Apr 13, 2017

Association of syntax score with short-term outcomes among acute ST-elevation myocardial infarction patients undergoing primary PCI

Indian Heart Journal
Sarita Choudhary

Abstract

Syntax score (SX) has emerged as a reproducible angiographic tool to quantify the extent of coronary artery disease based on location and complexity of each lesion. It has been shown to predict long-term clinical outcomes in patients with left main or multi-vessel disease and recently also in ST-segment elevation myocardial infarction undergoing primary PCI. The aim of this study was to evaluate whether the syntax score is associated with short-term cardiovascular outcomes in patients treated with primary percutaneous coronary intervention (PCI) for acute ST-segment elevation myocardial infarction (STEMI). Syntax score was determined in 90 consecutive patients (mean age 54.2±11.6) of STEMI undergoing primary PCI. Outcomes were stratified according to syntax score groups: SX low ≤15 (n=33), SX mid 16-22 (n=30), and SX high ≥23 (n=27). The primary endpoint was all-cause mortality at 30 days. Secondary endpoints were nonfatal major adverse cardiac and cerebrovascular events (MACE) defined as a composite of any repeat revascularization, acute coronary syndrome, and stroke at 30 days in patients discharged alive. Mortality at 30 days was higher in the SX high group compared to the SX mid and SX low group (18.5% vs 3.3% p=0.011), MAC...Continue Reading

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Mentioned in this Paper

Study
Myristica fragrans
Coronary Artery Disease
Mace antigen
Myocardial Infarction
Cerebral Angiography
Coronary Arteriosclerosis
Mace extract
Cerebrovascular Accident
Patient Discharge

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