Department of Cardiology, The First Affiliated Hospital of USTC (Anhui Provincial Hospital), Division of Life Sciences and Medicine, University of Science and Technology of China, No. 17 Lujiang Road, Luyang District, Hefei, 230001, Anhui Province, China.
J Cardiothorac Surg. 2022 Apr 27;17(1):85. doi: 10.1186/s13019-022-01833-7.
To inquiry the predictive value of the age, creatinine, and ejection fraction (ACEF) score for cardiac mortality in patients diagnosed with heavily calcified coronary lesions at 1 year after percutaneous coronary intervention (PCI) with rotational atherectomy (RA).
275 patients with heavily calcified coronary lesions undergoing PCI with RA in the Department of Cardiology of Anhui Provincial Hospital from January 2017 to December 2019 were consecutively recruited. The primary endpoint event was cardiac death at postoperative 1 year. The ROC curve was used to assess ACEF scoring system and predict cardiac mortality.
In term of ACEF score upon admission, 275 patients were divided into low-to-intermediate risk group (n = 130) with ACEF score < 1.23 and high-risk group (n = 145) with ACEF score ≥ 1.23. The age, gender proportion and left ventricular ejection fraction (LVEF) have a significant difference between the low-to-intermediate risk group and the high-risk group (all P < 0.05). The area under ROC curve for ACEF scoring system to predict cardiac mortality at 1 year after PCI with RA was 0.756 and 0.715, respectively.
ACEF value upon admission can predict the cardiac mortality at 1 year following PCI with RA in heavily calcified coronary lesions patients.
探究经皮冠状动脉介入治疗（PCI）联合旋磨术（RA）治疗后 1 年发生严重钙化冠状动脉病变患者的年龄、肌酐和射血分数（ACEF）评分对心脏死亡率的预测价值。
连续纳入 2017 年 1 月至 2019 年 12 月在安徽省立医院心内科接受 PCI 联合 RA 治疗的 275 例严重钙化冠状动脉病变患者。主要终点事件为术后 1 年的心脏死亡。ROC 曲线用于评估 ACEF 评分系统并预测心脏死亡率。
根据入院时 ACEF 评分，275 例患者分为低危至中危组（n=130），ACEF 评分<1.23；高危组（n=145），ACEF 评分≥1.23。低危至中危组和高危组在年龄、性别比例和左心室射血分数（LVEF）方面差异有统计学意义（均 P<0.05）。ACEF 评分系统预测 RA 联合 PCI 治疗后 1 年心脏死亡率的 ROC 曲线下面积分别为 0.756 和 0.715。
入院时的 ACEF 值可预测严重钙化冠状动脉病变患者 PCI 联合 RA 治疗后 1 年的心脏死亡率。
