TIMI, PURSUIT and GRACE risk scores: sustained prognostic value and interaction with revascularization in NSTE-ACS. de Araşjo Gonçalves P, Ferreira J, Aguiar C, Seabra-Gomes R.Results from an international trial of 9461 patients. Predictors of outcome in patients with acute coronary syndromes without persistent ST-segment elevation. Boersma E, Pieper KS, Steyerberg EW, Wilcox RG, Chang WC, Lee KL, et al.Effect of glycoprotein 2b/3a receptor blocker abciximab on outcome in patients with acute coronary syndromes without early coronary revascularization: The GUSTO 4-ACS randomised trial. Simoons ML, GUSTO IV-ACS Investigators.The thrombolysis in myocardial infarction risk score in unstable angina pectoris/non-ST-segment elevation myocardial infarction. ACC/AHA 2002 guideline update for the manage- ment of patients with unstable angina and non-ST-segment eleva- tion myocardial infarction-summary article: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (Committee on the Management of Patients With Unstable Angina) J Am Coll Cardiol 2002 40: 1366-74. Braunwald E, Antman EM, Beasley JW, Califf RM, Cheitlin MD, Hochman JS, et al.The SYNTAX Score: an angiographic tool grading the complexity of coronary artery disease. Sianos G, Morel MA, Kappetein AP, Morice MC, Colombo A, Dawkins K, et al.European cardiovascular disease statis- tics: 2008 edition. The area under the ROC curve value for GRS was 0.65 (95% CI: 0.56-0.74, p=0.001) in the prediction of severity of CAD.Conclusion: The GRS is more associated with SS than TRI in predicting the severity of CAD in patients with ACS.(Anatol J Cardiol 2015 15: 801-6) Anahtar Kelime: There was a positive significant correlation between the GRS and the SS (r=0.427, p<0.001), but there were no significant correlation between the TRI and SS (r=0.121,p=0.135). There were significant differences in mean age (p<0.001), heart rate (p<0.001), SS(p<0.001), TRI (p<0.001), rate of NSTE-ACS (p<0.001), and STEMI (p<0.001) in all patients between the risk groups. A Pearson correlation analysis was used for the relation between GRS, TRI, and SS.Results: Patients with a history of coronary artery bypass surgery, those who had missing data for calculating the GRS and TRI, and thosewhose systolic blood pressure (SBP) was more than 180 mm Hg or whose diastolic blood pressure (DBP) was more than 110 mm Hg wereexcluded from the study. The patients were divided into low(GRS140)-risk groups and group 1 (TRI26) accordingto GRS and TRI scores. The severity of CAD was evaluated using the SS. The GRS andTRI were calculated on admission using specified variables. A total of 287patients with ACS were included in the study. We aimed to evaluate the relationship betweenthe GRS, TRI, and severity of CAD evaluated by SYNTAX score (SS) in patients with acute coronary syndrome (ACS).Methods: Patients with ACS who were admitted to the coronary care unit of our institution were retrospectively evaluated in this study. Objective: The prognostic value of the Global Registry of Acute Coronary Events (GRACE) risk score (GRS) and the Thrombolysis In MyocardialInfarction (TIMI) risk index (TRI) has been reported in coronary artery disease (CAD) patients.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |