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Can the SYNTAX score predict mortality in patients with cardiac arrest?
Aykut Demirkıran1, Cihan Aydın1, Serhat Örün2
1Tekirdağ Namık Kemal University, Faculty of Medicine, Department of Cardiology - Tekirdağ, Turkey.
Revista Da Associacao Medica Brasileira (1992)
|September 4, 2024
Summary
Sudden cardiac arrest in ST-elevation myocardial infarction patients is predicted by high SYNTAX scores and the presence of chronic total occlusion. These factors indicate a higher risk of death following cardiac arrest.
Area of Science:
- Cardiology
- Interventional Cardiology
- Clinical Research
Background:
- Sudden cardiac death (SCD) or arrest is an unexpected cardiac event occurring rapidly.
- Acute ST-elevation myocardial infarction (STEMI) is a common cause of cardiac arrest.
- Understanding predictors of mortality in STEMI patients experiencing cardiac arrest is crucial.
Purpose of the Study:
- To investigate the association between coronary angiographic findings and cardiac death in STEMI patients with cardiac arrest.
- To identify specific angiographic features that predict mortality in this patient cohort.
Main Methods:
- Retrospective analysis of STEMI patients who experienced cardiac arrest.
- Assessment of coronary artery disease severity, chronic total occlusion, collateral circulation, and infarct-related artery blood flow.
- Comparison of angiographic parameters between cardiac death and survival groups.
Main Results:
- 161 deaths and 42 survivors were analyzed.
- Higher SYNTAX scores and the presence of chronic total occlusion were significantly associated with cardiac death (p=0.03 and p=0.02, respectively).
- A high SYNTAX score was an independent predictor of death (OR: 0.38).
Conclusions:
- Coronary chronic total occlusion and elevated SYNTAX scores are significant predictors of mortality in STEMI patients following cardiac arrest.
- These findings can aid in risk stratification and clinical decision-making for STEMI patients.
