Autor: |
Ilker Gul, Mustafa Zungur, Ahmet Cagri Aykan, Teyyar Gokdeniz, Ezgi Kalaycioğlu, Turhan Turan, Engin Hatem, Faruk Boyaci |
Jazyk: |
English<br />Portuguese |
Rok vydání: |
2016 |
Předmět: |
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Zdroj: |
Arquivos Brasileiros de Cardiologia, Iss 0 (2016) |
Druh dokumentu: |
article |
ISSN: |
1678-4170 |
DOI: |
10.5935/abc.20160024 |
Popis: |
Abstract Background: GRACE risk score (GS) is a scoring system which has a prognostic significance in patients with non-ST segment elevation myocardial infarction (non-STEMI). Objective: The present study aimed to determine whether end-systolic or end-diastolic epicardial fat thickness (EFT) is more closely associated with high-risk non-STEMI patients according to the GS. Methods: We evaluated 207 patients who had non-STEMI beginning from October 2012 to February 2013, and 162 of them were included in the study (115 males, mean age: 66.6 ± 12.8 years). End-systolic and end-diastolic EFTs were measured with echocardiographic methods. Patients with high in-hospital GS were categorized as the H-GS group (in hospital GS > 140), while other patients were categorized as the low-to-moderate risk group (LM-GS). Results: Systolic and diastolic blood pressures of H-GS patients were lower than those of LM-GS patients, and the average heart rate was higher in this group. End-systolic EFT and end-diastolic EFT were significantly higher in the H-GS group. The echocardiographic assessment of right and left ventricles showed significantly decreased ejection fraction in both ventricles in the H-GS group. The highest correlation was found between GS and end-diastolic EFT (r = 0.438). Conclusion: End-systolic and end-diastolic EFTs were found to be increased in the H-GS group. However, end-diastolic EFT and GS had better correlation than end-systolic EFT and GS. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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