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The Importance of Arterial Stiffness Parameters for Predicting Syntax Score in Acute Coronary Syndrome Cover

The Importance of Arterial Stiffness Parameters for Predicting Syntax Score in Acute Coronary Syndrome

Open Access
|Dec 2025

Figures & Tables

Table 1

Demographic findings of patients

NSTEMI (n=53)STEMI (n=51)Total (n=104)p value
Mean±SDMean±SDMean±SD
Age (year)61,94±11,4760,75±13,5161,36±12,460.626
BMI (kg/m2)28,70±5,0428,14±5,4628,43±5,230.578
Gendern (%)n (%)n (%)
  Female23 (43,4)18 (35,3)41 (39,4)0.428
  Male30 (56,6)33 (64,7)63 (60,6)
HT
  no16 (30,2)27 (52,9)43 (41,3)0.028 (2,6 [1,2–5,8])a
  yes37 (69,8)24 (47,1)61 (58,7)
T2DM
  no27 (50,9)35 (68,6)62 (59,6)0.075
  yes26 (49,1)16 (31,4)42 (40,4)
Smoking
  no24 (45,3)21 (41,2)45 (43,2)0.676
  yes29 (54,7)30 (58,8)59 (56,8)

SD: Standard Deviation,

a: Odds Ratio (%95 Confidence Interval),

T2DM, Type 2 Diabetes Mellitus, HT: Hypertension, STEMI: ST elevation myocardial infarction, NSTEMI: Non-ST elevation myocardial infarction, kg: kilogram

Table 2

Laboratory results of patients

Variables (on admission)NSTEMI (n=53)STEMI (n=51)Total (n=104)p value
Mean±SDMean±SDMean±SD
WBC (*103/mm3)11,18±408211,87±411,46±40.238
Hb (g/dL)12,62±2,3413,71±1,7313,16±2,120.007
BUN (mg/dL)51,49±4143,43±3247,7±37,30.183
Creatinin (mg/dL)1,34±0,91,18±0,61,28±0,80.319
Glucose (mg/dL)148,88±84,57154±68,7150,67±76,20.737
Total kolesterol (mg/dL)209,87±58,63216,51±49,63213,13±54,250.545
LDL (mg/dL)124,72±51,71142,39±48,72133,38±50,800.068
HDL (mg/dL)40±10,941±9,641±10,250.736
cTnI (µg/L)3,7±1,142847±16091411±817<0,001
CK-MB (U/L)15,9±44,75899±42002928±21000.046

[i] SD: Standard Deviation, WBC: White blood cells, Hb: hemoglobin, g: gram, dL: desi Liter, BUN: Blood urea nitrogen, LDL: Low density lipoprotein, HDL: High density lipoprotein, cTnI: cardial troponin I, CK-MB: Creatinin kinase-myoglobin, a: Odds Ratio (%95 Confidence Interval), T2DM: Type 2 Diabetes Mellitus, HT: Hypertension, STEMI: ST elevation myocardial infarction, NSTEMI: Non-ST elevation myocardial infarction, kg: kilogram, U: Unit

Table 3

Syntax, TIMI, Grace Scores and echocardiographic findings

NSTEMI (n=53)STEMI (n=51) (%)Total (n=104)P value
Median (Min-Max)Median (Min-Max)Median (Min-Max)
SYNTAX Score14 (2–33)16,5 (3–28,5)15 (2–33)0.943
Grace Score (Mortality)122 (57–222)132 (66–230)128,5 (57–230)0.396
AIx18 (4–61)15 (5–61)17 (4–61)0.359
TIMI Score3 (1–6)3 (1–7)3 (1–7)0.119
LVEF50 (20–65)40 (15–60)46,5 (15–65)0.001
Cardiac Index2,6 (1,4–5,9)2,6 (1,7–4,1)2,6 (1,4–5,9)0.613
Mean±SDMean±SDMean±SD
PWV8,89±1,948,49±2,188,70±2,060.322
Left atrium diameter (mm)37,06±6,3837,06±5,4337,06±5,900.998
Hb12,62±2,3413,71±1,7313,16±2,120.007
MSBP111,49±20,73113,27±19,62112,37±20,110.654
MSDP77,72±13,5081,06±13,9379,36±13,750.230
SYNTAX Scoren (%)n (%)n (%)
  <1118 (34,0)14 (28,0)32 (31,1)0.758
  11–1816 (30,2)18 (36,0)34 (33,0)
  >1819 (35,8)18 (36,0)37 (35,9)

[i] Independent T test(Bootstrap) – Mann Whitney U test(Monte Carlo) – Pearson Chi-Square Test(Monte Carlo) – Fisher Exact Test(Exact), SD: Standard Deviation, Min: Minimum, Max: Maximum, a: Odds Ratio (%95), CI: Confidence Interval, STEMI: ST elevation myocardial infarction, NSTEMI: Non-ST elevation myocardial infarction, PWV: pulse wave velocity, TIMI: The Thrombolysis in Myocardial Infarction, MSBP: mean systolic blood pressure, MDBP: mean diastolic blood pressure

Table 4

Correlations with Syntax Score

Syntax ScoreNSTEMISTEMITotal
rPrPrP
PWV,356**0.0090.0950.508,237*0.015
Grace (on admission),609**<0,001,325*0.020,484**<0,001
TIMI Score (on admission),609**<0,001,290*0.039,451**<0,001
MSBP−0.1250.3720.0760.594−0.0310.757
MDBP−0.0590.6740.0140.921−0.0170.861
AIx−0.1850.185−0.0390.786−0.1230.214
LVEF−,421**0.002−0.0430.765−,256**0.009
Left atrium diameter (mm)0.2380.086,301*0.032,265**0.006

