Evaluation of the Prognostic Role of the Wall Motion Score Index and the SYNTAX Score II in Patients with Acute Coronary Syndrome Following Percutaneous Coronary Intervention by Evaluation of Major Adverse Cardiovascular Events at 12-Month Follow-Up

Kong, Fanyang; Xiang, Li; Wu, Yanni; Guangming, Tong

doi:10.12659/msm.932652

Cited by 3 publications

(5 citation statements)

References 20 publications

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“…SSII, in combination with wall motion score index, predicted one-year MACE rate in patients who underwent primary PCI. 28 Salvatore et al suggested that the SSII score could be used for prognostication of ACS patients who underwent PCI for severe coronary artery disease (3-vessel disease and/or left main coronary artery disease). 29 In Li e al.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Predictive Value of SYNTAX-II Score for Adverse Cardiac Events and Clinical Outcomes in Patients With Acute Coronary Syndrome

2023

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Prognostic information is important for the management of acute coronary syndrome (ACS). Our aim was to evaluate Synergy between PCI with Taxus and Cardiac Surgery (SYNTAX) score-II (SSII) for predicting contrast induced nephropathy (CIN) and one-year major adverse cardiac events (MACE) in ACS patients. Coronary angiographic recordings of 1304 ACS patients were retrospectively examined. Predictive values of SYNTAX score (SS), SSII-percutaneous coronary intervention (SSII-PCI), SSII-coronary artery bypass graft (SSII-CABG) scores for CIN and MACE were assessed. Combination of CIN and MACE ratios constituted primary composite end-point. Patients with SSII-PCI scores >32.55 were compared with patients with lower scores. All of the three scoring systems predicted the composite primary end-point [SS: Area under the curve (AUC): .718, P < .001 (95% CI: .689-.747), SSII-PCI: AUC: .824, P < .001 (95% CI: .800-.849), SSII-CABG: AUC: .778, P < .001 (95% CI: .751-.805)]. Comparison of AUC of receiver operating characteristic curves showed that SSII-PCI score had better predictive value than that of SS and SSII-CABG scores. In multivariate analysis, the only predictor of the primary composite end-point was SSII-PCI score (odds ratio: 1.126, 95% CI: 1.107-1.146, P < .001). SSII-PCI score was a valuable tool for prediction of shock, CABG, myocardial infarction, stent thrombosis, development of CIN and one-year mortality.

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Section: Discussionmentioning

confidence: 99%

Assessment of Predictive Value of SYNTAX-II Score for Adverse Cardiac Events and Clinical Outcomes in Patients With Acute Coronary Syndrome

2023

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“…WMS is now the most used and well-validated index in echocardiography, and it offers the best option for measuring systolic function following acute myocardial infarction. 6,20 According to Jurado-Román et al 21 the examination of wall motion segments may provide a more reliable prognostic marker than LVEF, particularly when myocardial damage is less severe. The survival rate decreases with an increasing wall motion score index and an ischemia-free stress period.…”

Section: Discussionmentioning

confidence: 99%

“…4 The measurement of MACEs in cases receiving revascularization has also benefited from the use of wall motion scores (WMSs). 5,6 Subsequent studies have assessed the relevance of the WMS in predicting MACEs in patients having PCI, and the degree of left ventricular function impairment has also been linked to unfavourable cardiovascular events. It is still not clear if using a measure that combines the WMS and SSII would help predict outcomes for people getting PCI because it has not been studied well.…”

Section: Introductionmentioning

confidence: 99%

“…It is still not clear if using a measure that combines the WMS and SSII would help predict outcomes for people getting PCI because it has not been studied well. 5,6 The left ventricle is separated into several segments in the 17-segment model, which is then used to compute the WMS in accordance with the advice of the American Society of Echocardiography. 7 Each segment's contractility is graded using the following system: Normal is number one, followed by hypokinesia, dyskinesia, akinesia, and ventricular aneurysm.…”

Section: Introductionmentioning

confidence: 99%

“…Two separate, skilled cardiologists independently examine all factors. 6,7 Nevertheless, they conducted the measurements during the hyper acute phase, when the compensating hyperkinesia was at its peak and could imagine a bias that should diminish over time as the hypercontractile components regain normal function. Some studies have looked at how well both tests can predict bad things that will happen after an AMI.…”

Section: Introductionmentioning

confidence: 99%

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Echocardiographic Wall Motion Score in the Naive Patients of Non-ST Segment Elevation Acute Coronary Syndrome Regarding their Early Mortality

Memon¹,

Shah²,

Memon³

et al. 2022

PJMHS

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Objectives: To evaluate the association of echocardiographic wall motion score (WMS) with early mortality (30-days) among patients with non-ST-Segment Elevation Acute Coronary Syndrome (NSTE-ACS). Material and methods: This descriptive case series study was conducted at the cardiology department at LUMHS from October 2015 to March 2016. Patients with NSTE-ACS and positive cardiac biomarkers, patients older than 25 years, and both genders admitted to CCU were included. Standard indoor treatment was done in these patients. Evaluation of wall motion score was done by echocardiography by 2D echo. All patients were monitored for early cardiac event-related mortality (30 days). The self-made Performa logged all of the information gathered. SPSS version 26.0 was used to analyze all of the data. Results: In this study, a total of 148 cases of NSTE-ACS were studied. Most of the patients were aged more than 40 years, and males were in the majority 93(62.8%). Reginal wall motion was in 105(70.9%) of the cases. In 88(59.5%) of the cases, the ejection fraction was <40% and in 58(40.5%) of the cases it was >40%. CKMB was raised in 69(46.6%) of the cases, and troponin T was positive in all of the cases. The overall short-term mortality rate was 20.3%, which was significantly associated with a high grade of wall motion score (p-0.001). Conclusions: It was concluded that echocardiographic wall motion score was correlated significantly to short-term mortality (30-day) among new patients presented with NSTE-ACS. Keywords: Acute coronary syndrome, WMS, NSTE, early mortality

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Risk prediction of arrhythmia after percutaneous coronary intervention in patients with acute coronary syndrome: A systematic review and meta-analysis

Yan,

Jiang,

Zhang

et al. 2025

International Journal of Medical Informatics

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Evaluation of the Prognostic Role of the Wall Motion Score Index and the SYNTAX Score II in Patients with Acute Coronary Syndrome Following Percutaneous Coronary Intervention by Evaluation of Major Adverse Cardiovascular Events at 12-Month Follow-Up

Cited by 3 publications

References 20 publications

Assessment of Predictive Value of SYNTAX-II Score for Adverse Cardiac Events and Clinical Outcomes in Patients With Acute Coronary Syndrome

Assessment of Predictive Value of SYNTAX-II Score for Adverse Cardiac Events and Clinical Outcomes in Patients With Acute Coronary Syndrome

Echocardiographic Wall Motion Score in the Naive Patients of Non-ST Segment Elevation Acute Coronary Syndrome Regarding their Early Mortality

Risk prediction of arrhythmia after percutaneous coronary intervention in patients with acute coronary syndrome: A systematic review and meta-analysis

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