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Short-Term Prognostic Value of the Culprit-SYNTAX Score in Patients with Acute Myocardial Infarction

Background: The SYNergy between Percutaneous Coronary Intervention with TAXus and Cardiac Surgery (SYNTAX) score is a scoring system that helps to decide on surgery or percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (MI), and studies are showing the prognostic v...

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Autores principales: Peker, Tezcan, Boyraz, Bedrettin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380831/
https://www.ncbi.nlm.nih.gov/pubmed/37504526
http://dx.doi.org/10.3390/jcdd10070270
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author Peker, Tezcan
Boyraz, Bedrettin
author_facet Peker, Tezcan
Boyraz, Bedrettin
author_sort Peker, Tezcan
collection PubMed
description Background: The SYNergy between Percutaneous Coronary Intervention with TAXus and Cardiac Surgery (SYNTAX) score is a scoring system that helps to decide on surgery or percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (MI), and studies are showing the prognostic value of this scoring system in both AMI and coronary artery disease patients undergoing PCI. In acute coronary syndrome (ACS) patients, the infarct-related artery and the complexity of the lesions are also important in terms of mortality and morbidity. Our study aimed to determine the prognostic value of the culprit vessel’s SYNTAX score (cul-SS) in patients presenting with MI. Methods: In our study, 1284 patients presenting with MI were analyzed retrospectively. The SYNTAX scores and cul-SS of the patients were calculated. In-hospital and 30-day deaths and major complications were accepted as primary outcomes. The SYNTAX scores and cul-SS were compared in terms of predicting primary outcomes. Conclusions: Major complications were observed in 36 (2.8%) patients, death in 42 (3.3%) patients, and stent thrombosis in 24 (1.9%) patients. The area under the curves for SYNTAX and cul-SS for predicting primary outcomes is 0.64 and 0.68 (p = 0.026), respectively. Cul-SS was as successful as the SYNTAX score in predicting stent thrombosis and was superior in predicting short-term death and major complications.
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spelling pubmed-103808312023-07-29 Short-Term Prognostic Value of the Culprit-SYNTAX Score in Patients with Acute Myocardial Infarction Peker, Tezcan Boyraz, Bedrettin J Cardiovasc Dev Dis Article Background: The SYNergy between Percutaneous Coronary Intervention with TAXus and Cardiac Surgery (SYNTAX) score is a scoring system that helps to decide on surgery or percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (MI), and studies are showing the prognostic value of this scoring system in both AMI and coronary artery disease patients undergoing PCI. In acute coronary syndrome (ACS) patients, the infarct-related artery and the complexity of the lesions are also important in terms of mortality and morbidity. Our study aimed to determine the prognostic value of the culprit vessel’s SYNTAX score (cul-SS) in patients presenting with MI. Methods: In our study, 1284 patients presenting with MI were analyzed retrospectively. The SYNTAX scores and cul-SS of the patients were calculated. In-hospital and 30-day deaths and major complications were accepted as primary outcomes. The SYNTAX scores and cul-SS were compared in terms of predicting primary outcomes. Conclusions: Major complications were observed in 36 (2.8%) patients, death in 42 (3.3%) patients, and stent thrombosis in 24 (1.9%) patients. The area under the curves for SYNTAX and cul-SS for predicting primary outcomes is 0.64 and 0.68 (p = 0.026), respectively. Cul-SS was as successful as the SYNTAX score in predicting stent thrombosis and was superior in predicting short-term death and major complications. MDPI 2023-06-24 /pmc/articles/PMC10380831/ /pubmed/37504526 http://dx.doi.org/10.3390/jcdd10070270 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Peker, Tezcan
Boyraz, Bedrettin
Short-Term Prognostic Value of the Culprit-SYNTAX Score in Patients with Acute Myocardial Infarction
title Short-Term Prognostic Value of the Culprit-SYNTAX Score in Patients with Acute Myocardial Infarction
title_full Short-Term Prognostic Value of the Culprit-SYNTAX Score in Patients with Acute Myocardial Infarction
title_fullStr Short-Term Prognostic Value of the Culprit-SYNTAX Score in Patients with Acute Myocardial Infarction
title_full_unstemmed Short-Term Prognostic Value of the Culprit-SYNTAX Score in Patients with Acute Myocardial Infarction
title_short Short-Term Prognostic Value of the Culprit-SYNTAX Score in Patients with Acute Myocardial Infarction
title_sort short-term prognostic value of the culprit-syntax score in patients with acute myocardial infarction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380831/
https://www.ncbi.nlm.nih.gov/pubmed/37504526
http://dx.doi.org/10.3390/jcdd10070270
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