Kessler-10 Psychological Distress Score Is Independently Associated with SYNTAX I and SYNTAX II Scores in Patients with Acute Coronary Syndrome
Fikret Keles, Alp Yildirim, Ahmet Ridvan Bilgic, Muzeyyen Gizem Parmak, Alperen Tas, Mustafa Celik, Muhammet Salih Ates, Erdogan Sokmen · 2026
Read Kessler-10 Psychological Distress Score Is Independently Associated with SYNTAX I and SYNTAX II Scores in Patients with Acute Coronary Syndrome by Fikret Keles, Alp Yildirim, Ahmet Ridvan Bilgic, Muzeyyen Gizem Parmak, Alperen Tas, Mustafa Celik, Muhammet Salih Ates, Erdogan Sokmen (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13514854.txt.
Description
Fikret Keles leads an eight-author team exploring, in a 2026 prospective study, whether psychological distress mirrors how complex a heart patient's coronary disease is. Distress is common after acute coronary syndrome, and the ten-question Kessler scale captures it quickly. At one tertiary centre, 750 eligible patients completed the scale a day or two after admission, while two blinded specialists scored the anatomical complexity of their coronary narrowing with the SYNTAX systems.
Higher distress scores tracked both the purely anatomical score and a combined clinical-anatomical score, with each five-point rise in distress linked to markedly higher odds of crossing into the high-complexity range. Adding the distress score to standard clinical information sharpened prediction of complex disease in validation checks. Keles's team stresses that a questionnaire cannot replace angiographic scoring, yet distress may flag a group carrying heavier disease who warrant closer attention.
Catalog record
| CREATOR | Fikret Keles, Alp Yildirim, Ahmet Ridvan Bilgic, Muzeyyen Gizem Parmak, Alperen Tas, Mustafa Celik, Muhammet Salih Ates, Erdogan Sokmen |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 65679 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |