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    A Cross-Sectional Study on the Relationship between the HEART Score and the Severity of CAD using the SYNTAX Score in Patients with NSTEMI Admitted to the Emergency Department: A Study from Turkey
    (Wolters Kluwer Medknow Publications, 2025) Pepele, M. S.; Aktas, I; Demiroz, O.; Derya, S.; Yildirim, E.; Bilen, M. N.; Demir, B.
    Background:The HEART score is a risk stratification tool for acute chest pain, evaluating history, ECG, age, risk factors, and troponin. The SYNTAX (synergy between percutaneous coronary intervention with TAXUS and cardiac surgery) score assesses the extent and complexity of coronary artery disease (CAD) and is widely used in patients undergoing coronary interventions.Aim:To determine the relationship between the HEART and SYNTAX scores in patients with non-ST elevation myocardial infarction (NSTEMI).Method:A total of 222 NSTEMI patients who underwent coronary angiography were included. The HEART score was calculated at admission, and all patients underwent angiography within 12 hours. SYNTAX was used to evaluate CAD severity. Patients were divided into two groups based on SYNTAX scores. Comparisons were made according to demographic data, laboratory findings, and risk factors. Variables associated with high SYNTAX scores were identified. A P value of < 0.05 was considered statistically significant.Results:The mean age was 63.67 +/- 11.89 years, and 74.77% of the patients were male. Patients with high SYNTAX scores had significantly higher HEART scores and more frequent diabetes and hypertension. High HEART score (OR: 3.09; 95% confidence intervals [CI]: 2.06-4.63; P < 0.001) and diabetes mellitus (OR: 4.57; 95% CI: 1.44-14.47; P = 0.010) were independently associated with high SYNTAX scores. A HEART score >7.5 predicted high SYNTAX scores with 82.1% sensitivity and 84.3% specificity (area under curve [AUC]: 0.892; P < 0.001). A strong positive correlation was found between HEART and SYNTAX scores (P < 0.001, R-2 =0.672).Conclusion:The HEART score was significantly associated with the severity and complexity of CAD in patients with NSTEMI.
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    A comparison of computerized tomography and flair-SWI MRI results of patients with head injury attending the emergency department
    (Verduci Publisher, 2022) Durak, M. A.; Gurbuez, S.; Derya, S.; Yildirim, I. o.; Ekmekyapar, M.; Tetik, B.; Colak, C.
    - OBJECTIVE: Detection of trau-matic brain injury (TBI) is of vital importance in patients who apply to the emergency depart-ment with a history of trauma. The aim of initial imaging in patients with suspected TBI is to de-tect trauma-related injury quickly and accurate-ly. In this study, the effectiveness of prospec-tively cranial computed tomography (CT) and fluid attenuation inversion recovery (FLAIR) and susceptibility weighted imaging (SWI) sequence magnetic resonance imaging (MRI) examination results of patients diagnosed with TBI in the emergency department in terms of bleeding de-tection was investigated in the light of the liter-ature. PATIENTS AND METHODS: Patients with traumatic brain injury who applied to the emer-gency department between 2016 and 2020 were included in this prospective study. Crani-al CT and MRI images containing SWI-FLAIR se-quence were taken on the same day, immediate-ly after cranial CT, for a total of 500 patients. RESULTS: In our study, TBI was detected in 242 males (70.8%) and 100 females (29.2%), for a total of 342 patients. The mean age was 41.45, the mean GCS was 13.35. There was a history of trauma such as falling in 155 patients (45.3%), traffic accidents in 171 patients (50%), and trau-ma in 16 patients (4.7%). In the comparative eval-uation of CT and FLAIR-SWI MRI examinations no bleeding was detected in the FLAIR-SWI sec-tions of 239 patients who did not have bleed-ing on CT; however, bleeding was detected in FLAIR-SWI sections in 14 patients who did not have bleeding on CT. CONCLUSIONS: FLAIR-SWI MR, which is a more reliable examination method, should be per-formed before control CT, especially in patients with incompatible clinical and admission CT.