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Relationship between sclerostin and coronary tortuosity in postmenopausal femaleswith non-obstructive coronary artery disease

• 2020
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Publication Information
Authors Ismail Mohamed Ibrahim a,⁎,1, El-Sayed Mohamed Farag a,1, Mohamed Abd El-Shafy Tabl b,1, Mahmoud Abdelaziz
Keywords Sclerostin Coronary tortuosity Tortuosity score Postmenopausal females
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publication.type International
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Supplementary Materials Not Available
Abstract
Background: Coronary tortuosity (CT) is commonly encountered in postmenopausal females and is usually present
without obstructive lesions. Circulating sclerostin levels are elevated in postmenopausal females. In view of
sclerostin's vasculoprotective effect, we aimed to find possible association between circulating sclerostin and CT.
Method: We prospectively enrolled 273 consecutive postmenopausal females with non-obstructive coronary artery
disease diagnosed by coronary angiography. Presence and severity (by tortuosity score) of CT as well as
serum sclerostin levels were assessed for each patient.
Results: Patientswith CT (128, 47% of study group)were significantly older (P650 pg/ml was found to be associatedwith presence of CT (AUC 0.69, 95% CI: 0.61–0.75, P