EFFECT OF THE PROGNOSTIC NUTRITION INDEX ON LONG-TERM OUTCOMES IN UNPROTECTED LEFT MAIN CORONARY ARTERY REVASCULARIZATION

dc.contributor.authorGuzel, Tuncay
dc.contributor.authorAvci, Eyup
dc.contributor.authorKiris, Tuncay
dc.contributor.authorArik, Baran
dc.contributor.authorArslan, Bayram
dc.contributor.authorIldirimli, Kamran
dc.contributor.authorYildirim, Bunyamin
dc.date.accessioned2024-04-24T17:18:18Z
dc.date.available2024-04-24T17:18:18Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective The prognostic nutritional index (PNI) is a practical, applicable, prognostic scoring system. However, its clinical significance in unprotected left main coronary artery (ULMCA) patients undergoing percutaneous coronary intervention (PCI) has not yet been clarified. This study aimed to examine the relationship between malnutrition as assessed by PNI and major adverse cardiac events (MACE) in ULMCA patients undergoing PCI.Material and methods 185 patients who were hospitalized in our clinic underwent coronary angiography, had a critical LMCA lesion, and underwent angiography-guided PCI were included. The study population was divided into tertiles based on the PNI values. A high PNI (n=142) was defined as a value in the third tertile (>= 34.0), and a low PNI (n=43) was defined as a value in the lower 2 tertiles (< 34.0). The primary endpoint was MACE.Results MACE and mortality rates in the low PNI group were significantly higher compared to the high PNI group (51 % vs. 30 %, p=0.009; 44 % vs. 20 %, p=0.002, respectively). High PNI (HR:1.902; 95 % CI:1.112-3.254; p=0.019), previous stroke (HR:3.025; 95 % CI:1.038-8.810; p=0.042) and SYNTAX score (HR:1.028; 95 % CI:1.004-1.057, p=0.023) were independent predictors of MACE in the multivariable cox regression analyzes.Conclusions In patients undergoing ULMCA PCI, nutritional status can be considered an indicator of MACE rates by evaluating the PNI score. This index can be used for risk classification.en_US
dc.identifier.doi10.18087/cardio.2023.11.n2367
dc.identifier.issn0022-9040
dc.identifier.issue11en_US
dc.identifier.pmid38088115
dc.identifier.scopus2-s2.0-85179644677
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.18087/cardio.2023.11.n2367
dc.identifier.urihttps://hdl.handle.net/11468/18719
dc.identifier.volume63en_US
dc.identifier.wosWOS:001135500200010
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherRussian Heart Failure Socen_US
dc.relation.ispartofKardiologiya
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPrognostic Nutritional Indexen_US
dc.subjectUnprotected Left Main Coronaryen_US
dc.subjectMaceen_US
dc.subjectMortalityen_US
dc.titleEFFECT OF THE PROGNOSTIC NUTRITION INDEX ON LONG-TERM OUTCOMES IN UNPROTECTED LEFT MAIN CORONARY ARTERY REVASCULARIZATIONen_US
dc.titleEFFECT OF THE PROGNOSTIC NUTRITION INDEX ON LONG-TERM OUTCOMES IN UNPROTECTED LEFT MAIN CORONARY ARTERY REVASCULARIZATION
dc.typeArticleen_US

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