O Escore Gensini e a Carga Trombótica Adicionam Valor Preditivo ao Escore SYNTAX na Detecção de No-Reflow após Infarto do Miocárdio

Matos, Luís Carlos V; Carvalho, Luiz Sérgio F.; Modolo, Rodrigo; Santos, Simone N.; Silva, José Carlos Quináglia e; Almeida, Osório L.R.; Sposito, Andrei C.

doi:10.36660/abc.20200045

Cited by 7 publications

(5 citation statements)

References 34 publications

(40 reference statements)

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“…Similar findings were noted in a Brazilian study linking heavy thrombus burden with NRP (OR 1. 17 This study reinforces the use of CHADS-VASc score as a simple and rapid bedside tool in predicting NRP during PPCI. Other risk scoring systems used in STEMI patients like TIMI score give insight into clinical outcomes but do not predict NRP.…”

Section: Discussionsupporting

confidence: 80%

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The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention

Farahe

Samore²,

Ali³

et al. 2022

PAFMJ

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Objectives: To determine the role of CHADS-VASc Score in predicting No Reflow phenomenon in STEMI patients undergoing primary PCI. Study Design: Analytical cross-sectional study. Place and Duration of Study: This study was carried out at a Tertiary Cardiac Care Center from Feb to May 2022. Methodology: A total of (n = 320) patients who underwent PPCI at Armed Forces Institute of Cardiology from 4th February to 3rd May 2022 were enrolled in this study. Patients were divided into 2 groups, Comparision group with no NRP and NRP group. Descriptive statistics was run to present the categorical data in frequencies and percentages and continuous data in Mean±SD. Chi square test was applied to compare both groups regarding categorical and continuous variables. CHADS-VASc score was also compared in both groups. Results: Out of (n=320) patients, 80(25%) patients developed NRP. Age, Diabetes, LV EF, history of stroke or TIA, peripheral arterial disease, TIMI thrombus grade, total stented length and CHADS-VASc score were found to be significantly associated with NRP. Binary logistic regression analysis revealed diabetes, LV EF, TIMI thrombus grade, total stented length and CHADSVaSc score to be independent predictors of NRP.ROC analysis revealed a cutoff CHADS-VaSc score of 3 to be a good predictor of NRP (sensitivity 65% and specificity 82%). Conclusion: CHADS-VASc score can be an important pre PCI tool to predict NRP during primary PCI.

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Section: Discussionsupporting

confidence: 80%

“…Other risk scoring systems used in STEMI patients like TIMI score give insight into clinical outcomes but do not predict NRP. 17 CHADS-VASc score can be used in addition to these clinical risk scores to predict the occurrence of NRP and to employ preventive strategies in advance to improve clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention

Farahe

Samore²,

Ali³

et al. 2022

PAFMJ

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“…This is different from the SYNTAX score, which does not include occlusive lesions with less than 50% stenosis. Additionally, according to intracoronary ultrasonography results, 9,10 the Gensini score significantly correlates with both the average plaque burden and the plaque area. On the other hand, in individuals with CCS, both Gensini and SYNTAX scores have a small predictive value for the occurrence of cardiovascular events.…”

Section: Discussionmentioning

confidence: 94%

Gensini Score’s Severity and Its Relationship with Risk Factors for Coronary Artery Disease Among Patients Who Underwent Angiography in Somalia’s Largest PCI Centre

Aksu,

Ahmed

2024

IJGM

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Aim Coronary artery diseases (CAD) are chronic disorders in which atherosclerosis plays a major role in their pathogenesis. Their severity is directly related to cardiovascular outcomes. The assessment of Coronary Artery severity is quite complex, in which different parameters are used, such as the gensini score, syntax score, etc. Methods This was a retrospective study of adult (≥18 years) patients who underwent angiography in Mogadishu Somali Türkiye Training and Research Hospital from June 2022 to September 2023. Gensini scores were calculated to determine the extent and severity of atherosclerosis among patients with coronary artery disease. Results A total of 278 participants (78% male and 22%% women) were analyzed. Their risk factors were assessed with hypertension being the leading risk factor (48%). While a significant relationship was found between gensini score and dyslipidemia in patients with chronic ischemic heart disease (p 0.035), no significance was found with other risk factors On the other hand, the Gensini score had a significant correlation with the final decision of management (medical, PCI vs CABG). Conclusion This study indicated that the Gensini score can be used as a guide for CAD decisions.

