SYNTAX Score II predicts carotid disease in a multivessel coronary disease population.
Int J Cardiol
; 196: 145-8, 2015 Oct 01.
Article
em En
| MEDLINE
| ID: mdl-26093529
ABSTRACT
BACKGROUND:
The SYNTAX Score (SxScore) is an angiographic tool that evaluates CAD complexity, which we previously reported lacking correlation with the presence of carotid disease. Recently, SxScore II has been developed including both angiographic and clinical variables, which could increase the prognostic accuracy for detection of carotid disease. METHODS ANDRESULTS:
From January 2013 to June 2014, 244 patients with multivessel CAD (mean age 65.37 years, 84% males) underwent carotid ultrasound scan. At least one carotid lesion (CL) was found in 77% of patients with significant carotid disease (SCD) in 23.4% of cases. Logistic regression analysis revealed no relation between SxScore and CL/SCD (p=0.781 and p=0.368) while SxScore II well correlated with CL (SxScore II-PCI odds ratio [OR] 1.036; 95% confidence interval [CI]1.006-1.067; p=0.019; SxScore II-CABG OR 1.045; 95% CI 1.015-1.076, p=0.003) and SCD (SxScore II-PCI OR 1.042; 95% CI 1.012-1.073, p=0.006; SxScore-CABG OR 1.054; 95% CI 1.029-1.080, p<0.0001). The areas under the receiver-operating characteristic curves were for SxScore 0.512 (95% CI 0.448-0.577; p=0.77), for SxScore II-PCI and SxScore II-CABG 0.600 (95% CI 0.536-0.662; p=0.01) and 0.645 (95% CI 0.581-0.705; p=0.0008), respectively, and 0.527 (95% CI 0.462-0.591; p=0.56), 0.619 (95% CI 0.555-0.681; p=0.01) and 0.681 (95% CI 0.619-0.739; p=0.0001), respectively, for the identification of SCD.CONCLUSIONS:
The SxScore II, with inclusion of clinical variables over angiographic complexity, seems more suited to predict the presence of carotid disease than the SxScore.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Doença da Artéria Coronariana
/
Doenças das Artérias Carótidas
/
Técnicas de Apoio para a Decisão
Tipo de estudo:
Etiology_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article