What is a syntax score in cardiology?
What is a syntax score in cardiology?
The SYNTAX score is an angiographic tool to help cardiologists, interventionists and surgeons to grade the complexity of coronary artery lesions. [6] A higher SYNTAX score indicates a more complex condition as well as worse prognosis in patients undergoing contemporary revascularization especially with PCI.
What Is syntax II?
SYNTAX II was a multicentre, single-arm, open-label study of patients requiring revascularization who demonstrated clinical equipoise for treatment with either coronary artery bypass grafting (CABG) or PCI, predicted by the SYNTAX score II.
What is the syntax trial?
The SYNTAX trial was designed to compare current surgical and percutaneous techniques in patients with three-vessel or left main coronary artery disease (or both).
What is good Syntax score?
as such, having a SYNTAX score of less than 22 is a class IIa indication and a SYNTAX score of less than 33 is a class IIb indication for revascularization with PCI in patients who are at higher risk to undergo CABG.
What does a low syntax score mean?
Low SYNTAX scores are 27. High scores are associated with increasing cardiac mortality, major adverse cardiac events, and a specific, predefined combination of end points. The SYNTAX angiographic grading system was used alone to identify potential risk for revascularization.
What is the Courage trial?
The Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial was designed to determine whether percutaneous coronary intervention (PCI) coupled with optimal medical therapy (OMT) reduced the risk of death or nonfatal myocardial infarction in patients with stable coronary artery …
What Is syntax medical term?
adjective Referring to the order, format and content of clinical trial data and/or documents, which contrasts to the trial’s semantics.
Is PCI considered surgery?
Percutaneous Coronary Intervention (PCI, formerly known as angioplasty with stent) is a non-surgical procedure that uses a catheter (a thin flexible tube) to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by plaque buildup, a condition known as atherosclerosis.
What is high risk PCI?
High-risk PCI was defined as the presence of impaired LV function (ejection fraction <30%) and extensive multivessel coronary disease, critical left main stenosis, or a target vessel that provides collateral supply to an occluded second vessel that in turn supplies >40% of myocardium.