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Original articles
Published online: 2017-07-07
Submitted: 2016-12-28
Accepted: 2017-06-08
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Evaluation of the relationship between renal resistive index and extensivity and complexity of coronary artery disease in patients with acute coronary syndrome

Alaa Quisi, Ibrahim Halil Kurt, Durmuş Yıldıray Şahin, Onur Kaypaklı, Gökhan Söker, Ömer Kaya, Samir Allahverdiyev, Ömer Genç, Gökhan Alıcı, Mevlüt Koç
DOI: 10.5603/KP.a2017.0138

open access

Ahead of print
Original articles
Published online: 2017-07-07
Submitted: 2016-12-28
Accepted: 2017-06-08

Abstract

Background: Despite the advances in cardiovascular medicine, acute coronary syndrome (ACS) is still a major cause of morbidity and mortality worldwide. Synergy between PCI ™ with TAXUS and Cardiac Surgery (SYNTAX) score is used to determine the extensivity and complexity of coronary artery disease (CAD). Renal resistive index (RRI), a renal Doppler ultrasound parameter, is used to detect renal hemodynamics. Although some risk factors for CAD, including hypertension and diabetes mellitus were demonstrated to have an association with RRI, direct relationship between the presence. extensivity and complexity of CAD and RRI has not been investigated yet. In this study, we evaluated the relationship between RRI and SYNTAX score in patients with ACS.

Materials and methods: This cross-sectional study enrolled 235 patients who were diagnosed with ACS and underwent coronary angiography at our teritary clinic between February 2016 and August 2016. Regarding clinical presentation, 112 patients were diagnosed with non-ST-segment elevation ACS (NSTE-ACS) and 123 patients were diagnosed with ST-segment elevation ACS (STE-ACS). The patients’ demographic, clinical, laboratory, echocardiographic data, SYNTAX scores and measurements of renal Doppler ultrasound paramaters, including RRI, renal pulsatility index (RPI) and acceleration time (AT) were recorded.

Results: Among 235 patients 112 (47.7%) were diagnosed with NSTE-ACS and 123 (52.3%) were diagnosed with STE-ACS. Mean SYNTAX score and RRI of patients with NSTE-ACS and STE-ACS were 15.4 and 0.69, 21.1 and 0.67, respectively. The SYNTAX score was associated with gender, height, plasma uric asid level, left atrial diameter, left ventricular end-systolic and end-diastolic diameter, RPI and RRI in patietns with NSTE-ACS, as well as with low-density lipoprotein-cholesterol, total cholesterol, ejection fraction and left ventricular end-systolic diameter in patietns with STE-ACS (p<0.05 for each variable). RRI was significantly associated with age, hemoglobin level, left atrial diameter, the SYNTAX score, acceleration time, and RPI in patients with NSTE-ACS, as well as with weight, body mass index, interventricular septum thickness at diastole, left ventricular posterior wall thickness at diastole, left ventricular ejection fraction, and RRI in patients with STE-ACS. Multivariate logistic regression analysis demonstrated that left ventricular end-systolic diameter (β=0.385, 95% CI: 1.065-2.029, p = 0.019), RRI (β=32.230, 95% CI: 5343.148-1.848E +24, p=0.008) and RPI (β=-7.439, 95% CI: 0.000-0.231, p=0.015) were the independent predictors of moderate to high SYNTAX score in patients with NSTE-ACS.

Conclusions: Non-invasively detected RRI is closely associated with extensivity and complexity of CAD in patients with NSTE-ACS. However, there is a need for randomized controlled studies involving wider population.

Abstract

Background: Despite the advances in cardiovascular medicine, acute coronary syndrome (ACS) is still a major cause of morbidity and mortality worldwide. Synergy between PCI ™ with TAXUS and Cardiac Surgery (SYNTAX) score is used to determine the extensivity and complexity of coronary artery disease (CAD). Renal resistive index (RRI), a renal Doppler ultrasound parameter, is used to detect renal hemodynamics. Although some risk factors for CAD, including hypertension and diabetes mellitus were demonstrated to have an association with RRI, direct relationship between the presence. extensivity and complexity of CAD and RRI has not been investigated yet. In this study, we evaluated the relationship between RRI and SYNTAX score in patients with ACS.

Materials and methods: This cross-sectional study enrolled 235 patients who were diagnosed with ACS and underwent coronary angiography at our teritary clinic between February 2016 and August 2016. Regarding clinical presentation, 112 patients were diagnosed with non-ST-segment elevation ACS (NSTE-ACS) and 123 patients were diagnosed with ST-segment elevation ACS (STE-ACS). The patients’ demographic, clinical, laboratory, echocardiographic data, SYNTAX scores and measurements of renal Doppler ultrasound paramaters, including RRI, renal pulsatility index (RPI) and acceleration time (AT) were recorded.

Results: Among 235 patients 112 (47.7%) were diagnosed with NSTE-ACS and 123 (52.3%) were diagnosed with STE-ACS. Mean SYNTAX score and RRI of patients with NSTE-ACS and STE-ACS were 15.4 and 0.69, 21.1 and 0.67, respectively. The SYNTAX score was associated with gender, height, plasma uric asid level, left atrial diameter, left ventricular end-systolic and end-diastolic diameter, RPI and RRI in patietns with NSTE-ACS, as well as with low-density lipoprotein-cholesterol, total cholesterol, ejection fraction and left ventricular end-systolic diameter in patietns with STE-ACS (p<0.05 for each variable). RRI was significantly associated with age, hemoglobin level, left atrial diameter, the SYNTAX score, acceleration time, and RPI in patients with NSTE-ACS, as well as with weight, body mass index, interventricular septum thickness at diastole, left ventricular posterior wall thickness at diastole, left ventricular ejection fraction, and RRI in patients with STE-ACS. Multivariate logistic regression analysis demonstrated that left ventricular end-systolic diameter (β=0.385, 95% CI: 1.065-2.029, p = 0.019), RRI (β=32.230, 95% CI: 5343.148-1.848E +24, p=0.008) and RPI (β=-7.439, 95% CI: 0.000-0.231, p=0.015) were the independent predictors of moderate to high SYNTAX score in patients with NSTE-ACS.

Conclusions: Non-invasively detected RRI is closely associated with extensivity and complexity of CAD in patients with NSTE-ACS. However, there is a need for randomized controlled studies involving wider population.

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Keywords

acute coronary syndrome; coronary artery disease; SYNTAX score; renal resistive index

About this article
Title

Evaluation of the relationship between renal resistive index and extensivity and complexity of coronary artery disease in patients with acute coronary syndrome

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Ahead of print

Published online

2017-07-07

DOI

10.5603/KP.a2017.0138

Keywords

acute coronary syndrome
coronary artery disease
SYNTAX score
renal resistive index

Authors

Alaa Quisi
Ibrahim Halil Kurt
Durmuş Yıldıray Şahin
Onur Kaypaklı
Gökhan Söker
Ömer Kaya
Samir Allahverdiyev
Ömer Genç
Gökhan Alıcı
Mevlüt Koç

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