title: Relationship between extent and complexity of coronary artery disease and different left ventricular geometric patterns in patients with coronary artery disease and hypertension.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  The highest SS values were observed in the CH group compared with the NG, CR, and EH groups (p<0.05 for all). Also, the SS values of the EH group were higher than in the NG and CR groups (p<0.05 for all). Multivariate linear regression analysis showed that SS was independently associated with LV geometry (β=0.316, p=0.001), as well as age (β=0.163, p=0.007) and diabetes (β=-0.134, p=0.022).
  
  
  CONCLUSIONS
  SYNTAX score is independently related with LV geometry in hypertensive patients. This result shows that LV remodeling is parallel to the increase in the extent and complexity of CAD in our study patients.
authors.affiliation: Department of Cardiology, Adana Numune Training and Research Hospital; Adana-Turkey. ucarhakan2005@gmail.com.
authors.forename: Hakan
authors.initials: H
authors.lastname: Uçar
authors.forename: Mustafa
authors.initials: M
authors.lastname: Gür
authors.forename: Abdürrezzak
authors.initials: A
authors.lastname: Börekçi
authors.forename: Arafat
authors.initials: A
authors.lastname: Yıldırım
authors.forename: Ahmet Oytun
authors.initials: AO
authors.lastname: Baykan
authors.forename: Gülhan
authors.initials: G
authors.lastname: Yüksel Kalkan
authors.forename: Mevlüt
authors.initials: M
authors.lastname: Koç
authors.forename: Taner
authors.initials: T
authors.lastname: Şeker
authors.forename: Mehmet
authors.initials: M
authors.lastname: Coşkun
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Şen
authors.forename: Murat
authors.initials: M
authors.lastname: Çaylı
mesh_terms: D000368:Aged; D008076:Cholesterol, HDL / Q000097:blood; D008078:Cholesterol, LDL / Q000097:blood; D003324:Coronary Artery Disease / Q000097:blood / Q000000981:diagnostic imaging / Q000503:physiopathology*; D004452:Echocardiography; D005260:Female; D006801:Humans; D006973:Hypertension / Q000097:blood / Q000000981:diagnostic imaging / Q000503:physiopathology*; D017379:Hypertrophy, Left Ventricular / Q000097:blood / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D014280:Triglycerides / Q000097:blood
chemical_list: D008076:Cholesterol, HDL; D008078:Cholesterol, LDL; D014280:Triglycerides