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The Relationship between GRACE Score and Epicardial Fat Thickness in non-STEMI Patients.
Gul, Ilker; Zungur, Mustafa; Aykan, Ahmet Cagri; Gokdeniz, Teyyar; Kalaycioglu, Ezgi; Turan, Turhan; Hatem, Engin; Boyaci, Faruk.
Afiliação
  • Gul I; Department of Cardiology, Faculty of Medicine, Sifa University, Izmir, Turkey.
  • Zungur M; Department of Cardiology, Faculty of Medicine, Sifa University, Izmir, Turkey.
  • Aykan AC; Department of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turquia.
  • Gokdeniz T; Department of Cardiology, Faculty of Medicine, Kafkas University, Kars, Turkey.
  • Kalaycioglu E; Department of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turquia.
  • Turan T; Department of Cardiology, Ahi Evren Thoracic and Cardiovascular Surgery Training and Research Hospital, Trabzon, Turquia.
  • Hatem E; Erzurum Region Education and Research Hospital, Erzurum, Turquia.
  • Boyaci F; Samsun Education and Research Hospital, Samsun, Turquia.
Arq Bras Cardiol ; 106(3): 194-200, 2016 Mar.
Article em En, Pt | MEDLINE | ID: mdl-26885974
BACKGROUND: GRACE risk score (GS) is a scoring system which has a prognostic significance in patients with non-ST segment elevation myocardial infarction (non-STEMI). OBJECTIVE: The present study aimed to determine whether end-systolic or end-diastolic epicardial fat thickness (EFT) is more closely associated with high-risk non-STEMI patients according to the GS. METHODS: We evaluated 207 patients who had non-STEMI beginning from October 2012 to February 2013, and 162 of them were included in the study (115 males, mean age: 66.6 ± 12.8 years). End-systolic and end-diastolic EFTs were measured with echocardiographic methods. Patients with high in-hospital GS were categorized as the H-GS group (in hospital GS > 140), while other patients were categorized as the low-to-moderate risk group (LM-GS). RESULTS: Systolic and diastolic blood pressures of H-GS patients were lower than those of LM-GS patients, and the average heart rate was higher in this group. End-systolic EFT and end-diastolic EFT were significantly higher in the H-GS group. The echocardiographic assessment of right and left ventricles showed significantly decreased ejection fraction in both ventricles in the H-GS group. The highest correlation was found between GS and end-diastolic EFT (r = 0.438). CONCLUSION: End-systolic and end-diastolic EFTs were found to be increased in the H-GS group. However, end-diastolic EFT and GS had better correlation than end-systolic EFT and GS.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pericárdio / Tecido Adiposo / Síndrome Coronariana Aguda Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En / Pt Revista: Arq Bras Cardiol Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pericárdio / Tecido Adiposo / Síndrome Coronariana Aguda Tipo de estudo: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En / Pt Revista: Arq Bras Cardiol Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil