2020
DOI: 10.36660/abc.20190062
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Abstract: Background: Recurrent ischemic events are mediated by atherosclerotic plaque instability, whereas death after an ischemic event results from gravity of insult and ability of the organism to adapt. The distinct nature of those types of events may respond for different prediction properties of clinical and anatomical information regarding type of outcome. Objective: To identify prognostic properties of clinical and anatomical data in respect of fatal and non-fatal outcomes of patients hospitalized with acute cor… Show more

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Cited by 5 publications
(3 citation statements)
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“…The utility of the GRACE and the SYNTAX scores in clinical practice has been previously described [3,24,[29][30][31]. Both scores have been found to independently predict cardiovascular death in patients with ACS [32][33][34][35]. Moreover, a combination of the two algorithms (SYNTAX-GRACE score) has also been described and revealed to be of higher prognostic value for in-hospital cardiovascular death compared to the SYNTAX score alone [33].…”
Section: Discussionmentioning
confidence: 95%
“…The utility of the GRACE and the SYNTAX scores in clinical practice has been previously described [3,24,[29][30][31]. Both scores have been found to independently predict cardiovascular death in patients with ACS [32][33][34][35]. Moreover, a combination of the two algorithms (SYNTAX-GRACE score) has also been described and revealed to be of higher prognostic value for in-hospital cardiovascular death compared to the SYNTAX score alone [33].…”
Section: Discussionmentioning
confidence: 95%
“…In a study recently published, 16 Viana et al compared the SYNTAX and GRACE scores in predicting cardiovascular mortality and recurring non-fatal coronary events after ACS. Both were effective in predicting cardiovascular death (C-statistic 0.80 vs. 0.89, p=0.19, for the SYNTAX and GRACE scores, respectively), but the anatomical SYNTAX score was the only one capable of predicting recurring non-fatal coronary events (C-statistic 0.64 vs. 0.50, p=0.027), suggesting that intra-procedural complications and outcomes, such as noreflow, are not accounted for when using purely clinical ACS risk scores.…”
mentioning
confidence: 99%
“…4 One Brazilian multicenter study demonstrated that the complete revascularization strategy was associated with a significant reduction in the primary (cardiovascular death, re-infarction, and recurring angina) and secondary (stroke, non-fatal cardiorespiratory failure, greater bleeding, or the need for reintervention) outcomes in the one-year follow-up when compared to the incomplete revascularization strategy. 5 The study based on the Portuguese NRACS involves patients with knowingly poor prognostic markers, as they are anatomically multiarterial 6 and hemodynamically in cardiogenic shock, 7 which justified the high mortality in the study. The results showed no difference between complete revascularization in the procedure index as compared to a group consisting of differed complete or incomplete revascularization in relation to the primary outcome of intrahospital death or re-infarction.…”
mentioning
confidence: 99%