Comparison of syntax score and syntax score II to predict “no reflow phenomenon” in patients with ST-segment elevation myocardial infarction

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dc.contributor.authorYesin, Mahmut
dc.contributor.authorÇağdaş, Metin
dc.contributor.authorKalçık, Macit
dc.contributor.authorUluganyan, Mahmut
dc.contributor.authorEfe, Süleyman Çağan
dc.contributor.authorRencüzoğulları, İbrahim
dc.contributor.authorKarabağ, Yavuz
dc.contributor.authorGürsoy, Mustafa Ozan
dc.contributor.authorKarakoyun, Süleyman
dc.date.accessioned2019-05-13T09:04:48Z
dc.date.available2019-05-13T09:04:48Z
dc.date.issued2017
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractEven though the relationship between syntax score (SS) and coronary no-reflow phenomenon has been studied, the relation between SS and syntax score II (SS II) in patients with no-reflow phenomenon is unknown. We aimed to define the relationship between coronary no-reflow phenomenon and SS II as compared with SS. This study enrolled 193 patients undergoing primary percutaneous coronary intervention for ST elevation myocardial infarction in whom 42 patients developed the no-reflow phenomenon. SS and SS II were calculated in all patients. Bland Altman analysis was used to compare receiver-operating characteristic (ROC) curve analysis results. SS and SS II values were significantly higher in the no-reflow group than the reflow group (28.3 ± 5.5 vs. 18.8 ± 10.1; p < 0.001 and 42.5 (22.1–58.5) vs. 26.1 (13–49.8); p < 0.001 respectively). SS II value >32.3 yielded an area under the curve value of 0.881 (95% CI 0.820–0.942; p < 0.001) and independently predicted no-reflow with a sensitivity of 88% and a specificity of 80% (OR 1.150, 95% CI 1.047–1.263, p = 0.003). Comparison of ROC curve results with Bland Altman analysis showed that area under curve of SS II was larger than that of SS (0.881 vs. 0.785, p = 0.01). SS II may be a more useful tool than SS for prediction no-reflow phenomenon after primary percutaneous coronary intervention in patients with ST elevation myocardial infarction. © 2017, Springer Science+Business Media B.V.
dc.identifier.citationYesin, M., Çağdaş, M., Kalçık, M., Uluganyan, M., Efe, S. Ç., Rencüzoğulları, İ., Karabağ, Y., Gürsoy, M. O., Karakoyun, S. (2017). Comparison of syntax score and syntax score II to predict “no reflow phenomenon” in patients with ST-segment elevation myocardial infarction. International Journal of Cardiovascular Imaging, 33(12), 1883-1889.
dc.identifier.doi10.1007/s10554-017-1200-5
dc.identifier.endpage1889en_US
dc.identifier.issn1569-5794
dc.identifier.issue12en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage1883en_US
dc.identifier.urihttps://doi.org/10.1007/s10554-017-1200-5
dc.identifier.urihttps://hdl.handle.net/11491/1644
dc.identifier.volume33en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherSpringer Netherlands
dc.relation.ispartofInternational Journal of Cardiovascular Imaging
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCoronary Artery Diseaseen_US
dc.subjectNo Reflowen_US
dc.subjectST-Elevation Myocardial Infarctionen_US
dc.subjectSyntax Scoreen_US
dc.subjectSyntax Score IIen_US
dc.titleComparison of syntax score and syntax score II to predict “no reflow phenomenon” in patients with ST-segment elevation myocardial infarction
dc.typeArticle

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