P1835Application of SYNTAX score I, II and residual SYNTAX as predictors of long-term clinical outcomes after coronary artery bypass grafting
| Autor: | W Hueb, Gustavo Andre Boeing Boros, J P P Linhares Filho, F P C Carvalho, D F C Azevedo, R. Kalil Filho, Eduardo Gomes Lima, R R Silva, Cibele Larrosa Garzillo, C. V. Serrano Junior, Daniel Valente Batista, G F Carvalho, J A F Ramires, Paulo Cury Rezende, E B Martins |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Ejection fraction Syntax (programming languages) Interventional cardiology business.industry medicine.medical_treatment medicine.disease Revascularization Term (time) Coronary artery bypass surgery medicine.anatomical_structure Internal medicine Cardiology Medicine Myocardial infarction Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | European Heart Journal. 40 |
| ISSN: | 1522-9645 0195-668X |
| Popis: | Background The evaluation of coronary disease by SYNTAX score I (SSI) is used to grade coronary complexity. Following SSI, two other scores were developed: SYNTAX score II (SSII) and residual SYNTAX score (rSS). Nevertheless, there is still a lack of evidence about the prognostic significance of these scores among patients undergoing CABG. Purpose Our aim was to evaluate the relation of the SSI, SSII and rSS score with outcomes in a long-term follow-up after elective CABG. Methods This is a single center, registry-based study. Baseline SSI was calculated from patients undergoing CABG by interventional cardiologists. SSI results were considered as usual: 32. SSII and rSRR were then calculated and categorized in tertiles: 29.4 for SSII and 0, 1–5 and >5 for rSS. Primary outcome was a composite of overall death, myocardial infarction, additional revascularization, or stroke (MACCE). Results Data were obtained from 559 patients. Median follow-up was 6 years (IQR: 4.9–9.8) and 170 events were documented. The Kaplan-Meier curves (figure 1) showed significant differences of MACCE in higher SSI, SSII and rSS (p=0.039, 0.033, Figure 1 Conclusion In this sample SSI, II and residual were associated with the occurrence of events. However, just the rSS remained an independent predictor of MACCE together with age and EF. |
| Databáze: | OpenAIRE |
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