Investigating and Comparing the Relationship between the SYNTAX Score and Short-Term and Long-Term Consequences of Patients with STEMI under Thrombolytic Treatment and then Angiography in the Years 2018-2020

Saeid  Jodi; Ahmad  Separham; Amirreza  Jabbaripour Sarmadian; Naeem  Rakhsha

doi:10.18502/jimc.v8i2.17710

Saeid Jodi Department of Cardiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Ahmad Separham Department of Interventional Cardiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Amirreza Jabbaripour Sarmadian Department of Interventional Cardiology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Naeem Rakhsha Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran

DOI: https://doi.org/10.18502/jimc.v8i2.17710

Keywords: Angiography, Heart failure, Myocardial infarction, Percutaneous coronary intervention, ST elevation myocardial infarction

Abstract

Background: The SYNTAX score is a strong predictor of adverse cardiovascular events such as cardiac death, myocardial infarction, and lesions with revascularization. This rating was also confirmed for patients with left ventricular problems and all the patients referred for percutaneous coronary interventions Percutaneous Coronary Interventions (PCI).

Methods: This study was conducted on 107 patients with ST-Elevation Myocardial Infarction (STEMI) who underwent thrombolytic treatment and then angiography. SYNTAX score was calculated in all the patients. Finally, the short-term and long-term prognoses were examined. Finally, the STR values were compared in two groups of people with high syntax and low syntax.

Results: Eighteen patients (16.8%) suffered Congestive Heart Failure (CHF), one (0.9%) experienced GI bleeding, and one (0.9%) suffered ReMI. The patients’ mean±standard deviation, maximum, and minimum SYNTAX scores were 12.82±7.19, 35, and 3, respectively. Twelve patients (11.2%) had SYNTAX scores higher than 22 (high risk), and 95 (88.8%) had scores lower than 22 (low risk).

Conclusion: Results of the present study indicated that patients with SYNTEX scores >22 had STR lower than 50. CHF incidence rate in patients with SYNTAX scores higher than 22 (high risk) was higher. There was also a significant relationship between the patients’ prognosis and SYNTAX scores.