Anterior Tragal Crease Is Associated With SYNTAX Score in Non-ST-Segment Elevation Myocardial Infarction.
Angiology
; 71(9): 793-798, 2020 10.
Article
in En
| MEDLINE
| ID: mdl-32347104
ABSTRACT
The main aim of this study was to investigate the relation between anterior tragal crease (ATC) and coronary artery lesion complexity and severity assessed using the SYNTAX score (SXscore) in patients with non-ST-segment elevation myocardial infarction (NSTEMI). A total of 121 patients with a first-time diagnosis of NSTEMI were consecutively enrolled. ATC was defined as ≥1 crease that was close to the tragus and descended anteriorly. SXscore was calculated using the SXscore algorithm. The SXscore was higher in the ATC-positive group than in the ATC-negative group (11.85 ± 8.20 vs 7.52 ± 6.38, P = .003). In the univariate analysis, hemoglobin (male 11.7-17.4 g/dL, female 11.7-16.1 g/dL; P = .006), diabetes mellitus (P = .031), current smoking (P = .022), and presence of ATC (P = .022) were significantly associated with increased SXscore. Multivariate analysis revealed ATC (95% confidence interval [CI] 1.313-7.800, P = .011), current smoking (95% CI 2.034-13.893, P = .001), and hemoglobin (95% CI 0.433-0.822, P = .002) as independent determinants of increased SXscore. Anterior tragal crease is easily detected by physical examination. Presence of ATC in patients with NSTEMI may be a warning signal of complexity and severity of coronary artery disease (CAD).
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Coronary Artery Disease
/
Skin Aging
/
Ear Auricle
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Non-ST Elevated Myocardial Infarction
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Neck
Type of study:
Diagnostic_studies
/
Etiology_studies
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Risk_factors_studies
Limits:
Aged
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Female
/
Humans
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Male
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Middle aged
Language:
En
Journal:
Angiology
Year:
2020
Document type:
Article
Affiliation country:
Turkey
Publication country:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
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US
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USA