The SYNTAX score predicts early mortality risk in the elderly with acute coronary syndrome having primary PCI.
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2011
- handle: 10670/1.wrqsfz
- issn: 1042-3931
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F. Scherff et al., « The SYNTAX score predicts early mortality risk in the elderly with acute coronary syndrome having primary PCI. », Serveur académique Lausannois, ID : 10670/1.wrqsfz
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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: SXLOW ≤15 (n = 39), 15< SXMID