The SYNTAX score predicts early mortality risk in the elderly with acute coronary syndrome having primary PCI

Frank Scherff, Giuseppe Vassalli, Daniel Sürder, Antonio Mantovani, Carlo Corbacelli, Elena Pasotti, Catherine Klersy, Angelo Auricchio, Tiziano Moccetti, Giovanni B. Pedrazzini

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The SYNTAX score (SXscore), an angiographic score reflecting coronary lesion complexity, predicts clinical outcomes in patients with left main or multivessel disease, and in patients with ST-segment elevation myocardial infarction undergoing primary PCI. The clinical SXscore (CSS) integrates the SXscore and clinical variables (age, ejection fraction, serum creatinine) into a single score. We analyzed these scores in elderly patients with acute coronary syndrome (ACS) undergoing primary PCI. The purpose of this analysis was not to decide which patients should undergo PCI, but to predict clinical outcomes in this population. Methods: The SXscore was determined in a consecutive series of 114 elderly patients (mean age, 79.6 ± 4.1 years) undergoing primary PCI for ACS. Outcomes were stratified according to SXscore tertiles: SX LOW ≤15 (n = 39), 15<SX MID

Original languageEnglish
Pages (from-to)505-510
Number of pages6
JournalJournal of Invasive Cardiology
Volume23
Issue number12
Publication statusPublished - Dec 2011

Keywords

  • acute coronary syndrome
  • myocardial infarction
  • PCI
  • SYNTAX score

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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