Evidence map›Paper›PMID 42823489›Full record

ArticleHerz2026

Correlation of carotid intima-media thickness and lipid indices with SYNTAX score in coronary artery disease: a cross-sectional study.

Dilip Johny, Giridhar Belur Hosmane, Subramanyam Kodangala, Anirban Chakraborty, Aditya Ojha

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Article in Herz, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Dilip JohnyDepartment of Cardiology, Nitte (Deemed to be University), KS Hegde Medical Academy, Mangalore, Karnataka, India.ORCID https://orcid.org/0000-0002-4922-2806
Giridhar Belur HosmaneDepartment of Pulmonology, Nitte (Deemed to be University), KS Hegde Medical Academy, Deralakatte, 575018, Mangalore, Dakshina Kannada, Karnataka, India. hosmane.giridhar@gmail.com.ORCID https://orcid.org/0000-0001-9596-6614
Subramanyam KodangalaCardiology, Srinivas Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India.
Anirban ChakrabortyNitte University Centre for Science Education And Research (NUCSER), Nitte (Deemed to be University), Mangalore, Karnataka, India.ORCID https://orcid.org/0000-0003-3476-6576
Aditya OjhaKS Hegde Medical Academy, Nitte (Deemed to be University), Mangalore, Karnataka, India.ORCID https://orcid.org/0009-0001-3418-5002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarotid intima-media thickness (CIMT) is a widely used noninvasive marker of subclinical atherosclerosis, yet its relationship with angiographic coronary disease complexity, quantified with the SYNTAX score, remains incompletely characterized. This study evaluated the correlations between CIMT, low-density lipoprotein cholesterol (LDL-C), the Atherogenic Index of Plasma (AIP), and SYNTAX score in patients with angiographically confirmed coronary artery disease (CAD) in coastal South India.

methodsA total of 115 consecutive patients with proven CAD undergoing elective coronary angiography (≥ 50% stenosis) were enrolled. B‑mode ultrasonography was used to measure CIMT bilaterally. Lipid profiles were obtained from fasting samples, and AIP was computed as log(TG/HDL-C). Pearson correlations, ANOVA, and multivariate logistic regression were used for analysis.

resultsMean CIMT was positively correlated with both SYNTAX score (r = 0.192, p = 0.039) and LDL‑C (r = 0.207, p = 0.026). SYNTAX scores increased progressively across single-, double-, and triple-vessel disease groups (F = 25.50, p < 0.001). There was no significant association between AIP and either CIMT or SYNTAX score. Inter-rater agreement for SYNTAX score categorization was excellent (Cohen's κ = 0.880, 95% confidence interval [CI]: 0.799-0.960, p < 0.001). On multivariate analysis, only age independently predicted high-complexity CAD (OR = 1.661, 95% CI: 1.077-2.561, p = 0.022).

conclusionThe SYNTAX score increased significantly with increasing vessel involvement, and CIMT was modestly correlated with SYNTAX score and LDL‑C. Age was the sole independent predictor of high-complexity CAD. These preliminary findings suggest that CIMT may have potential as a supplementary marker of coronary complexity, but this requires confirmation in larger, prospective studies before any clinical application can be recommended.

Indexed as

Atherogenic index of plasmaCarotid intima-media thicknessCoronary artery diseaseLDL cholesterolSYNTAX score

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.