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| Value of SYNTAX Score in Evaluating Risk Stratification and Short-term Prognosis in patients with Acute Coronary Syndrome |
| WANG Yon, LIU Xiu-ling, SHI Yun-tao, et al |
| Department of Cardiology,the Gaochun People's Hospital of Nanjing,Jiangsu 211300 |
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Abstract 【Objective】 To evaluate the value of SYNTAX score for evaluation in disease risks and short-term prognosis in acute coronary syndrome (ACS) patients.【Methods】 From January 2014 to January 2018, 320 patients with ACS were recruited. According to the GRACE score, the patients with ACS were stratified at risk.Finally, 70 cases of low, medium and high risk patients were included, a total of 210 cases were studied. All patients were treated with PCI after admission. SYNTAX scores were calculated according to the results of intraoperative coronary angiography. The MACE was recorded during hospitalization. The differences of SYNTAX scores in patients with different risk stratification were compared, and the correlation between GRACE scores and SYNTAX scores was analyzed . At the same time, (ROC) was used to evaluate the value of SYNTAX score as a risk stratification evaluation index, and the relationship between SYNTAX score and MACE during hospital treatment was analyzed.【Results】 The SYNTAX score of the high risk group was higher than that of the low and moderate risk groups, (11.09 ±2.69), (21.58 ±5.34) and (24.89 ±6.61). Pearson correlation analysis showed that there was a positive correlation between Grace Score and SYNTAX score (r=0.621). In addition, the area under the curve (AUC)(95%CI)of ROC for identifying high-risk ACS patients with SYNTAX score was 0.82(0.76~0.87). At the same time, the level of SYNTAX score in the MACE group was significantly higher than that in the non- MACE group (28.26 ±4.72) and (15.35 ±6.11). The difference was statistically significant.【Conclusions】 SYNTAX score as a marker for assessing risk stratification and predicting short-term prognosis in patients with ACS is of great clinical significance.
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Received: 16 May 2018
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2018, Vol. 35 
