Home > Riviste > Gazzetta Medica Italiana Archivio per le Scienze Mediche > Fascicoli precedenti > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2018 June;177(6) > Gazzetta Medica Italiana Archivio per le Scienze Mediche 2018 June;177(6):260-5

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo

 

ORIGINAL ARTICLE   

Gazzetta Medica Italiana Archivio per le Scienze Mediche 2018 June;177(6):260-5

DOI: 10.23736/S0393-3660.17.03651-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Mitral annular calcification and SYNTAX Score

Levent CERIT 1 , Aziz GÜNSEL 1, Zeynep CERIT 2, Barçın ÖZCEM 3, Hatice KEMAL 1, Belma TAŞEL 1, Hamza DUYGU 1

1 Department of Cardiology, Near East University, Nicosia, Cyprus; 2 Department of Pediatric Cardiology, Near East University, Nicosia, Cyprus; 3 Department of Cardiovascular Surgery, Near East University, Nicosia, Cyprus


PDF


BACKGROUND: Mitral annular calcification (MAC) one of the most common echocardiographic abnormalities. MAC is associated with atherosclerotic risk factors such as advanced age, diabetes mellitus, hypercholesterolemia, hypertension, female sex, and chronic kidney disease. SYNTAX score (SS) is the angiographic scoring system and is commonly used to evaluate the severity and complexity of coronary artery disease. This study was conducted with the aim to evaluate the association between MAC and SS.
METHODS: The medical records of consecutive patients, who underwent coronary artery bypass graft surgery, were retrospectively reviewed. The study group consisted of 312 patients. Taking into consideration the inclusion criteria, 68 patients with MAC and 244 patients without MAC (control group) were included in the study. Biochemical, clinical, echocardiographic parameters, and SS were evaluated in all patients. SYNTAX score was divided into two groups: ≥23: high, <23 low.
RESULTS: Patients with MAC had higher prevalence of advanced age, hypertension, hyperlipidemia, female gender, and increased SS. On univariate analysis, advanced age, HT, HL, DM, current smoking, and MAC were associated with higher SS. On multivariate analysis DM, current smoking, and MAC were independent predictors for higher SS (OR 2.186; 95% CI: 1.863-4.094; P<0.001, OR 1.694; 95% CI: 1.218-2.493; P<0.001, OR 1.763; 95% CI: 1.327-3.058; P<0.001espectively).
CONCLUSIONS: In our study, we have founded that MAC was independent predictor for higher SS.


KEY WORDS: Mitral valve - Calcification - Diabetes mellitus - Smoking

inizio pagina