Total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patients

Background and objective: We aimed to investigate biochemical factors affecting coronary collateral circulation development in an elderly population aged 75 years and over. Material and methods: The study group consisted of patients with a prior coronary angiography for stable coronary artery di...

Full description

Bibliographic Details
Main Authors: Ertan Vuruskan, Irfan Veysel Duzen, Mehmet Kaplan, Gokhan Altunbas, Enes Alıc, Fatma Yılmaz Coskun, Murat Sucu
Format: Article
Language:English
Published: MRE Press 2021-08-01
Series:Journal of Men's Health
Subjects:
Online Access:https://article.imrpress.com/journal/JOMH/18/1/10.31083/jomh.2021.085/1875-6859-18-1-011.pdf
_version_ 1827359851892703232
author Ertan Vuruskan
Irfan Veysel Duzen
Mehmet Kaplan
Gokhan Altunbas
Enes Alıc
Fatma Yılmaz Coskun
Murat Sucu
author_facet Ertan Vuruskan
Irfan Veysel Duzen
Mehmet Kaplan
Gokhan Altunbas
Enes Alıc
Fatma Yılmaz Coskun
Murat Sucu
author_sort Ertan Vuruskan
collection DOAJ
description Background and objective: We aimed to investigate biochemical factors affecting coronary collateral circulation development in an elderly population aged 75 years and over. Material and methods: The study group consisted of patients with a prior coronary angiography for stable coronary artery disease (CAD). Patients with total occlusion of at least one vessel were included in the study. Enrolled patients were divided into two groups, good collateral (GC; n = 73) and bad collateral (BC; n = 55), in accordance with the Cohen-Rentop’s classification system. Results: In comparison to the GC group, bilirubin levels were significantly lower (p < 0.001), and fasting plasma glucose (FPG) levels were significantly higher in the BC group (p = 0.026). Low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) levels were significantly lower in the BC group when compared to the GC group (p = 0.002 and p < 0.001, respectively). Backward elimination stepwise logistic regression analysis identified bilirubin and FPG as variables that strongly predicted the presence of a well-developed coronary collateral circulation and a poorly developed coronary collateral circulation, respectively. Conclusion: Bilirubin and FPG were seemed as the most important factors affecting coronary collateral circulation development in patients with stable CAD who were older than 75 years.
first_indexed 2024-03-08T06:37:11Z
format Article
id doaj.art-4bbdabc41617468b911c38ec2b2411da
institution Directory Open Access Journal
issn 1875-6859
language English
last_indexed 2024-03-08T06:37:11Z
publishDate 2021-08-01
publisher MRE Press
record_format Article
series Journal of Men's Health
spelling doaj.art-4bbdabc41617468b911c38ec2b2411da2024-02-03T09:44:58ZengMRE PressJournal of Men's Health1875-68592021-08-0118101110.31083/jomh.2021.085S1875-6867(21)00242-6Total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patientsErtan Vuruskan0Irfan Veysel Duzen1Mehmet Kaplan2Gokhan Altunbas3Enes Alıc4Fatma Yılmaz Coskun5Murat Sucu6Department of Cardiology, Faculty of Medicine, Gaziantep University, 27000 Gaziantep, TurkeyDepartment of Cardiology, Faculty of Medicine, Gaziantep University, 27000 Gaziantep, TurkeyDepartment of Cardiology, Faculty of Medicine, Gaziantep University, 27000 Gaziantep, TurkeyDepartment of Cardiology, Faculty of Medicine, Gaziantep University, 27000 Gaziantep, TurkeyDepartment of Cardiology, Faculty of Medicine, Gaziantep University, 27000 Gaziantep, TurkeyDepartment of Cardiology, Faculty of Medicine, Gaziantep University, 27000 Gaziantep, TurkeyDepartment of Cardiology, Faculty of Medicine, Gaziantep University, 27000 Gaziantep, TurkeyBackground and objective: We aimed to investigate biochemical factors affecting coronary collateral circulation development in an elderly population aged 75 years and over. Material and methods: The study group consisted of patients with a prior coronary angiography for stable coronary artery disease (CAD). Patients with total occlusion of at least one vessel were included in the study. Enrolled patients were divided into two groups, good collateral (GC; n = 73) and bad collateral (BC; n = 55), in accordance with the Cohen-Rentop’s classification system. Results: In comparison to the GC group, bilirubin levels were significantly lower (p < 0.001), and fasting plasma glucose (FPG) levels were significantly higher in the BC group (p = 0.026). Low-density lipoprotein cholesterol (LDL-C) and high-density lipoprotein cholesterol (HDL-C) levels were significantly lower in the BC group when compared to the GC group (p = 0.002 and p < 0.001, respectively). Backward elimination stepwise logistic regression analysis identified bilirubin and FPG as variables that strongly predicted the presence of a well-developed coronary collateral circulation and a poorly developed coronary collateral circulation, respectively. Conclusion: Bilirubin and FPG were seemed as the most important factors affecting coronary collateral circulation development in patients with stable CAD who were older than 75 years.https://article.imrpress.com/journal/JOMH/18/1/10.31083/jomh.2021.085/1875-6859-18-1-011.pdfcollateralbilirubincoronary artery diseaseolder patients
spellingShingle Ertan Vuruskan
Irfan Veysel Duzen
Mehmet Kaplan
Gokhan Altunbas
Enes Alıc
Fatma Yılmaz Coskun
Murat Sucu
Total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patients
Journal of Men's Health
collateral
bilirubin
coronary artery disease
older patients
title Total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patients
title_full Total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patients
title_fullStr Total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patients
title_full_unstemmed Total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patients
title_short Total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patients
title_sort total bilirubin and fasting plasma glucose levels are associated with coronary collateral development in elderly patients
topic collateral
bilirubin
coronary artery disease
older patients
url https://article.imrpress.com/journal/JOMH/18/1/10.31083/jomh.2021.085/1875-6859-18-1-011.pdf
work_keys_str_mv AT ertanvuruskan totalbilirubinandfastingplasmaglucoselevelsareassociatedwithcoronarycollateraldevelopmentinelderlypatients
AT irfanveyselduzen totalbilirubinandfastingplasmaglucoselevelsareassociatedwithcoronarycollateraldevelopmentinelderlypatients
AT mehmetkaplan totalbilirubinandfastingplasmaglucoselevelsareassociatedwithcoronarycollateraldevelopmentinelderlypatients
AT gokhanaltunbas totalbilirubinandfastingplasmaglucoselevelsareassociatedwithcoronarycollateraldevelopmentinelderlypatients
AT enesalıc totalbilirubinandfastingplasmaglucoselevelsareassociatedwithcoronarycollateraldevelopmentinelderlypatients
AT fatmayılmazcoskun totalbilirubinandfastingplasmaglucoselevelsareassociatedwithcoronarycollateraldevelopmentinelderlypatients
AT muratsucu totalbilirubinandfastingplasmaglucoselevelsareassociatedwithcoronarycollateraldevelopmentinelderlypatients