SYNTAX Score is associated with worse outcomes after off-pump coronary artery bypass grafting surgery for three-vessel or left main complex coronary disease

Carnero-Alcázar, Manuel; Castellanos, Luis Carlos Maroto; Guisasola, J.A. Silva; Carnicer, Javier Cobiella; Alswies, Ali; Fuentes‐Ferrer, Manuel; Hernández, José E. Rodríguez

doi:10.1016/j.jtcvs.2010.10.036

Cited by 26 publications

(21 citation statements)

References 26 publications

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“…The prognostic value of the SYNTAX score based on ICA has been well-established, with a high SYNTAX score independently predicting worse outcome after revascularization (PCI or CABG) [16][17][18][19][20][21][22][23]. A recent randomized clinical trial reported that among patients with complex CAD (LM or 3-vessel disease), the low (0-22) SYNTAX score group showed no significantly different adverse cardiac and cerebrovascular event (MACCE) rates between treatment groups (CABG vs. PCI).…”

Section: Discussionmentioning

confidence: 99%

Prognostic value of SYNTAX score based on coronary computed tomography angiography

Suh

Hong

Lee

et al. 2015

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

Prognostic value of SYNTAX score based on coronary computed tomography angiography

Suh

Hong

Lee

et al. 2015

International Journal of Cardiology

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“…The examiners were unaware of the cognitive status of the patients. The severity of the coronary lesions was assessed using the findings of coronary angiography (Innova 3100; GE Medical Systems, Carrollton, TX, USA) and a SYNTAX Score calculator (http://www.syntaxscore.com/calculator/start.htm) [26]. Expert-class equipment was used to perform echocardiography and evaluations of the carotid artery stenosis (Vivid 7; GE Medical Systems).…”

Section: Methodsmentioning

confidence: 99%

EEG and Clinical Factors Associated with Mild Cognitive Impairment in Coronary Artery Disease Patients

Тарасова

Трубникова

Barbarash

2018

Dement Geriatr Cogn Disord

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Background: Although an impaired cognitive status in patients with coronary artery disease (CAD) is not rare, the neurophysiological and clinical indicators of mild cognitive impairment (MCI) have been insufficiently investigated so far. Methods: EEG and neuropsychological testing as well as clinical examination were performed on 122 patients with CAD, who were divided into two groups, those with MCI (n = 60; mean age 57.4 ± 5.81 years) and those without MCI (n = 62; mean age 57.0 ± 5.04 years). Binary logistic regression was used to identify the relationship between EEG and clinical variables and the probability of MCI. Results: Higher theta/alpha ratios, theta1 rhythm power with closed eyes in the frontal and occipital areas of the left hemisphere, and alpha2 rhythm power with eyes open in the frontal areas of the right hemisphere were associated with an increased risk for MCI in CAD patients. A low educational level, type 2 diabetes mellitus, and severe coronary lesions according to the SYNTAX Score (≥23 points) increased the risk for MCI as well. Conclusions: The findings of our study show that a theta activity increase in frontal and occipital sites, as well as high theta/alpha ratios, may be considered as the earliest EEG markers of vascular cognitive disorders.

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“…Recently, some authors have used SYNTAX scores to predict major adverse cardiac and cerebrovascular events following coronary artery bypass grafting [10,11]. The clinical SYNTAX score (CSS) is a combination of age, ejection fraction, decrease in creatinine clearance and classic SYNTAX score.…”

Section: Introductionmentioning

confidence: 99%

Clinical SYNTAX Score Can Predict Acute Kidney Injury following On-Pump but Not Off-Pump Coronary Artery Bypass Surgery

et al. 2015

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Background: The complexity of coronary artery disease is usually a neglected factor in risk stratification systems. We aimed to analyze the discriminative ability of the clinical SYNTAX score (CSS) for acute kidney injury (AKI) following on- and off-pump coronary artery surgery. Methods: A total of 193 patients were reviewed in this study. Patients were divided into two groups according to the surgical procedure (group I: off-pump coronary artery bypass grafting, n = 89; group II: on-pump coronary artery bypass grafting, n = 104). Preoperative demographic data, the CSS and postoperative renal functions were evaluated. The postoperative AKI classification was made using the RIFLE (Risk, Injury, Failure, Loss of function, and End-stage renal disease) criteria. Results: Postoperative AKI occurred in 14 of 89 patients (15.7%) in group I and in 29 of 104 patients in group II (27.8%; p = 0.046). The CSS did not vary much between the groups (31.52 ± 13.08 vs. 29.89 ± 15.70; p = 0.638). In group I, the CSS was not different between patients with AKI and those without AKI (30.167 ± 3.93 vs. 31.91± 14.75; p = 0.78). In group II, the CSS was 36.85 ± 18.33 in patients with AKI and 28.02 ± 12.32 in those without, and the difference was significant (p = 0.02). The discriminative ability of the CSS for postoperative AKI using the AUC analysis was 0.500 in group I and 0.840 in group II. Conclusion: The CSSmay be a simple and successful means of risk prediction of postoperative AKI in on-pump coronary artery surgery.

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SYNTAX Score is associated with worse outcomes after off-pump coronary artery bypass grafting surgery for three-vessel or left main complex coronary disease

Cited by 26 publications

References 26 publications

Prognostic value of SYNTAX score based on coronary computed tomography angiography

Prognostic value of SYNTAX score based on coronary computed tomography angiography

EEG and Clinical Factors Associated with Mild Cognitive Impairment in Coronary Artery Disease Patients

Clinical SYNTAX Score Can Predict Acute Kidney Injury following On-Pump but Not Off-Pump Coronary Artery Bypass Surgery

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