Evaluation of collateral circulation with clinical, electrocardiographic, and angiographic parameters in patients with acute myocardial infarction

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dc.authorscopusid12789337000
dc.authorscopusid55881159100
dc.authorscopusid6701325407
dc.authorscopusid6506451573
dc.authorscopusid16835779300
dc.authorscopusid55863336000
dc.authorscopusid7003580267
dc.contributor.authorSeyfeli, Ergün
dc.contributor.authorArinç, Hüseyin
dc.contributor.authorÇiçek, Yüksel
dc.contributor.authorÖzdo?ru, Ibrahim
dc.contributor.authorSa?lam, Hayrettin
dc.contributor.authorAbaci, Adnan
dc.contributor.authorYalçin, Fatih
dc.date.accessioned2024-09-19T15:43:30Z
dc.date.available2024-09-19T15:43:30Z
dc.date.issued2006
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjectives: We investigated the presence of collateral circulation (CC) during early period of acute myocardial infarction (AMI) and evaluated its relationship with clinical, electrocardiographic, and angiographic parameters. Study design: In 79 patients (63 men, 16 women; mean age 57 years) who presented within the first six hours of AMI, coronary angiography was performed before primary angioplasty to determine the infarct-related artery (IRA), the number of arteries with significant stenosis (?50%), localization of stenosis (proximal, middle, or distal), and the presence of CC. The presence of Q waves and reciprocal ST-segment changes were evaluated on initial electrocardiograms. Collateral circulation to the IRA was graded according to the Rentrop scoring system. Results: Collateral circulation to the IRA was detected in 31 patients (39.2%). Infarct-related artery was the left anterior descending (LAD) coronary artery in 43 patients (54.4%), circumflex (Cx) artery in 11 patients (13.9%), and the right coronary artery (RCA) in 25 patients (31.7%). On initial electrocardiograms, Q wave was absent in 34 patients (43%) and reciprocal ST-segment depression was present in 53 patients (67.1%). Collateral circulation was more common in RCA occlusions than those involving the LAD and Cx arteries (60%, 32.6%, and 18.2%, respectively; p=0.012). The presence of CC was significantly correlated with hypertension (r=0.226, p=0.045) and RCA occlusion (r=0.309, p=0.006). In multiple regression analysis, only RCA occlusion was found to be an independent predictor for CC (r=0.377, p<0.001). Conclusion: In the early period of AMI, collateral circulation becomes functional in a considerable number of patients who have hypertension and RCA occlusion. This may be helpful in choosing between conservative and invasive treatments.en_US
dc.identifier.endpage28en_US
dc.identifier.issn1016-5169
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-39749130304en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage22en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14362
dc.identifier.volume34en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAngiographyen_US
dc.subjectCollateral circulationen_US
dc.subjectCoronary circulationen_US
dc.subjectElectrocardiographyen_US
dc.subjectHypertensionen_US
dc.subjectMyocardial infarctionen_US
dc.titleEvaluation of collateral circulation with clinical, electrocardiographic, and angiographic parameters in patients with acute myocardial infarctionen_US
dc.title.alternativeAkut miyokard infarktüslü hastalarda kollateral dolaşimin klinik, elektrokardiyografik ve anjiyografik parametrelerle de? erlendirilmesien_US
dc.typeArticleen_US

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