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The SYNTAX score does not predict presence of carotid disease in a multivessel coronary disease population.
- Source :
-
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2014 Jun 01; Vol. 83 (7), pp. 1169-75. Date of Electronic Publication: 2013 Dec 23. - Publication Year :
- 2014
-
Abstract
- Background: Numerous reports have shown the relationship between carotid artery atherosclerosis and coronary artery disease (CAD). However, the association between complex CAD evaluated by SYNTAX score (SxScore) and prevalence of carotid lesion (CL) has not been fully investigated. We sought to assess the prevalence of carotid atherosclerosis in patients with multivessel CAD assessed by SxScore and the relationship between SxScore severity and features of carotid atherosclerosis.<br />Methods and Results: Subjects were 204 consecutive patients with multivessel CAD assessed by coronary angiography and no previous history of carotid atherosclerosis that underwent carotid ultrasound scan from June 2012 to 2013. Presence of CL, significant carotid disease (SCD) and carotid plaque morphology was evaluated. At least one CL was found in 159 patients (77.9%) with no significant difference among SxScore groups (P = 0.20 and P = 0.54, respectively). High prevalence of complex carotid plaque (CCP) was found without significant different distribution in SxScore groups (P = 0.69). Age was independently associated with the presence of CL [odds ratio (OR) 1.055; 95% confidence interval (CI): 1.015-1.097; P = 0.007] and SCD (OR 1.057; 95% CI: 1.008-1.097; P = 0.019). Age and diabetes were independently associated with CCP (OR 1.58; 95% CI: 1.023-1.095; P = 0.001; OR 1.848; 95% CI: 1.026-3.327; P = 0.041). SxScore was not independently associated with CL, SCD and CCP (all P > 0.2).<br />Conclusions: We found high prevalence of CL in patients with multivessel complex CAD. However, SxScore does not seem to correlate with carotid atherosclerosis.<br /> (Copyright © 2013 Wiley Periodicals, Inc.)
- Subjects :
- Carotid Artery Diseases complications
Carotid Artery Diseases diagnosis
Coronary Angiography
Coronary Disease diagnostic imaging
Coronary Disease epidemiology
Follow-Up Studies
Incidence
Italy epidemiology
Prevalence
Prognosis
Prospective Studies
Risk Factors
Severity of Illness Index
Ultrasonography, Doppler, Color
Carotid Artery Diseases epidemiology
Coronary Disease complications
Subjects
Details
- Language :
- English
- ISSN :
- 1522-726X
- Volume :
- 83
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
- Publication Type :
- Academic Journal
- Accession number :
- 24323404
- Full Text :
- https://doi.org/10.1002/ccd.25320