Prognostic value of ΔSYNTAX％ score in octogenarians un-dergoing percutaneous coronary intervention
Joanna Abramik1
Nestoras Kontogiannis1
Roberto Scarsini2
Giovanni Luigi De Maria3
Tushar Raina1
Nikolaos Fragakis4
George Kassimis5
1.Department of Cardiology,Cheltenham General Hospital,Gloucestershire Hospitals NHS Foundation Trust,Chelten-ham,United Kingdom2.Department of Cardiology,Oxford University Hospitals NHS Foundation Trust,Oxford,United Kingdom;Division of Cardiology,Department of Medicine,University of Verona,Verona,Italy3.Department of Cardiology,Oxford University Hospitals NHS Foundation Trust,Oxford,United Kingdom4.Second Depart-ment of Cardiology,Hippokration Hospital,Medical School,Aristotle,University of Thessaloniki,Thessaloniki,Greece5.Department of Cardiology,Cheltenham General Hospital,Gloucestershire Hospitals NHS Foundation Trust,Chelten-ham,United Kingdom;Second Depart-ment of Cardiology,Hippokration Hospital,Medical School,Aristotle,University of Thessaloniki,Thessaloniki,Greece
摘要：OBJECTIVES To verify whether incomplete revascularisation(IR),quantified using the rSYNTAX(Synergy between Percu-taneous Coronary Intervention with Taxus and Cardiac Surgery)score and ΔSYNTAX％score,could predict short-(in-hospital mortality)and long-term outcomes(12-month mortality)in octogenarians undergoing percutaneous coronary intervention(PCI).METHODS&RESULTS A retrospective analysis of 665 consecutive octogenarian patients presenting for PCI to a UK centre was performed.The baseline SYNTAX and rSYNTAX scores were assessed from angiographic images.ΔSYNTAX％score was calculated(ΔSYNTAX％=((SYNTAX-rSYNTAX)/SYNTAX)×100％))to measure the relative completeness of revascularisation.Kaplan-Meier analysis assessed survival at 12 months by tertiles of rSYNTAX and ΔSYNTAX％scores.Increasing ΔSYNTAX％score was associated with reduced in-hospital mortality(P = 0.017),and improved survival benefit(log rank 14.8,P = 0.001)at 12 months.CONCLUSIONS Enhancing the completeness of revascularisation in octogenarians selected to undergo PCI is associated with a lower in-hospital mortality and a survival benefit at 12 months.
机标关键词：percutaneoussyntaxscorecoronaryinterventionoctogenariansprognosticun-dergoing
论文发表日期：2023-07-28
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：7( 509-515 )