Relationship between extent and complexity of coronary artery disease and different left ventricular geometric patterns in patients with coronary artery disease and hypertension

• Published in: Anatolian journal of cardiology 2015-10, Vol.15 (10), p.789-794
• Main Authors: Uçar, Hakan, Gür, Mustafa, Börekçi, Abdürrezzak, Yıldırım, Arafat, Baykan, Ahmet Oytun, Yüksel Kalkan, Gülhan, Koç, Mevlüt, Şeker, Taner, Coşkun, Mehmet, Şen, Ömer, Çaylı, Murat
• Format: Article
• Language: English
• Subjects: Aged; Cholesterol, HDL - blood; Cholesterol, LDL - blood; Coronary Artery Disease - blood; Coronary Artery Disease - diagnostic imaging; Coronary Artery Disease - physiopathology; Echocardiography; Female; Humans; Hypertension - blood; Hypertension - diagnostic imaging; Hypertension - physiopathology; Hypertrophy, Left Ventricular - blood; Hypertrophy, Left Ventricular - diagnostic imaging; Hypertrophy, Left Ventricular - physiopathology; Male; Middle Aged; Original Investigation; Triglycerides - blood
• ISSN: 2149-2263; 2149-2271
• DOI: 10.5152/akd.2014.5747

The relationship between severity of coronary artery disease (CAD) and left ventricler (LV) hypertrophy in hypertensive patients is well known. However, the association between the extent and complexity of CAD assessed with SYNTAX score (SS) and different LV geometric patterns has not been investigated. We aimed to investigate the association between SYNTAX score and different LV geometric patterns in hypertensive patients. The study had been made in our clinic between January 2013 and August 2013. We studied 251 CAD patients who had hypertension and who underwent coronary angiography (147 males, 104 females; mean age 61.61±9.9 years). Coronary angiography was performed based on clinical indications. SS was determined in all patients. Echocardiographic examination was performed in all subjects. Four different geometric patterns were determined in patients according to LV mass index (LVMI) and relative wall thickness (RWT) (Groups: NG- normal geometry, CR- concentric remodeling, EH- eccentric hypertrophy, and CH- concentric hypertrophy). Biochemical markers were measured in all participants. The highest SS values were observed in the CH group compared with the NG, CR, and EH groups (p