ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
Comparative Analysis of Angiographic Parameters and Percutaneous Coronary Intervention Outcomes in Diverse Populations in Türkiye [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2024; 52(3): 159-166 | DOI: 10.5543/tkda.2024.94024

Comparative Analysis of Angiographic Parameters and Percutaneous Coronary Intervention Outcomes in Diverse Populations in Türkiye

Mehmet Rasih Sonsöz, İlyas Çetin, Cemal Ozanalp, Şevval Kılıç, Göksenin Cansu Özdoğan, Gamze Acar, Gamze Gençol Akçay, Yelda Saltan Özateş, Yeliz Güler, Ahmet Güler
Department of Cardiology, Başakşehir Çam and Sakura City Hospital, İstanbul, Türkiye


OBJECTIVE
Due to the conflict in Syria since 2011, more than 3.5 million Syrian citizens reside in Türkiye. Because Syrian patients were underrepresented in previous studies on percutaneous coronary intervention (PCI) outcomes, we aimed to analyze the severity of coronary artery disease and in-hospital outcomes of PCI in this population.


METHODS
We retrospectively analyzed 142 Syrian patients who underwent PCI at our center between June 2020 and October 2022 and compared the data with that of age- and sex-matched Turkish patients (n = 271) who also underwent PCI. We assessed comorbidities, coronary anatomy features, procedural complications, and in-hospital cardiovascular outcomes (Major Adverse Cardiac and Cerebrovascular Events, MACCE).


RESULTS
The mean age of the study population was 57 ± 12 years, with 15% being female. Clinical indication and coronary anatomy features did not differ between the groups. However, the Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score was higher in Syrian patients compared to Turkish patients (16 [11-22] vs. 12 [8-20]; P < 0.001). Complex PCI rates, in-hospital bleeding and contrast nephropathy were similar in both groups. MACCE was comparable between Syrian and Turkish patients (13 [4.8%] vs. 13 [9.2%], P = 0.083).


CONCLUSION
Comparable MACCE rates were observed in both ethnic groups undergoing PCI, despite a higher SYNTAX score in Syrian patients. Future research should investigate whether similar in-hospital MACCE rates are observed in other regions of Türkiye and whether long-term cardiovascular outcomes differ between Turkish and Syrian patients.

Keywords: Coronary artery disease, ethnicity, mortality, percutaneous coronary intervention, predictors

How to cite this article
Mehmet Rasih Sonsöz, İlyas Çetin, Cemal Ozanalp, Şevval Kılıç, Göksenin Cansu Özdoğan, Gamze Acar, Gamze Gençol Akçay, Yelda Saltan Özateş, Yeliz Güler, Ahmet Güler. Comparative Analysis of Angiographic Parameters and Percutaneous Coronary Intervention Outcomes in Diverse Populations in Türkiye. Turk Kardiyol Dern Ars. 2024; 52(3): 159-166

Corresponding Author: Mehmet Rasih Sonsöz, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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