Syntax score—A predictor of coronary collateral status

Singhal, Anish and Pai, Sheila R and Kamath, Padmanabha and Kini, Rekha D and *, Mukund PS and *, Chakrapani M (2016) Syntax score—A predictor of coronary collateral status. National Journal of Physiology, Pharmacy and Pharmacology, 6 (3). pp. 1-5. ISSN 23204672

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Background: Diabetes increases the oxidative stress over the myocardium that leads to arteriogenesis. Coronary collaterals (CC) serve as an alternative source of blood supply to the compromised myocardium. Though a few insights about the development and associations of CC in coronary artery disease (CAD) are known, conclusive data regarding their predictors is still a matter of active research. Around 25 parameters are found to be predicting well-developed CC, but their clinical usability is not established. Aims and Objective: This study was designed to find the association of predictors of CC in type 2 diabetes mellitus patients on conservative management for CAD. Materials and Methods: This was a cross-sectional study done after the institutional ethics committee approval. Forty-one patients from a tertiary care hospital in Mangalore, of either sex, were selected based on inclusion and exclusion criteria. Diagnosis of diabetes was according to American Diabetes Association guidelines. Body mass index, total cholesterol, low-density lipoprotein, history of smoking, and duration of diabetes were also measured. Angiographic grading of CC by Rentrop’s grading and calculation of severity of CAD by syntax score was done in the presence of a cardiologist. The data were analyzed using logistic regression analysis, p value o 0.05 was considered significant. Results: Results portrayed that syntax score 422 (p = 0.008) was significantly associated with the development of CC. Conclusion: Severity of CAD, as indicated by syntax score, can independently predict the development of CC in diabetics on conservative management for CAD.

Item Type: Article
Uncontrolled Keywords: Diabetes; Coronary Collaterals; Predictors; Coronary Artery Disease; Conservative Management; Syntax Score
Subjects: Medicine > KMC Mangalore > Cardiology
Medicine > KMC Mangalore > Physiology
Medicine > KMC Mangalore > Medicine
Depositing User: KMCMLR User
Date Deposited: 30 Jun 2016 11:37
Last Modified: 30 Jun 2016 11:37

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