Is There a Relationship Between Metabolic Equivalence and the SYNTAX Score as Strong Prognostic Markers?

Gökhan Ergün, Halime Tanrıverdi, Erkan Demirci, Yasemin Doğan, Yücel Yılmaz, Şaban Keleşoğlu, Ziya Şimşek, Selami Demirelli
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Abstract

Objective: The metabolic equivalent (MET) and Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery (SYNTAX) score are two parameters with known cardiovascular prognostic significance. In this study, we aimed to investigate the direct relationship between MET and SYNTAX score in patients with chronic coronary syndrome (CCS).

Method: This retrospective study included 200 patients over 18 years of age who underwent coronary angiography and had a positive exercise electrocardiography test result. Patients were divided into two groups: Group 1 with a low SYNTAX score and Group 2 with a medium-high SYNTAX score. MET values were then compared between these groups.

Results: Baseline demographic characteristics and laboratory values were similar between the groups. The mean MET values in the low and medium-high SYNTAX score groups were 9.36 ± 2.38 and 8.78 ± 2.43, respectively. No statistical difference was observed (P = 0.086). Additionally, there was no statistical difference between the two groups in terms of MET values being 10 ≤ or 10 > (P = 0.172).

Conclusion: The main conclusion of our study is that there is no correlation between the SYNTAX score and functional MET value in CCS.

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代谢等效性和 SYNTAX 评分作为强有力的预后标志物之间存在关系吗?
目的:代谢当量(MET)和TAXUS经皮冠状动脉介入治疗与心脏手术之间的协同作用(SYNTAX)评分是两个已知的具有心血管预后意义的参数。本研究旨在探讨慢性冠状动脉综合征(CCS)患者的 MET 和 SYNTAX 评分之间的直接关系:这项回顾性研究纳入了 200 名年龄超过 18 岁、接受过冠状动脉造影术且运动心电图测试结果呈阳性的患者。患者被分为两组:第一组为 SYNTAX 低分,第二组为 SYNTAX 中高分。然后比较两组之间的 MET 值:结果:两组的基线人口学特征和实验室值相似。SYNTAX 低分组和 SYNTAX 中高分组的平均 MET 值分别为 9.36 ± 2.38 和 8.78 ± 2.43。无统计学差异(P = 0.086)。此外,在 MET 值为 10 ≤ 或 10 > 方面,两组之间也没有统计学差异(P = 0.172):我们研究的主要结论是,SYNTAX 评分与 CCS 功能性 MET 值之间没有相关性。
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