1(st) Department of Cardiology, University of Athens, Greece.
1(st) Department of Cardiology, University of Athens, Greece.
Hellenic J Cardiol. 2019 Sep-Oct;60(5):305-308. doi: 10.1016/j.hjc.2018.03.001. Epub 2018 Mar 27.
Cardiovascular diseases are the first cause of death in western societies. Therapeutic interventions in the individual patient should be guided by the so-called ischemic risk of this patient.
The aim of the study was to study the ischemic prognostic scores GRACE and CHADS-VASc, in patients underwent angioplasty to highlight which best predicts better the ischemic risk.
Consecutives patients who underwent Percutaneous Coronary Intervention (PCI) due to Acute Coronary Disease, or elective PCI in one centre in Athens, Greece, where included in the study. The GRACE score and the CHADS-VASc score were calculated.
667 patients participated in the study with an average age of 61 ± 11 years and were followed-up for 2 years. The GRACE score and its predicted incidence at 3 years, was compared to the CHADS-VASc score. CHADS-VASc score was able to show a marginally better prognosis of future ischemic events, with an AUC of 0.624 vs 0.608 of the GRACE score.
In our study, The CHADS-VASc score managed to predict, marginally better, the appearance of MACCE over GRACE, in patients with angioplasty.
心血管疾病是西方社会的首要死因。对个体患者的治疗干预应根据该患者的所谓缺血风险来指导。
本研究旨在研究行血管成形术的患者的缺血预后评分 GRACE 和 CHADS-VASc，以突出哪种评分能更好地预测缺血风险。
连续入组因急性冠脉疾病行经皮冠状动脉介入治疗（PCI）或在希腊雅典一家中心行择期 PCI 的患者，将其纳入研究。计算 GRACE 评分和 CHADS-VASc 评分。
667 例患者参与了这项研究，平均年龄为 61±11 岁，随访 2 年。比较了 GRACE 评分及其预测的 3 年缺血事件发生率与 CHADS-VASc 评分。CHADS-VASc 评分在预测未来缺血事件方面显示出略好的预后，AUC 为 0.624 对 GRACE 的 0.608。
在我们的研究中，CHADS-VASc 评分在预测血管成形术后 MACCE 的出现方面，略优于 GRACE。
