ArticleClinical research in cardiology : official journal of the German Cardiac Society2013
Combination of angiographic and clinical characteristics for the prediction of clinical outcomes in elderly patients undergoing multivessel PCI.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A systematic review focusing on how medical researchers report variables in risk scores or models to predict prognosis of patients after percutaneous coronary intervention.BMC cardiovascular disorders · 2026Pooled it
- Application of the SYNTAX score in interventional cardiology: A systematic review and meta-analysis.Medicine · 2017Pooled it
- Article
- A fitting machine learning prediction model for short-term mortality following percutaneous catheterization intervention: a nationwide population-based study.Annals of translational medicine · 2019Article
- Age-dependent impact of the SYNTAX-score on longer-term mortality after percutaneous coronary intervention in an all-comer population.Journal of geriatric cardiology : JGC · 2018Article
- Indication and short-term clinical outcomes of high-risk percutaneous coronary intervention with microaxial Impella® pump: results from the German Impella® registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2018Observational
- SYNTAX score-0 patients: risk stratification in nonobstructive coronary artery disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2016Article
- Predictive value of SYNTAX score II for clinical outcomes in octogenarian undergoing percutaneous coronary intervention.Journal of geriatric cardiology : JGC · 2016Article
- Long-term survival in patients with different combinations of evidence-based medications after incident acute myocardial infarction: results from the MONICA/KORA Myocardial Infarction Registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2014Article
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7 authors.
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Abstract
backgroundRisk stratification is essential for the clinical decision-making process in elderly patients undergoing multivessel revascularization, since the optimal revascularization strategy remains subject of ongoing debate.
aimsTo assess the prognostic value of angiographic versus clinical characteristics for the prediction of a first adverse cardiac and cerebrovascular events (MACCE) (all-cause mortality, non-fatal myocardial infarction, stroke, and target lesion revascularization) and to develop a combined risk model.
methodsAfter multivessel percutaneous coronary intervention (MV-PCI), SYNTAX score and EuroSCORE were calculated as combined risk model in 328 elderly patients who were followed up for a first MACCE.
results328 patients with a mean age of 77.5 ± 5.1 years were followed up for 2.7 ± 1.5 years. A first MACCE occurred in 50.0 % (164/328) of the patients. To improve predictability, a combined risk score model with receiver operating characteristic curve validated cut-off values for EuroSCORE (>5 %) and SYNTAX score (>25) was developed. High risk patients had a 3.5-fold higher risk for MACCE after 3 years (HR 7.1, 95 % CI 1.9-6.5; p < 0.001).
conclusionsFor adequate risk assessment in elderly patients undergoing MV-PCI, consideration of both comorbidities and coronary anatomic complexity is essential. A combined angiographic and clinical risk score provides superior prediction of 3-year MACCE risk in elderly patients.
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