Comparison of SYNTAX Score And Residual SYNTAX Score in Patients Undergoing Multivessel Coronary Intervention

Authors

  • Zahid Mumtaz Department of Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
  • Zahoor Aslam Khattak Department of Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
  • Muhammad Bilal Siddique Department of Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
  • Syed Murtaza Ali Rizvi Department of Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
  • Ahmed Bilal Department of Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
  • Zeeshan Ishaq Department of Cardiology, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS), Rawalpindi, Pakistan

Keywords:

Residual Syntax Score, Syntax Score, Multivessel percutaneous coronary intervention

Abstract

Objective: To associate the SYNTAX score, residual SYNTAX score and in-hospital outcomes in patients who underwent multivessel Percutaneous Coronary Intervention.

Study Design: Analytical, Cross-sectional Study.

Place and Duration of Study: Cardiac Cath Lab, Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi, Pakistan, from Jul to Oct 2023.

Methodology: Total three hundred and sixty-six patients who underwent multivessel coronary intervention were included using non-probability consecutive sampling. Patients with history of CABG and complex coronary artery disease were excluded. SYNTAX score and residual SYNTAX score were calculated. Chi-square test and Wilcoxon Signed Rank test were applied to find associations. p<0.05 was considered as statistically significant.

Results: In a study of 366 participants, 292(79.8%) were males and 74(20.2%) were females whose mean age was 62.01±8.67 years, 136(37.2%) had diabetes, 177(48.4%) were hypertensive, and 153(41.8%) were smokers. NSTEMI was present in 173(47.2%) patients, and 43(11.7%) had LMS disease. In-hospital outcomes included 5(1.4%) repeat revascularization cases, 3(0.8%) Myocardial Infarction cases and 2(0.5%) death cases. SYNTAX Score had insignificant association with mortality (p=0.05), while residual SYNTAX score was significantly associated with repeat revascularization, MI, and mortality (p<0.01). Pre and post-procedural SYNTAX score were also different significantly (p<0.001).

Conclusion: Our study underscored the predictive importance of SYNTAX Score and residual SYNTAX Score in guiding optimal treatment decisions for improved outcomes in multivessel coronary intervention.

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References

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Published

30-05-2024

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Original Articles

How to Cite

1.
Mumtaz Z, Aslam Khattak Z, Bilal Siddique M, Ali Rizvi SM, Bilal A, Ishaq Z. Comparison of SYNTAX Score And Residual SYNTAX Score in Patients Undergoing Multivessel Coronary Intervention. Pak Armed Forces Med J [Internet]. 2024 May 30 [cited 2024 Jun. 16];74(SUPPL-1):S38-S42. Available from: https://pafmj.org/PAFMJ/article/view/11447