SYNTAX score II predicts long-term mortality in patients with one- or two-vessel disease.
OBJECTIVE:SYNTAX score II (SSII) is a long-term mortality prediction model to guide the decision making of the heart-team between coronary artery bypass grafting or percutaneous coronary intervention (PCI) in patients with left main or three-vessel coronary artery disease. This study aims to investi...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC6028142?pdf=render |
| _version_ | 1818316010514546688 |
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| author | Maxime M Vroegindewey Anne-Sophie Schuurman Rohit M Oemrawsingh Robert-Jan van Geuns Isabella Kardys Jurgen Ligthart Joost Daemen Eric Boersma Patrick W Serruys K Martijn Akkerhuis |
| author_facet | Maxime M Vroegindewey Anne-Sophie Schuurman Rohit M Oemrawsingh Robert-Jan van Geuns Isabella Kardys Jurgen Ligthart Joost Daemen Eric Boersma Patrick W Serruys K Martijn Akkerhuis |
| author_sort | Maxime M Vroegindewey |
| collection | DOAJ |
| description | OBJECTIVE:SYNTAX score II (SSII) is a long-term mortality prediction model to guide the decision making of the heart-team between coronary artery bypass grafting or percutaneous coronary intervention (PCI) in patients with left main or three-vessel coronary artery disease. This study aims to investigate the long-term predictive value of SSII for all-cause mortality in patients with one- or two-vessel disease undergoing PCI. METHODS:A total of 628 patients (76% men, mean age: 61±10 years) undergoing PCI due to stable angina pectoris (43%) or acute coronary syndrome (57%), included between January 2008 and June 2013, were eligible for the current study. SSII was calculated using the original SYNTAX score website (www.syntaxscore.com). Cox regression analysis was used to assess the association between continuous SSII and long-term all-cause mortality. The area under the receiver-operating characteristic curve was used to assess the performance of SSII. RESULTS:SSII ranged from 6.6 to 58.2 (median: 20.4, interquartile range: 16.1-26.8). In multivariable analysis, SSII proved to be an independent significant predictor for 4.5-year mortality (hazard ratio per point increase: 1.10; 95% confidence interval: 1.07-1.13; p<0.001). In terms of discrimination, SSII had a concordance index of 0.77. CONCLUSION:In addition to its established value in patients with left main and three-vessel disease, SSII may also predict long-term mortality in PCI-treated patients with one- or two-vessel disease. |
| first_indexed | 2024-12-13T09:14:38Z |
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| id | doaj.art-6b5beffc1d704aef89d0c4e74436747a |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T09:14:38Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-6b5beffc1d704aef89d0c4e74436747a2022-12-21T23:52:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01137e020007610.1371/journal.pone.0200076SYNTAX score II predicts long-term mortality in patients with one- or two-vessel disease.Maxime M VroegindeweyAnne-Sophie SchuurmanRohit M OemrawsinghRobert-Jan van GeunsIsabella KardysJurgen LigthartJoost DaemenEric BoersmaPatrick W SerruysK Martijn AkkerhuisOBJECTIVE:SYNTAX score II (SSII) is a long-term mortality prediction model to guide the decision making of the heart-team between coronary artery bypass grafting or percutaneous coronary intervention (PCI) in patients with left main or three-vessel coronary artery disease. This study aims to investigate the long-term predictive value of SSII for all-cause mortality in patients with one- or two-vessel disease undergoing PCI. METHODS:A total of 628 patients (76% men, mean age: 61±10 years) undergoing PCI due to stable angina pectoris (43%) or acute coronary syndrome (57%), included between January 2008 and June 2013, were eligible for the current study. SSII was calculated using the original SYNTAX score website (www.syntaxscore.com). Cox regression analysis was used to assess the association between continuous SSII and long-term all-cause mortality. The area under the receiver-operating characteristic curve was used to assess the performance of SSII. RESULTS:SSII ranged from 6.6 to 58.2 (median: 20.4, interquartile range: 16.1-26.8). In multivariable analysis, SSII proved to be an independent significant predictor for 4.5-year mortality (hazard ratio per point increase: 1.10; 95% confidence interval: 1.07-1.13; p<0.001). In terms of discrimination, SSII had a concordance index of 0.77. CONCLUSION:In addition to its established value in patients with left main and three-vessel disease, SSII may also predict long-term mortality in PCI-treated patients with one- or two-vessel disease.http://europepmc.org/articles/PMC6028142?pdf=render |
| spellingShingle | Maxime M Vroegindewey Anne-Sophie Schuurman Rohit M Oemrawsingh Robert-Jan van Geuns Isabella Kardys Jurgen Ligthart Joost Daemen Eric Boersma Patrick W Serruys K Martijn Akkerhuis SYNTAX score II predicts long-term mortality in patients with one- or two-vessel disease. PLoS ONE |
| title | SYNTAX score II predicts long-term mortality in patients with one- or two-vessel disease. |
| title_full | SYNTAX score II predicts long-term mortality in patients with one- or two-vessel disease. |
| title_fullStr | SYNTAX score II predicts long-term mortality in patients with one- or two-vessel disease. |
| title_full_unstemmed | SYNTAX score II predicts long-term mortality in patients with one- or two-vessel disease. |
| title_short | SYNTAX score II predicts long-term mortality in patients with one- or two-vessel disease. |
| title_sort | syntax score ii predicts long term mortality in patients with one or two vessel disease |
| url | http://europepmc.org/articles/PMC6028142?pdf=render |
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