Heart Views. 2014; 15 (4): 99-105
en Inglés
| IMEMR
| ID: emr-159874
ABSTRACT
The SYNTAX score is a grading system that evaluates the complexity and prognosis of patients undergoing percutaneous coronary intervention [PCI]. We investigated the association between the incidence of major adverse cardiac events [MACE] following PCI and the SYNTAX score in patients with three-vessel disease. We consecutively enrolled 381 patients with three-vessel disease undergoing PCI and stenting. The SYNTAX score was divided into tertiles as low [=16], intermediate [16-22] and high [>22]. The endpoint was the incidence of MACE defined as cardiac death, in-hospital mortality, nonfatal myocardial infarction [MI], or target vessel revascularization. Then, the incidence of MACE was compared among the SYNTAX score tertile groups. The median follow-up was 14 months, and the rate of MACE was 12.6%. The rates of MACE were 7.5%, 9.9%, and 21.6% in patients with low, intermediate, and high SYNTAX score tertiles, respectively. Higher SYNTAX scores significantly predicted a higher risk of MACE [hazard ratio = 2.36; P = 0.02] even after adjustment for potential confounders. The main predictors of MACE were SYNTAX score, advanced age, hyperlipidemia, presentation as recent ST-elevation MI, number of total lesions, and history of renal failure. The SYNTAX score could predict major cardiac outcomes following PCI in patients with three-vessel disease
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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Enfermedad de la Arteria Coronaria
/
Gasto Cardíaco
/
Incidencia
Tipo de estudio:
Estudio de incidencia
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Heart Views
Año:
2014
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