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Correlation between ankle–brachial index, wall motion score index, and SYNTAX score in acute coronary syndrome patients Cover

Correlation between ankle–brachial index, wall motion score index, and SYNTAX score in acute coronary syndrome patients

Open Access
|Jun 2022

Figures & Tables

Figure 1

Correlation between ABI and the SYNTAX score (r = −0.40, P-value 0.001). ABI, ankle–brachial index.

Figure 2

Correlation between WMSI and the SYNTAX score (r = 0.30, P-value 0.001). WMSI, wall motion score index.

Figure 3

Correlation between WMSI and ABI (r = 0.36, P-value 0.001). ABI, ankle–brachial index; WMSI, wall motion score index.

Sociodemographic, clinical, ECG, echocardiographic, laboratory, ABI, and angiographic characteristics of the two SYNTAX groups

ParametersGroup A (n = 95)Group B (n = 30)P-value
Age (mean ± SD) in years54.79 ± 8.756.13 ± 10.80.49
Sex, male (%)49 (51.6)19 (63.3)0.26
Smoking (%)56 (58.9)21 (70)0.28
Diabetes mellitus (%)22 (23.2)21 (70)0.001
Hypertension (%)38 (40)16 (53.3)0.19
Family history of IHD (%)8 (8.4)3 (10)0.79
Dyslipidemia (%)71 (74.7)26 (86.7)0.17
Diagnosis
UA and NSTEMI (%)52 (54.7)14 (46.7)0.44
STEMI (%)43 (45.3)16 (53.3)
Medications
Beta blockers (%)94 (98.9)29 (96.7)0.39
ACE-inhibitors/ARBs (%)73 (76.8)23 (76.7)0.98
Calcium channel blockers (%)4 (4.2)2 (6.7)0.58
ECG, abnormal (%)74 (77.9)27 (90)0.14
EF (mean ± SD)56.91 ± 9.951.53 ± 11.70.02
RWMA (%)51 (53.7)26 (86.7)0.001
WMSI (mean ± SD)1.20 ± 0.261.44 ± 0.270.001
Lipogram
Total cholesterol (mean ± SD)192.63 ± 41.9236.27 ± 26.70.001
Triglycerides (mean ± SD)178.06 ± 49.4205.73 ± 34.60.02
LDL (mean ± SD)123.00 ± 23.7155.77 ± 21.90.001
HDL (mean ± SD)37.47 ± 7.139.43 ± 6.90.19
ABI (mean ± SD)0.99 ± 0.20.81 ± 0.30.001
<0.9 (%)34 (35.8)27 (90)0.001
≥0.9 (%)61 (64.2)3 (10)
Number of affected vessels (mean ± SD)1.31 ± 0.93.0 ± 0.50.001
Nonsignificant or one vessel (%)61 (64.2)0 (0)0.001
Two or more vessels (%)34 (35.8)30 (100)

Sociodemographic, clinical, ECG, echocardiographic, laboratory, ABI, and angiographic characteristics of our study population

ParametersN = 125
Age (mean ± SD) in years55.11 ± 9.25
Sex, male (%)68 (54.4)
Smoking (%)77 (61.6)
Diabetes mellitus (%)43 (34.4)
Hypertension (%)54 (43.2)
Family history of IHD (%)11 (8.8)
Dyslipidemia (%)97 (77.6)
Diagnosis
UA (%)46 (36.8)
STEMI (%)59 (47.2)
NSTEMI (%)20 (16.0)
Medications
Beta blockers (%)123 (98.8)
ACE-inhibitors/ARBs (%)96 (76.8)
Calcium channel blockers (%)6 (4.8)
ECG, abnormal (%)101 (80.8)
Ejection fraction (mean ± SD)55.62 ± 10.56
Wall motion abnormalities (%)77 (61.6)
WMSI (mean ± SD)1.26 ± 0.28
Lipogram
Total cholesterol (mean ± SD)203.10 ± 43.00
Triglycerides (mean ± SD)184.70 ± 47.65
LDL (mean ± SD)130.86 ± 27.12
HDL (mean ± SD)37.94 ± 7.09
ABI (mean ± SD)0.95 ± 0.23
<0.9 (%)61 (48.8)
≥0.9 (%)64 (51.2)
SYNTAX score (mean ± SD)18.55 ± 10.42
Low (0–22) (%)68 (54.4)
Moderate (23–32) (%)27 (21.6)
High (≥33) (%)30 (24)
Number of affected vessels (mean ± SD)1.71 ± 1.08
Nonsignificant (%)17 (13.6)
One (%)44 (35.2)
Two (%)22 (17.6)
Three or more (%)42 (33.6)

