06 November 2021: Clinical Research
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
Fanyang Kong BCDE* , Li Xiang ABCDEG** , Yanni Wu BD* , Guangming Tong AFG*DOI: 10.12659/MSM.932652
Med Sci Monit 2021; 27:e932652
Table 1 Baseline patient characteristics.
| Variables | All (N=430) |
|---|---|
| Age (years) | 63.40±12.45 |
| Sex (Male), n (%) | 351 (81.6) |
| Risk factors | |
| Tobacco use, n (%) | 264 (61.4) |
| Hypertension, n (%) | 277 (64.4) |
| Family history, n (%) | 30 (7.0) |
| Dyslipidemia, n (%) | 286 (89.8) |
| Diabetes, n (%) | 116 (27.0) |
| Blood text index | |
| cTnT (pg/ml) | 2969.1±3320.0 |
| BNP (pg/ml) | 1542.6±2886.2 |
| Creatnine (μmol/l) | 73.96±32.98 |
| eGFR (ml/min/1.73 m) | 97.08±34.25 |
| Echocardiography | |
| LAD (mm) | 44.69±9.86 |
| LVDs (mm) | 31.30±8.35 |
| LVDd (mm) | 47.56±7.36 |
| LVEF (%) | 58.67±11.83 |
| Pulmonary artery pressure(mmHg) | 30.35±8.67 |
| Heart rate (bpm) | 79.54±16.31 |
| Systolic pressure (mmHg) | 130.92±23.35 |
| Angiographic data | |
| LAD lesion, n (%) | 221 (51.4) |
| LCX lesion, n (%) | 81 (18.8) |
| RCA lesion, n (%) | 173 (40.2) |
| LM lesion, n (%) | 20 (4.7) |
| Single-vessel disease, n (%) | 106 (24.7) |
| Two-vessel disease, n (%) | 135 (31.4) |
| Multivessel disease, n (%) | 189 (44.0) |
| Reperfusion therapy | |
| Emergency PCI, n (%) | 193 (44.9) |
| Selective PCI, n (%) | 237 (55.1) |
| Balloon dilatation, n (%) | 35 (8.1) |
| PTCA, n (%) | 53 (12.3) |
| Bare stents, n (%) | 40 (9.3) |
| Drug-eluting stents, n (%) | 362 (84.2) |
| SYNTAX score II | 46.64±7.02 |
| Wall motion score | 21.04±4.86 |
| MACE, n (%) | 86 (20.0) |
| Recurrent angina | 53 (12.3) |
| Acute myocardial infarction | 11 (2.6) |
| Malignant arrhythmia | 19 (4.4) |
| Heart failure | 14 (3.3) |
| Cardiac death | 3 (0.7) |
| BNP – brain natriuretic peptide; cTnT – troponin T; eGFR – effective glomerular filtration rate; LAD – left atrial diameter; LVDs – left ventricular end sysstolic diameter; LVDd – left ventricular end diastolic diameter; LVEF – left ventricular ejection fraction; LAD – left anterior descending coronary artery; LCX – left circumflex coronary artery; RCA – right coronary artery; LM – left main coronary artery; PCI – percutaneous coronary intervention; PTCA – percutaneous transluminal coronary angioplasty; MACE – major adverse cardiovascular events. | |