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Abstract
Backgroud: Residual SYNTAX Score (rSS) was derived from SYNTAX score to quantify the burden of residual coronary artery disease after percutaneous coronary intervention (PCI), and has been validated as an independent predictor for clinical adverse events. Therefore, we conducted the study to describe the characteristics of residual Syntax score in patients with ST-elevation myocardial infarction after percutaneous coronary intervention and to investigate the relationship of residual Syntax score with outcomes in patients with ST segment elevation acute myocardial infarction after percutaneous coronary intervention.
Methods: Cross - sectional study of patients with acute ST-elevation myocardial infarction undergoing percutaneous coronary intervention at Da Nang hospital from March 2022 to September 2023.
Results: The study comprised 139 patients in total; the mean age was 63.51 ± 13.07, and 29.5% of the patients were female. The average residual Syntax score was 6.4 ± 5.9. The group with residual Syntax 0 points, 1 - 7 points, ≥ 8 points accounted for 11.5%, 59%, 29.5% respectively. High residual Syntax scores were related to age, gender, heart rate > 100, systolic BP < 100, Killip ≥ 2, history of hypertension, EF < 40%, Syntax score, ≥ 2 culprit coronary, TIMI < 3 after intervention (p < 0.05). Syntax residual ≥ 8 group had a greater rate of mortality within 30 days, major cardiovascular events in the hospital, and major cardiovascular events within 30 days compared to the other two groups. This difference was statistically significant (p < 0.05).
Conclusion: The average residual Syntax score was 6.4 ± 5.9, residual Syntax score 0 points, 1 - 7 points, and ≥ 8 points accounted for 11.5%, 59%, and 29.5%, respectively. High residual Syntax scores were associated with 30 - day mortality, major in - hospital cardiovascular events, and 30 - day major cardiovascular events.
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Phương NHMP. Điểm syntax tồn lưu sau can thiệp nhồi máu cơ tim cấp st chênh lên trên người bệnh nhiều nhánh mạch vành. Kỷ yếu hội nghị bệnh viện Tim mạch An Giang 2017. 2017
| Published | 20-06-2024 | |
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| Issue | No. 96 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.96.13 | |
| Keywords | Nhồi máu cơ tim cấp ST chênh lên, điểm Syntax tồn dư, can thiệp động mạch vành qua da, biến cố tim mạch Acute ST-elevation myocardial infarction, residual Syntax score, percutaneous coronary intervention, major cardiovascular events |
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