Relationship Between CHA2DS2-VASc Score, Coronary Tortuosity and Atrial Fibrillation in Patients with Coronary Artery Disease

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dc.contributor.authorKüçük, Uğur
dc.contributor.authorKırılmaz, Bahadır
dc.date.accessioned2025-01-27T19:32:38Z
dc.date.available2025-01-27T19:32:38Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjectives: Coronary tortuosity (CT) is a common coronary angiography result and the clinical significance of CT is not clearly understood. In this study, the relationship between the presence of CT with CHA2DS2-VASc score and atrial fibrillation (AF) was analyzed. Materials and Methods: Our study included 511 patients who underwent coronary angiography with evidence of coronary artery ischemia. All patients were assessed for the presence and severity of CT. Three or more bends that caused at least 45° changes in the main body of the coronary artery in both systole and diastole were defined as CT. The study patients were divided into groups according to the presence and severity of CT. Results: CHA2DS2-VASc score was higher in the significant (SCT) group (p=0.001). Increased CHA2DS2-VASc score, regardless of age and female gender, was statistically SCT only for the presence of LAD SCT [p=0.003, adjusted odds ratio (OR): 1.95, 95% confidence interval (CI): 1.69-2.20]. Left anterior descending (LAD) SCT (p=0.014, OR: 3.11, 95% CI: 1.25-7.69) was reported to be a possible predictor of AF. Conclusion: Patients who have LAD SCT observed on coronary angiography should be considered for periodic verification with electrocardiography in terms of AF development.
dc.identifier.doi10.32596/ejcm.galenos.2022.2022-05-033
dc.identifier.endpage174
dc.identifier.issn2147-1924
dc.identifier.issue4
dc.identifier.startpage167
dc.identifier.trdizinid1170839
dc.identifier.urihttps://doi.org/10.32596/ejcm.galenos.2022.2022-05-033
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1170839
dc.identifier.urihttps://hdl.handle.net/20.500.12428/16400
dc.identifier.volume10
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofE Journal of Cardiovascular Medicine
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TRD_20250125
dc.subjectKalp ve Kalp Damar Sistemi
dc.subjectOdyoloji ve Konuşma-Dil Patolojisi
dc.titleRelationship Between CHA2DS2-VASc Score, Coronary Tortuosity and Atrial Fibrillation in Patients with Coronary Artery Disease
dc.typeArticle

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