Papadopoulos K, Lekakis I, Nicolaides E
Cardiology Department, Medical Check-up Centre, 21 Costa Anaxagora Street, 2014, Nicosia, Cyprus.
Cardiology Department, Attikon University Hospital, Rimini 1, Chaidari 124 62, Athens, Greece.
Open Cardiovasc Med J. 2017 Apr 17;11:28-32. doi: 10.2174/1874192401711010028. eCollection 2017.
To evaluate the usefulness of the SYNTAX score (SS) in predicting 1-year clinical outcomes in a population of patients with chronic coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).
Despite the proven prognostic value of the SS in patients with multivessel and/or left main (LM) CAD, its usefulness in other patient subsets remains uncertain.
This was a prospective single centre cohort study conducted from September 2012 to November 2014 at the Nicosia General Hospital, Cyprus. Patients (n=140 94% men and 6% women) with chronic CAD undergoing revascularization with either PCI or CABG were evaluated.
At 1-year, angina occurred in 20 patients (14.3%), myocardial infarction (MI) in 3 patients (2.1%), repeat revascularization procedures in 9 patients (6.4%) and death in 12 patients (8.6%). The SS independently predicted angina (p=0.024) but was not predictive of MI (p=0.964), death (p=0.292) or repeat revascularization (p=0.069).
In this patient population, the SS predicted angina in the year following revascularization but was not predictive of MI, death or repeat revascularization.
评估SYNTAX评分（SS）对接受经皮冠状动脉介入治疗（PCI）或冠状动脉旁路移植术（CABG）的慢性冠状动脉疾病（CAD）患者1年临床结局的预测价值。
尽管SS在多支血管和/或左主干（LM）CAD患者中已被证实具有预后价值，但其在其他患者亚组中的效用仍不确定。
这是一项前瞻性单中心队列研究，于2012年9月至2014年11月在塞浦路斯尼科西亚综合医院进行。对接受PCI或CABG血运重建的慢性CAD患者（n = 140，男性94%，女性6%）进行评估。
1年时，20例患者（14.3%）发生心绞痛，3例患者（2.1%）发生心肌梗死（MI），9例患者（6.4%）进行了再次血运重建手术，12例患者（8.6%）死亡。SS独立预测心绞痛（p = 0.024），但不能预测MI（p = 0.964）、死亡（p = 0.292）或再次血运重建（p = 0.069）。
在该患者群体中，SS可预测血运重建术后1年内心绞痛的发生，但不能预测MI、死亡或再次血运重建。