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“…Em estudos recentes, o escore CTFC tem sido usado para avaliar a reperfusão após ICP, em vez do escore de fluxo TIMI, uma vez que este último oferece uma avaliação mais objetiva e quantitativa. 17,18 Muitos estudos demonstraram que as medidas de CTFC fornecem resultados úteis na previsão de desfechos clínicos. Sabe-se que o fluxo coronário acelerado está associado a bons resultados clínicos.…”

Section: Discussionunclassified

Relação entre a Relação Fibrinogênio/Albumina e a Perfusão Microvascular em Pacientes Submetidos à Intervenção Coronária Percutânea Primária para Infarto do Miocárdio com Elevação do Segmento ST: Um Estudo Prospectivo

Kaplangoray,

Toprak,

Cicek

et al. 2023

Arquivos Brasileiros De Cardiologia

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Fundamento: A contagem corrigida de quadros TIMI (CTFC), o grau de blush miocárdico (MBG) e a resolução do segmento ST (STR) são parâmetros utilizados para avaliar a reperfusão em nível microvascular em pacientes submetidos à intervenção coronária percutânea primária (ICPp). A relação fibrinogênio/albumina (FAR) tem sido associada a eventos trombóticos em pacientes com infarto do miocárdio com elevação do segmento ST (IAMCSST) e insuficiência venosa crônica. Objetivos: Investigar a relação do FAR com CTFC, MBG e STR. Métodos: O estudo incluiu 167 pacientes consecutivos que foram submetidos a ICPp com sucesso para IAMCSST e alcançaram fluxo TIMI-3. Os casos foram divididos em dois grupos, FAR alto (> 0,0765) e FAR baixo (≤ 0,0765), de acordo com o valor de corte desse parâmetro na análise característica do operador do receptor (ROC). STR, CTFC e MBG foram utilizados para avaliar a reperfusão miocárdica. Valores de p<0,05 foram considerados estatisticamente significativos. Resultados: O valor CTFC, escore SYNTAX, relação neutrófilos/linfócitos, lipoproteína de baixa densidade, glicose e pico de cTnT foram significativamente maiores, enquanto STR, MBG e FEVE foram menores no grupo FAR alto. A análise de correlação de Spearman revelou relação significativa entre FAR e STR (r=-0,666, p<0,001), MBG (-0,523, p<0,001) e CTFC (r=0,731, p≤0,001). De acordo com a análise de regressão logística, FAR, glicose, pico de cTnT e dor até o tempo de Balão foram os preditores independentes mais importantes de MBG 0/1, CTFC>28 e STR<50%). A análise ROC revelou que o ponto de corte o valor de FAR≥0,

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O Escore Gensini e a Carga Trombótica Adicionam Valor Preditivo ao Escore SYNTAX na Detecção de No-Reflow após Infarto do Miocárdio

Cited by 7 publications

References 34 publications

The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention

The Predictive Value of CHADS-VASC Score in No-Reflow Phenomenon in Primary Percutaneous Coronary Intervention

Gensini Score’s Severity and Its Relationship with Risk Factors for Coronary Artery Disease Among Patients Who Underwent Angiography in Somalia’s Largest PCI Centre

Relação entre a Relação Fibrinogênio/Albumina e a Perfusão Microvascular em Pacientes Submetidos à Intervenção Coronária Percutânea Primária para Infarto do Miocárdio com Elevação do Segmento ST: Um Estudo Prospectivo

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