Sociodemographic, clinical, ECG, echocardiographic, laboratory, and angiographic characteristics of the two ABI groups

ParametersGroup I (n = 64)Group II (n = 61)P-value
Age (mean ± SD) in years55.33 ± 8.954.89 ± 9.70.79
Sex, male (%)37 (57.8)31 (50.8)0.43
Smoking (%)32 (50)45 (73.8)0.006
Diabetes mellitus (%)14 (21.9)29 (47.5)0.003
Hypertension (%)25 (39.1)29 (47.5)0.33
Family history of IHD (%)6 (9.4)5 (8.2)0.82
Dyslipidemia (%)49 (76.6)48 (78.7)0.78
Diagnosis
UA and NSTEMI (%)38 (59.4)28 (45.9)0.13
STEMI (%)26 (40.6)33 (54.1)
Medications
Beta-blockers (%)63 (98.4)60 (98.4)0.97
ACE-inhibitors/ARBs (%)48 (75)48 (78.7)0.63
Calcium channel blockers (%)2 (3.1)4 (6.6)0.37
ECG, abnormal (%)50 (78.1)51 (83.6)0.44
EF (mean ± SD)57.16 ± 9.954.00 ± 11.10.095
RWMA (%)31 (48.4)46 (75.4)0.002
WMSI (mean ± SD)1.14 ± 0.211.37 ± 0.290.001
Lipogram
Total cholesterol (mean ± SD)184.88 ± 40.3222.23 ± 37.30.001
Triglycerides (mean ± SD)177.80 ± 56.8191.95 ± 34.60.097
LDL (mean ± SD)121.91 ± 25.4140.26 ± 25.80.001
HDL (mean ± SD)38.05 ± 8.437.84 ± 5.50.87
SYNTAX score (mean ± SD)11.11 ± 7.020.21 ± 11.40.001
Low (0–32) (%)61 (95.3)34 (55.7)0.001
High (≥33) (%)3 (4.7)27 (44.3)
Number of affected vessels (mean ± SD)1.25 ± 0.92.20 ± 1.00.001
Nonsignificant or one vessel (%)45 (70.3)16 (26.2)0.001
Two or more vessels (%)19 (29.7)45 (73.8)

Logistic regression model for the predictors of high SYNTAX score

FactorBivariateMultivariable
OR (95% CI)P-valueAOR (95% CI)P-value
Age/years1.016 (0.971–1.064)=0.4871.011 (0.919–1.080)=0.928
Sex (male)1.622 (0.697–3.773)=0.2622.208 (0.828–5.889)=0.114
ABI (<0.9)16.15 (4.65–57.18)<0.00110.95 (1.87–24.18)=0.008
EF%0.953 (0.916–0.992)=0.0180.938 (0.861–0.984)=0.041
WMSI10.71 (9.75–11.92)<0.0017.63 (5.65–9.23)=0.004
No. of affected vessels3.242 (0.024–12.03)<0.0012.413 (1.033–6.118)0.044
DOI: https://doi.org/10.2478/rjc-2022-0011 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
Language: English
Page range: 14 - 21
Published on: Jun 22, 2022
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Ahmed Abdel-Galeel, Doaa Magdy, Hatem Abdel Rahman Helmy, Amr Ahmed Youssef, Ayman Ibrahim, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.