Evidence map›Paper›PMID 39230152›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2024

Can the SYNTAX score predict mortality in patients with cardiac arrest?

Aykut Demirkıran, Cihan Aydın, Serhat Örün, Mustafa Kaplangöray

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Article in Revista da Associacao Medica Brasileira (1992), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Aykut DemirkıranTekirdağ Namık Kemal University, Faculty of Medicine, Department of Cardiology - Tekirdağ, Turkey.ORCID http://orcid.org/0000-0001-8322-3514
Cihan AydınTekirdağ Namık Kemal University, Faculty of Medicine, Department of Cardiology - Tekirdağ, Turkey.ORCID http://orcid.org/0000-0002-1401-5727
Serhat ÖrünTekirdağ Namık Kemal University, Faculty of Medicine, Department of Emergency - Tekirdağ, Turkey.ORCID http://orcid.org/0000-0001-5879-7858
Mustafa KaplangörayBilecik Şeyh Edebali University, Faculty of Medicine, Department of Cardiology - Bilecik, Turkey.ORCID http://orcid.org/0000-0002-4297-1820

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSudden cardiac death or arrest describes an unexpected cardiac cause-related death or arrest that occurs rapidly out of the hospital or in the emergency room. This study aimed to reveal the relationship between coronary angiographic findings and cardiac death secondary to acute ST-elevation myocardial infarction. MATERIALS AND

methodsPatients presenting with acute ST-elevation myocardial infarction complicated with cardiac arrest were included in the study. The severity of coronary artery disease, coronary chronic total occlusion, coronary collateral circulation, and blood flow in the infarct-related artery were recorded. Patients were divided into two groups, namely, deaths secondary to cardiac arrest and survivors of cardiac arrest.

resultsA total of 161 cardiac deaths and 42 survivors of cardiac arrest were included. The most frequent (46.3%) location of the culprit lesion was on the proximal left anterior descending artery. The left-dominant coronary circulation was 59.1%. There was a difference in the SYNTAX score (16.3±3.8 vs. 13.6±1.9; p=0.03) and the presence of chronic total occlusion (19.2 vs. 0%; p=0.02) between survivors and cardiac deaths. A high SYNTAX score (OR: 0.38, 95%CI: 0.27-0.53, p<0.01) was determined as an independent predictor of death secondary to cardiac arrest.

conclusionThe chronic total occlusion presence and SYNTAX score may predict death after cardiac arrest secondary to ST-elevation myocardial infarction.

Indexed as

Coronary AngiographyHeart ArrestSeverity of Illness IndexST Elevation Myocardial InfarctionAgedCoronary Artery DiseaseCoronary OcclusionDeath, Sudden, CardiacFemaleHumansMaleMiddle AgedPredictive Value of TestsRisk AssessmentRisk Factors

Identifiers

PMID39230152
PMCPMC11370747

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.