients. RESULTS: In the multivariable regression analysis; left ventricular ejection fraction (OR: 0.94; 95%CI: 0.89-0.99, P=.015) and ACEF risk score (OR: 5.63; 95% CI: 1.62-19.57, P=.007) were independent predictors for degree of coronary artery stenosis. The ACEF risk score was statistically significantly higher in with patients with stenosis ?70% (1.43 [0.59]) than in patients with stenosis <70% (0.98 [0.35]), P<.001). An ACEF risk score value >1.04 was a predictor of the presence of severe coronary artery stenosis detected by coronary CTA in patients with CCS, with 66% sensitivity and 69% specificity. CONCLUSIONS: A high ACEF risk score (age, creatinine, ejection fraction) in patients with CCS is associated with the presence of severe coronary artery stenosis detected by coronary CTA, and was useful as an assessment tool for coronary angiography in patients with CCS. LIMITATIONS: Since we do not have long-term follow-up results, we do not know the prognostic value of the ACEF risk score in the long-term follow-up of patients with CCS.None.en_US
dc.identifier.doi10.5144/0256-4947.2023.35
dc.identifier.endpage41en_US
dc.identifier.issn09754466
dc.identifier.issue1en_US
dc.identifier.pmid36739497en_US
dc.identifier.scopus2-s2.0-85147392954en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage35en_US
dc.identifier.urihttps://doi.org/10.5144/0256-4947.2023.35
dc.identifier.urihttps://hdl.handle.net/20.500.14034/904
dc.identifier.volume43en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherNLM (Medline)en_US
dc.relation.journalAnnals of Saudi medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcreatinineen_US
dc.subjectcomputed tomographic angiographyen_US
dc.subjectcoronary angiographyen_US
dc.subjectcoronary artery diseaseen_US
dc.subjectcoronary occlusionen_US
dc.subjectdiagnostic imagingen_US
dc.subjectheart left ventricle functionen_US
dc.subjectheart stroke volumeen_US
dc.subjecthumanen_US
dc.subjectpredictive valueen_US
dc.subjectproceduresen_US
dc.subjectretrospective studyen_US
dc.subjectrisk assessmenten_US
dc.subjectrisk factoren_US
dc.subjectstenosis, occlusion and obstructionen_US
dc.subjectsyndromeen_US
dc.subjectComputed Tomography Angiographyen_US
dc.subjectConstriction, Pathologicen_US
dc.subjectCoronary Angiographyen_US
dc.subjectCoronary Artery Diseaseen_US
dc.subjectCoronary Stenosisen_US
dc.subjectCreatinineen_US
dc.subjectHumansen_US
dc.subjectPredictive Value of Testsen_US
dc.subjectRetrospective Studiesen_US
dc.subjectRisk Assessmenten_US
dc.subjectRisk Factorsen_US
dc.subjectStroke Volumeen_US
dc.subjectSyndromeen_US
dc.subjectVentricular Function, Leften_US
dc.titleThe relationship between degree of coronary artery stenosis detected by coronary computed tomography angiography and ACEF risk score in patients with chronic coronary syndromeen_US
dc.typeArticleen_US

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