Spearman’s rho Test, r: correlation coefficient, PWV: pulse wave velocity, TIMI: The Thrombolysis in Myocardial Infarction, MSBP: mean systolic blood pressure, MDBP: mean diastolic blood pressure, STEMI: ST elevated myocardial infarction, NSTEMI: Non-ST elevated myocardial infarction, MDBP: mean diastolic blood pressure,

** p<0.01,

* p<0.05

Table 5

Correlations with PWV

PWVNSTEMISTEMITotal
rPrPrP
Grace Score (mortality),296*0.032,324*0.021,301**0.002
TIMI Score,375**0.006,510**<0,001,456**<0,001
Left atrium diameter (mm)0.2040.142,404**0.003,294**0.002
Age,760**<0,001,861**<0,001,816**<0,001
BMI−0.1110.4270.1930.1750.0570.564
Hb−0.2280.101−0.1540.281−,226*0.021
Total Cholesterol−,363**0.007−0.0890.534−,235*0.016
LDL−0.2030.146−0.090.53−0.1590.106
HDL−0.0060.9650.0210.8840.0040.964
MSBP,317*0.021,361**0.009,332**0.001
MDBP0.0150.9130.0680.6350.0310.757
AIx0.0410.771,422**0.002,247*0.011
LVEF−0.1110.430.1660.2430.0660.507
WBC−,362**0.008−0.0780.588−,211*0.032
RDW0.1640.2420.0780.5880.1230.215
BUN,491**<0,001,563**<0,001,530**<0,001
Creatinine,320*0.02,453**0.001,376**<0,001
Glucose0.1770.205,293*0.037,197*0.045
CK-MB (on admission)−,275*0.0480.2130.133−0.0050.959
Cardiac Index,389**0.004−0.0960.5010.1360.169

Spearman’s rho Test, r: correlation coefficient, PWV: pulse wave velocity, TIMI: The Thrombolysis in Myocardial Infarction, MSBP: mean systolic blood pressure, MDBP: mean diastolic blood pressure, STEMI: ST elevated myocardial infarction, NSTEMI: Non-ST elevated myocardial infarction, MDBP: mean diastolic blood pressure,

** p<0.01,

* p<0.05

Supplementary Table S1

Multivariable linear regression: SYNTAX score

Total cohortSTEMINSTEMI
(Intercept)1.12 (−11.42–13.65)3.15 (−10.18–16.49)−5.91 (−54.59–42.77)
baPWV−0.78 (−2.68–1.11)−1.34 (−3.78–1.09)−0.12 (−7.63–7.39)
Age 0.30 (0.02–0.57)0.28 (−0.05–0.61)0.33 (−0.79–1.46)
Systolic BP0.02 (−0.06–0.11)0.06 (−0.02–0.15)0.01 (−0.32–0.34)
Hypertension −0.19 (−3.49–3.12)−2.10 (−5.97–1.78)1.95 (−4.68–8.58)
Creatinine 0.43 (−1.61–2.47)−0.38 (−4.89–4.12)0.15 (−4.86–5.17)
Num.Obs.1045153
R2 Adj.0.0170.0550.067

+ p < 0.1,

* p < 0.05,

** p < 0.01,

*** p < 0.001

Supplementary Table S2

Sensitivity analysis (MBP, LDL, Hb added)

Total cohortSTEMINSTEMI
(Intercept)11.69 (−10.17–33.55)−1.04 (−28.23–26.14)15.15 (−42.23–72.54)
baPWV−0.25 (−2.74–2.23)−1.38 (−4.01–1.24)1.27 (−6.51–9.05)
Age 0.23 (−0.14–0.59)0.29 (−0.07–0.65)0.12 (−1.03–1.27)
Mean BP0.14 (−0.24–0.52)0.03 (−0.50–0.56)0.19 (−0.54–0.91)
LDL0.02 (−0.02–0.05)0.00 (−0.05–0.05)0.04 (−0.01–0.08)
Hemoglobin −0.94 (−1.87–−0.02)0.19 (−1.01–1.39)−1.48 (−2.78–−0.18)
Systolic BP−0.09 (−0.39–0.21)0.04 (−0.36–0.45)−0.17 (−0.75–0.40)
Hypertension −0.96 (−4.33–2.41)−2.03 (−6.30–2.25)0.50 (−5.67–6.68)
Creatinine 0.11 (−2.36–2.58)−0.08 (−4.95–4.79)−0.66 (−5.27–3.94)
Num.Obs.1045153
R2 Adj.0.081−0.0190.142

+ p < 0.1,

* p < 0.05,

** p < 0.01,

*** p < 0.001

DOI: https://doi.org/10.2478/rjim-2025-0023 | Journal eISSN: 2501-062X (formerly 1220-4749) | Journal ISSN: 1220-4749
Language: English, Romanian
Page range: 25 - 36
Submitted on: Oct 19, 2025
Published on: Dec 18, 2025
Published by: N.G. Lupu Internal Medicine Foundation
In partnership with: Paradigm Publishing Services

© 2025 Semih Gülle, Cenk Ekmekci, Harun Akar, Öner Özdoğan, published by N.G. Lupu Internal Medicine Foundation
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.