ST Segment Yükselmeli Miyokard İnfarktüsü Hastalarında Koroner Arter Hastalığının Ciddiyeti ile Serum Adropin Seviyesi Arasındaki İlişkinin Değerlendirilmesi

Year 2020, Volume: 10 Issue: 4, 623 - 628, 15.12.2020

Mustafa Öztürk , Oguzhan Ekrem Turan , Engin Şebin Gökhan Ceyhun , Emrah Aksakal , Kamuran Kalkan , Oktay Gulcu , Ali Korkmaz Murat Bayantemur

https://doi.org/10.31832/smj.767212

Abstract

Amaç: Adropin doku ve organların enerji balansı ile ilişkilidir. SYNTAX skor (SS) ST segment yükselmeli miyokard infraktüsünün (STYMI) ciddiyetinin değerlendirilmesinde kullanılmaktadır. Bu çalışmada serum adropinseviyesiile STYMI hastalarının hastalık ciddiyeti arasındaki ilişkinin araştırılması amaçlandı.
GereçveYöntemler: STYMI sebebiyle koroner anjiografi (KAG) yapılan 89 hasta çalışmaya dahil edildi. STYMI hastalar Grup 1 (SS < 22) ve Grup 2 (SS ≥ 23) alt gruplarına ayrıldı. KAG yapılan ve normal koroner arterler izlenen 43 hasta ise control grubu olarak çalışmaya dahil edildi.
Bulgular: Grup 1 ve 2 de erkek cinsiyet control grubuna gore daha fazlaydı (sırasıyla % 89,7, 74,2 ve 34,9, p < 0.001). Sigara kullanım oranı Grup 1 ve 2 de kontrol grubuna gore daha fazlaydı (sırasıyla %55,1, 34,4ve 11,6, p≤0.001). Serum adropin seviyesi Grup 1 de kontrol grubuna göre anlamlı daha azdı (147,3 ± 149,2 mg/L ile 228,1 ± 253,3 ng/L, p = 0.03). Serum adropin seviyesi en düşük Grup 2 de saptandı (87,8 ± 23,2 ng/L, 147,3 ± 149,2 ng/L ve 228,1 ± 253,3 ng/L, p = 0.004). Serum adropin seviyesi SS ile negatif koroleydi (r = -0.33, p = 0.002).
Sonuç: STYMI hastalarında serum adropin seviyeleri koroner arter hastalığı (KAH) olmayanlara göre düşüktür. SS yükseldikçe serum adropin seviyeleri azalmaktadır, bu da KAH ciddiyetini göstermektedir.

Keywords

Adropin, ST-segment yükselmeli miyokardial enfarktüs, SYNTAX skor

An Analysis on Coronary Artery Disease Severity with Serum Adropin Level in Patients with Acute ST-Segment Elevation Myocardial Infarction

Abstract

Objective: Adropin is associated with energy balance in tissues and organs. The SYNTAX score (SS) is used to determine the severity of ST-segment elevation myocardial infarction (STEMI). The aim of this study was to determine the relationship between serum adropin levels and disease severity in STEMI patients.
Materials and Methods: Eighty-nine patients who underwent coronary angiography (CAG) for STEMI were included in the study. The STEMI patients were divided into two subgroups: Group 1(SS < 22) and Group 2 (SS ≥ 23). 43 patients who underwent CAG and had normal coronary arteries were included in the study as a control group.
Results: Groups 1 and 2 included more male participants than the control group (89.7% and 74.2% vs. 34.9%, respectively, p < 0.001). The smoking rate was higher in Groups 1 and 2 than in the control group (55.1% and 34.4% vs. 11.6%, respectively, p≤0.001). Serum adropin levels were lower in Group 1 than in the control group (147.3 ± 149.2 mg/L and 228.1 ± 253.3 ng/L, p = 0.03). Serum adropin levels were the lowest in Group 2 (87.8 ± 23.2 ng/L, 147.3 ± 149.2 ng/L, and 228.1 ± 253.3 ng/L, p = 0.004). Serum adropin levels were also negatively correlated with SS (r = -0.33, p = 0.002).
Conclusion: Serum adropin levels decreased more in STEMI patients than in those without coronary artery disease (CAD). In addition, serum adropin levels decreased with increasing SS;this indicates the severity of CAD.

Keywords

Adropin, ST-segment elevation myocardial infarction, SYNTAX score

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