Mo Ye, Xing Bo
Department of Cardiology, Haikou Affiliated Hospital of Central South University Xiangya School of Medicine, Haikou 570100, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021 Aug 28;46(8):884-888. doi: 10.11817/j.issn.1672-7347.2021.200837.
It is important to evaluate the complex coronary artery disease in the diagnosis and treatment of coronary heart disease.The SYNTAX score based on invasive coronary angiography (ICA) (also referred to as ICA-SYNTAX score) plays a positive role in the selection of revascularization of complex coronary artery disease and the prediction of adverse events.The development of coronary computed tomography angiography (CCTA) technology promotes the clinical application of SYNTAX score (CCTA-SYNTAX score) based on coronary CTA, and also enriches the examination methods of patients with coronary heart disease. The CCTA-SYNTAX score has the advantages of non-invasiveness, simple operation, good reproducibility, and relatively low cost, which can make it play an increasingly important role in the diagnosis of coronary heart disease. A number of foreign studies have confirmed that CCTA-SYNTAX score is highly correlated with ICA-SYNTAX score, which further promotes the study of CCTA-SYNTAX score in revascularization of percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and adverse event prediction.Therefore, the CCTA-SYNTAX score can be an auxiliary method for the ICA-SYNTAX score, as the first choice for preoperative evaluation and postoperative review of patients with coronary heart disease.
在冠心病的诊断和治疗中,评估复杂冠状动脉疾病很重要。基于有创冠状动脉造影(ICA)的SYNTAX评分(也称为ICA-SYNTAX评分)在复杂冠状动脉疾病血运重建的选择及不良事件预测中发挥着积极作用。冠状动脉计算机断层扫描血管造影(CCTA)技术的发展推动了基于冠状动脉CTA的SYNTAX评分(CCTA-SYNTAX评分)的临床应用,也丰富了冠心病患者的检查手段。CCTA-SYNTAX评分具有无创、操作简便、重复性好及成本相对较低等优点,使其在冠心病诊断中发挥着越来越重要的作用。多项国外研究证实,CCTA-SYNTAX评分与ICA-SYNTAX评分高度相关,这进一步推动了CCTA-SYNTAX评分在经皮冠状动脉介入治疗(PCI)或冠状动脉旁路移植术(CABG)血运重建及不良事件预测方面的研究。因此,CCTA-SYNTAX评分可作为ICA-SYNTAX评分的辅助方法,作为冠心病患者术前评估及术后复查的首选。