Factors associated with all-cause mortality in patients with coronary artery chronic total occlusions undergoing revascularization (percutaneous coronary intervention or surgery) or medical treatment

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dc.authorid0000-0003-2243-6190en_US
dc.contributor.authorAslan, Burhan
dc.contributor.authorÖzbek, Mehmet
dc.contributor.authorAktan, Adem
dc.contributor.authorBoyraz, Bedrettin
dc.contributor.authorTenekecioğlu, Erhan
dc.date.accessioned2023-04-06T11:30:56Z
dc.date.available2023-04-06T11:30:56Z
dc.date.issued2022en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalıen_US
dc.description.abstractAim Chronic total occlusion of a coronary artery (CTO) is a predictor of early and late cardiovascular mortality and poor cardiovascular outcomes in patients with coronary artery disease. The purpose of this study was to identify predictors of all-cause mortality in CTO patients that underwent invasive treatment. Material and methods Patients between 2012 and 2018 with CTO in at least one vessel, as demonstrated by coronary angiography, were included retrospectively in the study. The patients were divided into two groups, an intervention group (percutaneous and surgical revascularization) and a medical group. Results A total of 543 patients were studied, 152 females (28%) and 391 males (72%). The median follow-up period was 49 (26-72) mos. A total of 186 (34.2%) patients in the medical group and 357 (65.8%) patients in the invasive therapy group were followed. The 5-yr death rate was observed in 50 (26.9%) patients in the medical group and 53 (14.8%) patients in the intervention group, and it was found to be statistically higher in the medical group (p=0.001). In multivariable analysis, heart failure (odds ratio (OR): 1.92, 95% CI: 1.18-3.14; p=0.01), higher glucose levels (OR: 1.05, 95% CI: 1,02-1.08; p=0.04), lower albumin levels (OR: 0.49, 95% CI: 0.32-0.72; p=0.001), SYNTAX score (OR: 1.03, 95% CI: 1.01-1.05; p=0.001), and CTO (>= 2 occluded artery) (OR: 0.42, 95% CI: 0.22-0.72; p=0.01) were independent factors for all-cause mortality. Conclusion In comparison to the revascularized group, there was an increase in mortality among CTO patients treated medically. Heart failure, SYNTAX score, albumin, glucose, and CTO (>= 2 occluded arteries) were independent risk factors for all-cause mortality.en_US
dc.identifier.citationAslan, B., Özbek, M., Aktan, A., Boyraz, B. ve Tenekecioğlu, E. (2022). Factors associated with all-cause mortality in patients with coronary artery chronic total occlusions undergoing revascularization (percutaneous coronary intervention or surgery) or medical treatment. Kardiologiya, 62(3), 49-55.en_US
dc.identifier.doi10.18087/cardio.2022.3.n1948
dc.identifier.endpage55en_US
dc.identifier.issn0022-9040
dc.identifier.issue3en_US
dc.identifier.pmid35414361
dc.identifier.scopus2-s2.0-85128148558
dc.identifier.scopusqualityQ3
dc.identifier.startpage49en_US
dc.identifier.urihttps://lib.ossn.ru/jour/article/view/1948/1180
dc.identifier.urihttps://hdl.handle.net/11468/11623
dc.identifier.volume62en_US
dc.identifier.wosWOS:000788612100008
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzbek, Mehmet
dc.language.isoenen_US
dc.publisherRussian Heart Failure Soc.en_US
dc.relation.ispartofKardiologiya
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCTOen_US
dc.subjectCoronary artery diseaseen_US
dc.subjectMortalityen_US
dc.subjectPredictorsen_US
dc.titleFactors associated with all-cause mortality in patients with coronary artery chronic total occlusions undergoing revascularization (percutaneous coronary intervention or surgery) or medical treatmenten_US
dc.titleFactors associated with all-cause mortality in patients with coronary artery chronic total occlusions undergoing revascularization (percutaneous coronary intervention or surgery) or medical treatment
dc.typeArticleen_US

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