Koroner arter hastalığında SYNTAX skorunun yeri

Kardiyovasküler hastalıklar ülkemizde ve gelişmiş ülkelerde mortalite ve morbiditenin en önemli nedenidir. Kardiyovasküler hastalıklar arasında en yaygın olanı ise Koroner Arter Hastalığı (KAH) olup yüksek mortalite ve morbidite ile ilişkilidir. Koroner arter hastalığının %99’unda etyolojik neden aterosklerozdur. Ateroskleroz nedeniyle oluşan KAH ciddiyetini belirlemede altın standart yöntem koroner anjiyografidir. Koroner anjiyografi hem tanı hem de tedavi yöntemidir. Bu nedenle anjiyografi görüntülerine dayalı bazı skorlama sistemleri geliştirilmiştir. SYNTAX skoru (SYNergy between PCI with TAXUS and Cardiac Surgery) koroner arter hastalığının anatomik ciddiyetini derecelendirmede kullanılan skorlama sistemlerinden biridir. Bu derlemede koroner arter hastalığında SYNTAX skoru kullanımının incelenmesi ve literatürünün güncel bilgilerle özetlenmesi amaçlanmıştır.

Anahtar Kelimeler:

koroner arter hastalığı, koroner anjiyografi, SYNTAX skoru

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