SIDE BRANCH PLAQUE SHIFT IN BIFURCATION LESIONS IN CORONARY ARTERIES AND LOW DENSITY LIPOPROTEIN AS ITS MARKER
Objective: In this study, the effect of lipid profile on plaque shift was investigated considering the known effect of atherosclerosis.
Methodology: A total of 660 patients, 457 males and 203 females, participated in the study. Average age is 60.3 ± 12 years. Two study groups included this study one was no plaque shift, the other one was plaque shift group.
Results: In laboratory parameters of all groups triglyceride mean 164.7± 132.3 mg/dl, HDL mean 40± 11.1 mg/dl and LDL mean 129.1± 43.3 mg/dl were calculated. In lipid profile TG and HDL has no differences in two groups. Mean of HDL 40.6±11.2 mg/dl in no plaque shift group and 39.4±11.0 mg/dl in plaque shift group. And also mean of TG 167.8±145.5 mg/dl and 161.1±115.6 mg/dl consecutively. LDL mean was 123.9±43 mg/dl in no plaque shift group, 135.1±42.9 mg/dl in plaque shift group. Only high LDL levels correlated with plaque shift degree, plaque shift length and shift lesion percentage difference before and after the procedure.
Conclusion: There is a correlation between LDL levels and plaque shift in coronary bifurcation lesions due to the volume of lipid core in plaque formation. The benefit is to predict the plaque shift that may occur in coronary bifurcation interventions with an easily measured parameter before the procedure.