title: Ankle-brachial index and coronary artery lesion complexity in patients with acute coronary syndromes.
abstract: We investigated the relationship between peripheral artery disease (PAD) and coronary artery disease (CAD) complexity in patients with acute coronary syndromes (ACS). Consecutive patients with first time diagnosis of ACS (n = 150) were enrolled. SYNTAX score (SS), a marker of CAD complexity, was assessed by dedicated computer software and diagnosis of PAD was established by ankle-brachial index (ABI) value. SYNTAX score was higher in patients with overt and borderline PAD (ABI ≤ 0.99) than normal participants (ABI 1-1.29; 16.7 ± 8.2 vs 10.1 ± 5.5; P < .001). In addition, there was a strong negative correlation between ABI and SS (r = -.46; P < .001).We have demonstrated increased CAD complexity in patients with ACS and PAD and strong correlation between degree of PAD and coronary lesion complexity.
authors.affiliation: Department of Cardiology, Adana Numune Training and Research Hospital, Adana, Turkey. l.korkmaz@yahoo.com
authors.forename: Levent
authors.initials: L
authors.lastname: Korkmaz
authors.forename: Adem
authors.initials: A
authors.lastname: Adar
authors.forename: Hakan
authors.initials: H
authors.lastname: Erkan
authors.forename: Mustafa Tarik
authors.initials: MT
authors.lastname: Ağaç
authors.forename: Zeydin
authors.initials: Z
authors.lastname: Acar
authors.forename: Ibrahim Halil
authors.initials: IH
authors.lastname: Kurt
authors.forename: Ali Riza
authors.initials: AR
authors.lastname: Akyuz
authors.forename: Huseyin
authors.initials: H
authors.lastname: Bektas
authors.forename: Sukru
authors.initials: S
authors.lastname: Celik
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000453:epidemiology; D000368:Aged; D055109:Ankle Brachial Index; D015897:Comorbidity; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000453:epidemiology; D023921:Coronary Stenosis / Q000175:diagnosis / Q000453:epidemiology; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000453:epidemiology; D012306:Risk; D012984:Software; D013223:Statistics as Topic