An old friend: uric acid and its association with fractional flow reserve

Authors

SALİH TOPAL
BURAK SEZENÖZ
MUSTAFA CANDEMİR
ESER AÇIKGÖZ
SADIK KADRİ AÇIKGÖZ
NURİ BÜLENT BOYACI

DOI

10.3906/sag-1903-91

Abstract

Background/aim: The aim of this study was to investigate the importance of preprocedural uric acid (UA) level in predicting fractional flow reserve (FFR) results of intermediate coronary lesions in patients with stable coronary artery disease undergoing coronary angiography.Materials and methods: We retrospectively analyzed 293 patients who underwent FFR measurement to determine the significance of intermediate coronary stenosis detected by conventional coronary angiography. Patients were divided into 2 groups: Group 1 (n = 127) included patients with FFR of 0.80 (hemodynamically nonsignificant lesions). Uric acid levels were assessed in both groups with the enzymatic colorimetric method by clinical chemistry autoanalyzer.Results: The mean UA level was significantly higher in patients whose FFR indicated hemodynamically significant coronary lesions (UA: 5.43 ± 1.29 mg/dL in Group 1 vs. 4.51 ± 1.34 mg/dL in Group 2, P < 0.001).Conclusion: Elevated UA levels are associated with hemodynamically significant coronary lesions measured with FFR. Uric acid may be used as a predictor of hemodynamically compromised coronary lesions before FFR procedures.

Keywords

Uric acid, fractional flow reserve, intermediate coronary stenosis

First Page

1614

Last Page

1619

Recommended Citation

TOPAL, SALİH; SEZENÖZ, BURAK; CANDEMİR, MUSTAFA; AÇIKGÖZ, ESER; AÇIKGÖZ, SADIK KADRİ; and BOYACI, NURİ BÜLENT (2019) "An old friend: uric acid and its association with fractional flow reserve," Turkish Journal of Medical Sciences: Vol. 49: No. 6, Article 3. https://doi.org/10.3906/sag-1903-91
Available at: https://journals.tubitak.gov.tr/medical/vol49/iss6/3