A multidirectional approach to risk assessment in patients with three-vessel coronary artery disease undergoing percutaneous intervention. Issue 4 (April 2017)

• Record Type: Journal Article
• Authors: Kashiyama, Toshikazu; Otsuji, Satoru; Takiuchi, Shin; Asano, Katsuaki; Ibuki, Motoaki; Hasegawa, Katsuyuki; Ishibuchi, Kasumi; Fujino, Akiko; Ishii, Rui; Higashino, Yorihiko
• Is Part Of: Journal of cardiology. Volume 69:Issue 4(2017:Apr.)
• Page Start: 640
• Page End: 647
• Publication Date: 2017-04
• Subjects: Clinical SYNTAX score -- Hard clinical events -- Percutaneous coronary intervention; Cardiology -- Periodicals; 616.12
• DOI: 10.1016/j.jjcc.2016.06.006
• Languages: English
• ISSNs: 0914-5087

Abstract

Abstract: Background: The SYNTAX score (SS) and Clinical SYNTAX score (CSS) have demonstrated utility as risk-stratifying tools following percutaneous coronary intervention (PCI). However, useful determinants for predicting hard clinical events (HCE: death, nonfatal myocardial infarction, and stroke) in the setting of routinely-performed-angiographic follow-up have yet to be elucidated. Methods and results: We retrospectively examined the clinical outcomes of 252 three-vessel disease (TVD) patients following PCI. The incidence of HCE at 3 years significantly differed according to CSS (High, 20.2%; Intermediate, 1.2%; and Low, 6.0%; log-rank p < 0.001), but not according to SS (High, 14.0%; Intermediate, 5.8%; and Low, 7.3%; log-rank p = 0.13). The incidence of repetitive revascularization at 3 years did not differ significantly both among SS (High, 45.2%; Intermediate, 36.5%; and Low, 38.2%; log-rank p = 0.22) and CSS (High, 36.9%; Intermediate, 41.7%; and Low, 41.7%; log-rank p = 0.88, ). Conclusion: Prediction of HCE in patients with TVD following PCI was more accurate with CSS than with SS.