Clinical SYNTAX Score Predicts Cerebrovascular Event AfterIsolated Coronary Artery Bypass Surgery

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dc.contributor.authorŞahin, Ahmet Anıl
dc.contributor.authorTaşbulak, Ömer
dc.date.accessioned2024-05-19T14:23:47Z
dc.date.available2024-05-19T14:23:47Z
dc.date.issued2021
dc.departmentİstinye Üniversitesien_US
dc.description.abstractINTRODUCTION: Cerebrovascular event (CVE) is majorcause of mortality and morbidity after coronary artery bypasssurgery (CABG). There is no available data in literatureinvestigating correlation between SYNTAX and clinicalSYNTAX score (CSS) and CVE after isolated CABG. The aimof the study was to investigate predicting risk of CVE withSYNTAX and CSS. METHODS: 1850 patients underwent isolated CABG betweenOctober 2011 to December 2013 were included in the study inour hospital. 249 patients included in our study aftereliminating patients having exclusion criteria. CVE includedtransient ischemic events and strokes in 30 days after CABGand two groups were determined as post-operative CVE (+)(PoCVE+) and post-operative CVE(-) (PoCVE-). SYNTAXscore and additional clinical parameters (age, left ventricularejection fraction (LVEF), glomerular filtration rate (GFR)) tocalculate CSS were recorded for patients using last coronaryangiography before isolated CABG. RESULTS: In present study, age (p=0.002), total cholesterol(p=0.048), glucose (p=0.022), uric acid (p=0.032), creatinine(p=0.022), neutrophil count (p=0.06), circumflex-saphenousgrafting (CX-SVG) (p=0.01), CSS (p=0.003) were foundstatistically higher in PoCVE(+) group. Additionally, LVEF(p=0.019) and GFR (p=0.013) were detected lower inPoCVE(+) group. logistic regression of significant parametersshowed that, average age (p=0.017), increased glucose levels(p=0.08), existence of CX-SVG (p=0.011) and CSS (p=0,026)were found contributed factors. CSS >8 predicts CVE withsensitivity of 78.6, specificity of 68.9 DISCUSSION AND CONCLUSION: This study showed CSSmight be a useful and practical score to predict CVE inpatients who planned to undergo CABG therefore precautionsmight be taken before surgery for these patients.en_US
dc.identifier.endpage105en_US
dc.identifier.issn2147-0758
dc.identifier.issue1en_US
dc.identifier.startpage97en_US
dc.identifier.trdizinid487637en_US
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/487637
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4124
dc.identifier.volume10en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofKocaeli Tıp Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.titleClinical SYNTAX Score Predicts Cerebrovascular Event AfterIsolated Coronary Artery Bypass Surgeryen_US
dc.typeArticleen_US

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