Mustafa Bilal ÖZBAY, Yasin ÖZEN, Özcan ÖZEKE, Burak AÇAR, Mustafa KARAKURT, Mevlüt Serdar KUYUMCU, Kadriye GAYRETLİ YAYLA, Çağrı YAYLA, Ahmet ERTEM, Dursun ARAS

İlk tanı akut koroner sendrom ile başvuran hastalarda koroner arter çaplarının prediyabet ve diyabet ile ilişkisinin incelenmesi

Amaç: Diyabetik hastalarda daha yaygın ve şiddetli koroner ateroskleroz vardır ve koroner arter çapları (KAÇ) yaygın olarak etkilenir, ancak bu durum prediyabetiklerde değerlendirilmemiştir. Bu çalışma, akut koroner sendromlu hastalarda prediyabetin KAÇ' ları üzerindeki etkilerini araştırdı. Gereç ve Yöntemler: Bu çalışmaya dahil edilen 266 hasta "normal", "prediyabetik" ve "diyabetik" olmak üzere üç gruba ayrıldı. Hastaların KAÇ' ları kantitatif koroner anjiyografi tekniği ile hesaplandı. Koroner segmentler belirlenen bölgelerden ölçüldü. Bulgular: Normal gruptan farklı olarak hem prediyabetin hem de diyabetin proksimal RCA dışında damarlar üzerinde benzer etkileri olduğunu bulduk. Ayrıca LMCA çapının en çok etkilenen koroner segment olduğunu ve proksimal LAD çapının en çok etkilenen ikinci segment olduğunu bulduk (her ikisi için p

Anahtar Kelimeler:

koroner arter çapları, HbA1c, prediyabet, akut koroner sendrom

Investigation of the relationship of coronary artery diameters with prediabetes and diabetes in patients with first diagnosis acute coronary syndrome

Aim: Diabetic patients have a more severe and widespread coronary atherosclerosis, and their coronary artery diameters (CADs) are widely affected, but this has not been evaluated in prediabetics. This study investigated the effects of prediabetes on CADs in patients with acute coronary syndrome. Material and Methods: Two hundred and sixty-six patients included in this study were divided into three groups as "normal", "prediabetic" and "diabetic". Patients' CADs were calculated via the quantitative coronary angiography technique. Coronary segments were measured from the designated regions. Results: We found that both prediabetes and diabetes had similar adverse effects on vessels except the proximal RCA, unlike the normal group. We also found that the diameter of the LMCA was the most affected coronary segment, and the diameter of proximal LAD was second segment as affected mostly (p

Keywords:

Coronary Artery Diameter, Prediabetes, Acute Coronary Syndrome, HbA1c,

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