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Erciyes Medical Journal An Important Question That Needs to Be Proved: Is There Any Relationship between the Epicardial Fat Thickness and the Coronary Artery Complexity in Patients with Acute Non-ST Elevation Myocardial Infarction? [Erciyes Med J]
Erciyes Med J. 2017; 39(1): 16-23 | DOI: 10.5152/etd.2017.16081

An Important Question That Needs to Be Proved: Is There Any Relationship between the Epicardial Fat Thickness and the Coronary Artery Complexity in Patients with Acute Non-ST Elevation Myocardial Infarction?

Ahmet Karakurt1, Cennet Yıldız2
1Department of Cardiology, Kafkas University Faculty of Medicine, Kars, Turkey
2Department of Cardiology, Bağcılar Tekden Hospital, İstanbul, Turkey

Objective: In this study, we aimed to investigate the association of epicardial fat thickness (EFT) and coronary artery lesion complexity with patients having acute non-ST elevation myocardial infarction (NSTEMI).
Materials and Methods: The patients (n=328) were divided into low syntax score (SS) group (SS≤17; Low-SSG), intermediate SS group (SS=18-28; In-SSG), and high SS group (SS≥29; High-SSG) based on the SS value. EFT, SS, distributions of the critical coronary artery lesions, and the neutrophil-lymphocyte ratio (NLR) were determined for all the groups. EFT was measured by transthoracic echocardiography and was recorded on a digital storage device.
Results: High-SSG had a significantly higher mean of EFT (6.65±0.82 mm) when compared to Low-SSG (5.12±1.13 mm) and In-SSG (5.79±0.83 mm) (p<0.001). EFT showed a significant positive correlation with SS (r=0.607, p<0.001). Further, a significant positive correlation was revealed with the distributions of critical coronary artery lesions of the left anterior descending (LAD), circumflex artery (Cx), and right coronary artery (RCA) (r=0.260, p<0.001; r=0.213, p=0.001; and r=0.275, p<0.001, respectively). However, no correlation was demonstrated between EFT and NLR (r=0.081, p=0.145) in patients with NSTEMI.
Conclusion: These results showed that EFT is significantly associated with coronary artery lesion complexity in patients with NSTEMI and can work as a risk marker in these patients.

Keywords: Epicardial fat thickness, coronary artery lesion complexity, acute non-ST elevation myocardial infarction

Ahmet Karakurt, Cennet Yıldız. An Important Question That Needs to Be Proved: Is There Any Relationship between the Epicardial Fat Thickness and the Coronary Artery Complexity in Patients with Acute Non-ST Elevation Myocardial Infarction?. Erciyes Med J. 2017; 39(1): 16-23

Corresponding Author: Ahmet Karakurt, Türkiye
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