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The SYNTAX score does not predict presence of carotid disease in a multivessel coronary disease population
Author(s) -
Costanzo Luca,
Campisano Maria Barbara,
Capodanno Davide,
Sole Andrea,
Grasso Carmelo,
Ragusa Mario,
Ronsivalle Giuseppe,
Tamburino Claudia,
Tamburino Corrado,
Pino Luigi
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25320
Subject(s) - medicine , coronary artery disease , cardiology , odds ratio , confidence interval , diabetes mellitus , population , endocrinology , environmental health
Background Numerous reports have shown the relationship between carotid artery atherosclerosis and coronary artery disease (CAD). However, the association between complex CAD evaluated by SYNTAX score (SxScore) and prevalence of carotid lesion (CL) has not been fully investigated. We sought to assess the prevalence of carotid atherosclerosis in patients with multivessel CAD assessed by SxScore and the relationship between SxScore severity and features of carotid atherosclerosis. Methods and Results Subjects were 204 consecutive patients with multivessel CAD assessed by coronary angiography and no previous history of carotid atherosclerosis that underwent carotid ultrasound scan from June 2012 to 2013. Presence of CL, significant carotid disease (SCD) and carotid plaque morphology was evaluated. At least one CL was found in 159 patients (77.9%) with no significant difference among SxScore groups ( P = 0.20 and P = 0.54, respectively). High prevalence of complex carotid plaque (CCP) was found without significant different distribution in SxScore groups ( P = 0.69). Age was independently associated with the presence of CL [odds ratio (OR) 1.055; 95% confidence interval (CI): 1.015–1.097; P = 0.007] and SCD (OR 1.057; 95% CI: 1.008–1.097; P = 0.019). Age and diabetes were independently associated with CCP (OR 1.58; 95% CI: 1.023–1.095; P = 0.001; OR 1.848; 95% CI: 1.026–3.327; P = 0.041). SxScore was not independently associated with CL, SCD and CCP (all P > 0.2). Conclusions We found high prevalence of CL in patients with multivessel complex CAD. However, SxScore does not seem to correlate with carotid atherosclerosis. © 2013 Wiley Periodicals, Inc.