CORONARY SLOW FLOW AND CHA2 DS2 -VASC-HSF SCORE IN STABLE ISCHEMIC HEART DISEASE
Objective: The coronary slow flow phenomenon (CSFP) and its causes are still not fully explained. We investigated the functionality and usefulness of the CHA2DS2-VASc-HSF score in the diagnosis of CSFP in stable ischemic heart disease.Material and Methods: Patients with no obstructive coronary arter...
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Istanbul University Press
2024-02-01
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/96772804D10749D8A239C450A633E4E4 |
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| author | Pelin Karaca Özer Mustafa Lütfi Yavuz Emre Yalçın Elif Ayduk Gövdeli Mehmet Aydoğan Samim Emet Ali Elitok |
| author_facet | Pelin Karaca Özer Mustafa Lütfi Yavuz Emre Yalçın Elif Ayduk Gövdeli Mehmet Aydoğan Samim Emet Ali Elitok |
| author_sort | Pelin Karaca Özer |
| collection | DOAJ |
| description | Objective: The coronary slow flow phenomenon (CSFP) and its causes are still not fully explained. We investigated the functionality and usefulness of the CHA2DS2-VASc-HSF score in the diagnosis of CSFP in stable ischemic heart disease.Material and Methods: Patients with no obstructive coronary artery disease (CAD) and CSFP detected as a result of coronary angiography were included in the study. Patients with CSFP were compared with those without. Coronary blood flow velocity was evaluated by calculating the TIMI frame count (TFC) from coronary angiography images. In addition to the traditional CHADS scores of the patients, the CHA2DS2-VASc-HSF score was also calculated.Results: According to our study results, the CHA2DS2-VASc-HSF score was higher in patients with CSFP than in those without (3.75±1.27 vs. 2.85±1.11; p<0.001). There was no difference between the CHADS2 and CHA2DS2-VASc scores of the two groups. In logistic regression models, Hs-troponin-T and CHA2DS2-VASc-HSF scores were determined as independent predictors of CSFP. CHA2DS2-VASc-HSF score and TFC were positively correlated in the CSFP group (r=0.848, p<0.001). The sensitivity of CHA2DS2-VASc-HSF was determined as 56%, the specificity was 74%, and the cut-off value was 3.5 in detecting the presence of CSFP.Conclusion: This study shows the association of CHA2DS2-VASc-HSF score with CSFP, suggesting that it can be used to predict CSFP and its severity |
| format | Article |
| id | doaj-art-2525a54acf7c44bf927b95f36e3143e1 |
| institution | Kabale University |
| issn | 2651-4060 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | Sabiad |
| spelling | doaj-art-2525a54acf7c44bf927b95f36e3143e12025-08-20T03:48:52ZengIstanbul University PressSabiad2651-40602024-02-01711710.26650/JARHS2024-1348992123456CORONARY SLOW FLOW AND CHA2 DS2 -VASC-HSF SCORE IN STABLE ISCHEMIC HEART DISEASEPelin Karaca Özer0https://orcid.org/0000-0002-1085-5462Mustafa Lütfi Yavuz1https://orcid.org/0000-0002-4082-7518Emre Yalçın2https://orcid.org/0000-0003-3569-5730Elif Ayduk Gövdeli3https://orcid.org/0000-0002-6595-4812Mehmet Aydoğan4https://orcid.org/0000-0003-1342-3590Samim Emet5https://orcid.org/0000-0002-2806-4335Ali Elitok6https://orcid.org/0000-0002-0786-5096İstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeBitlis Tatvan State Hospital, Bitlis, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeObjective: The coronary slow flow phenomenon (CSFP) and its causes are still not fully explained. We investigated the functionality and usefulness of the CHA2DS2-VASc-HSF score in the diagnosis of CSFP in stable ischemic heart disease.Material and Methods: Patients with no obstructive coronary artery disease (CAD) and CSFP detected as a result of coronary angiography were included in the study. Patients with CSFP were compared with those without. Coronary blood flow velocity was evaluated by calculating the TIMI frame count (TFC) from coronary angiography images. In addition to the traditional CHADS scores of the patients, the CHA2DS2-VASc-HSF score was also calculated.Results: According to our study results, the CHA2DS2-VASc-HSF score was higher in patients with CSFP than in those without (3.75±1.27 vs. 2.85±1.11; p<0.001). There was no difference between the CHADS2 and CHA2DS2-VASc scores of the two groups. In logistic regression models, Hs-troponin-T and CHA2DS2-VASc-HSF scores were determined as independent predictors of CSFP. CHA2DS2-VASc-HSF score and TFC were positively correlated in the CSFP group (r=0.848, p<0.001). The sensitivity of CHA2DS2-VASc-HSF was determined as 56%, the specificity was 74%, and the cut-off value was 3.5 in detecting the presence of CSFP.Conclusion: This study shows the association of CHA2DS2-VASc-HSF score with CSFP, suggesting that it can be used to predict CSFP and its severityhttps://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/96772804D10749D8A239C450A633E4E4cha2ds2-vasc-hsf scorecoronary slow flownon-obstructive coronary artery |
| spellingShingle | Pelin Karaca Özer Mustafa Lütfi Yavuz Emre Yalçın Elif Ayduk Gövdeli Mehmet Aydoğan Samim Emet Ali Elitok CORONARY SLOW FLOW AND CHA2 DS2 -VASC-HSF SCORE IN STABLE ISCHEMIC HEART DISEASE Sabiad cha2ds2-vasc-hsf score coronary slow flow non-obstructive coronary artery |
| title | CORONARY SLOW FLOW AND CHA2 DS2 -VASC-HSF SCORE IN STABLE ISCHEMIC HEART DISEASE |
| title_full | CORONARY SLOW FLOW AND CHA2 DS2 -VASC-HSF SCORE IN STABLE ISCHEMIC HEART DISEASE |
| title_fullStr | CORONARY SLOW FLOW AND CHA2 DS2 -VASC-HSF SCORE IN STABLE ISCHEMIC HEART DISEASE |
| title_full_unstemmed | CORONARY SLOW FLOW AND CHA2 DS2 -VASC-HSF SCORE IN STABLE ISCHEMIC HEART DISEASE |
| title_short | CORONARY SLOW FLOW AND CHA2 DS2 -VASC-HSF SCORE IN STABLE ISCHEMIC HEART DISEASE |
| title_sort | coronary slow flow and cha2 ds2 vasc hsf score in stable ischemic heart disease |
| topic | cha2ds2-vasc-hsf score coronary slow flow non-obstructive coronary artery |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/96772804D10749D8A239C450A633E4E4 |
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