Kadriye GAYRETLİ YAYLA, Mustafa Bilal ÖZBAY, İdris YAKUT, Yasin ÖZEN, Mevlüt Serdar KUYUMCU, Mustafa KARANFİL, Ahmet ERTEM, Çağrı YAYLA

Frank sign ilk kez akut koroner sendromla başvuran hastalarda daha ileri koroner arter hastalığını öngörebilir

Amaç: Frank Sign olarak da adlandırılan diyagonal kulak memesi kırışıklığı (DELC), kulak memesinin derisinde çapraz kıvrım veya kırışık benzeri bir çizgidir. Fizik muayenede tespit edilen bu işaret, yüksek kardiyovasküler hastalık riski taşıyan bireyler için prognostik bir belirteç olarak önerilmiştir. Çalışmamızın amacı, ilk kez akut koroner sendrom (AKS) tanısı almış hastalarda DELC varlığı ile koroner arter hastalığı şiddeti arasındaki ilişkiyi SYNTAX skoruna göre değerlendirmektir. Gereç ve Yöntem: Kasım 2015-Aralık 2016 tarihleri arasında AKS tanısı ile acil servise başvuran 356 hasta çalışmaya alındı. Hastalar 3 gruba ayrıldı: düşük SYNTAX skoru (

Anahtar Kelimeler:

Akut koroner sendrom, Diyagonal kulak memesi kırışıklığı, Frank Sign, SYNTAX skoru.

Frank sign may predict more advanced coronary artery disease in patients admitted with a first time acute coronary syndrome

Aim: Diagonal ear lobe crease (DELC), also called as Frank's sign, is a diagonal fold or wrinkle-like line in the skin of the earlobe. This sign detected on the physical examination was proposed as a surrogate marker for individuals at high risk of cardiovascular disease. The aim of our study was to assess the relationship between presence of DELC and the severity of coronary artery disease according to the SYNTAX score in patients with firstly diagnosed acute coronary syndrome (ACS). Material and Methods: 356 patients admitted to the emergency department with the diagnosis of ACS from November 2015 to December 2016 were enrolled into the study. Patients were stratified into 3 groups: low SYNTAX score (

Keywords:

Acute coronary syndrome, Diagonal ear lobe crease, Frank’s sign, SYNTAX score.,

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