Prognostic value of ΔSYNTAX% score in octogenarians undergoing percutaneous coronary intervention

作     者：Joanna Abramik Nestoras Kontogiannis Roberto Scarsini Giovanni Luigi De Maria Tushar Raina Nikolaos Fragakis George Kassimis Joanna Abramik;Nestoras Kontogiannis;Roberto Scarsini;Giovanni Luigi De Maria;Tushar Raina;Nikolaos Fragakis;George Kassimis

作者机构：Department of CardiologyCheltenham General HospitalGloucestershire Hospitals NHS Foundation TrustCheltenhamUnited Kingdom Department of CardiologyOxford University Hospitals NHS Foundation TrustOxfordUnited Kingdom Division of CardiologyDepartment of MedicineUniversity of VeronaVeronaItaly Second Department of CardiologyHippokration HospitalMedical SchoolAristotleUniversity of ThessalonikiThessalonikiGreece 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2023年第20卷第7期

页      面：509-515页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：SYNTAX mortality coronary 

摘      要：OBJECTIVES To verify whether incomplete revascularisation(IR),quantified using the rSYNTAX(Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery)score andΔSYNTAX%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 *** 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 ***-Meier analysis assessed survival at 12 months by tertiles of rSYNTAX andΔSYNTAX%***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 *** 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.