Association of the SYNTAX Score II with cardiac rupture in patients with ST-segment elevation myocardial infarction undergoing a primary percutaneous coronary intervention

dc.authoridSabri Seyis / 0000-0002-7980-0363en_US
dc.authorscopusidSabri Seyis / 16176780400
dc.authorwosidSabri Seyis / F-7029-2014
dc.contributor.authorRencuzogullari I.
dc.contributor.authorÇağdaş M.
dc.contributor.authorKaraba? Y.
dc.contributor.authorKarakoyun S.
dc.contributor.authorYesin M.
dc.contributor.authorGürsoy M.O.
dc.contributor.authorSeyis, Sabri
dc.contributor.authorArtaç, I
dc.contributor.authorIliş, D
dc.contributor.authorEfe, S.C
dc.contributor.authorTanboğa I.H.
dc.date.accessioned2020-08-30T20:01:40Z
dc.date.available2020-08-30T20:01:40Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionSeyis, Sabri (isu author)
dc.description.abstractBackground Despite advances in reperfusion strategies, medical therapy, and emergent surgery, cardiac rupture (CR) is still a major lethal complication. Numerous parameters have been found to be associated with CR development after a primary percutaneous coronary intervention (pPCI). SYNTAX Score (SS) and SYNTAX Score II (SSII) have been studied in ST-segment elevation myocardial infarction (STEMI) patients, and higher scores have been associated with higher mortality. However, the relationship between CR and SSII is unclear. This study investigates the possible relationship between CR and SS, SSII in STEMI patients treated with pPCI. Patients and methods We enrolled 1663 consecutive STEMI patients treated with pPCI, who were divided into two groups according to CR development and compared with each other. Patients were further stratified into the three groups according to their SSII values. Results In this study, 33 (1.98%) patients developed CR. Both SS and SSII of those with CR were significantly higher than those without (19.27±4.0 vs. 16.40±4.55; P<0.001 and 49.40±16.54 vs. 30.92±11.80; P<0.001, respectively). It was also observed that CR increased gradually according to increasing SSII tertiles. SSII was found to be an independent predictor for CR (odds ratio=1.043, 95% confidence interval: 1.012-1.074; P=0.006). In the long-term follow-up, all-cause mortality was significantly higher in patients with CR than those without (60.6 vs. 8.8%; P<0.001). Conclusion This study shows that SSII is an independent predictor for CR. Furthermore, patients with CR were associated with a poor prognosis. Closer follow-up of patients with high SSII may be useful in the early detection and treatment of this fatal complication. © 2018 Wolters Kluwer Health, Inc. All rights reserved.en_US
dc.identifier.citationRencuzogullari, I., Çağdaş, M., Karabağ, Y., Karakoyun, S., Yesin, M., Gürsoy, M. O., ... & Tanboğa, İ. H. (2018). Association of the SYNTAX Score II with cardiac rupture in patients with ST-segment elevation myocardial infarction undergoing a primary percutaneous coronary intervention. Coronary artery disease, 29(2), 97-103.en_US
dc.identifier.doi10.1097/MCA.0000000000000571en_US
dc.identifier.endpage103en_US
dc.identifier.issn0954-6928en_US
dc.identifier.issue2en_US
dc.identifier.pmid29028739en_US
dc.identifier.scopus2-s2.0-85045124444en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage97en_US
dc.identifier.urihttps://doi.org/10.1097/MCA.0000000000000571
dc.identifier.urihttps://hdl.handle.net/20.500.12713/348
dc.identifier.volume29en_US
dc.identifier.wosWOS:000428541900004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorSeyis, Sabrien_US
dc.language.isoenen_US
dc.publisherLippincott Williams and Wilkinsen_US
dc.relation.ispartofCoronary Artery Diseaseen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCardiac Ruptureen_US
dc.subjectSt-Segment Elevation Myocardial Infarctionen_US
dc.subjectSyntax Scoreen_US
dc.subjectSyntax Score Iien_US
dc.titleAssociation of the SYNTAX Score II with cardiac rupture in patients with ST-segment elevation myocardial infarction undergoing a primary percutaneous coronary interventionen_US
dc.typeArticleen_US

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