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. 2024 Sep 2;70(8):e20240647.
doi: 10.1590/1806-9282.20240647. eCollection 2024.

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

Aykut Demirkıran  1 , Cihan Aydın  1 , Serhat Örün  2 , Mustafa Kaplangöray  3
Affiliations

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

Aykut Demirkıran et al. Rev Assoc Med Bras (1992). .

Abstract

Objective: Sudden 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 methods: Patients 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.

Results: A 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.

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

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Conflict of interest statement

Conflicts of interest: the authors declare there is no conflicts of interest.

Figures

Figure 1
Figure 1. Determination of SYNTAX score cut-off value for predicting death.
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References

    1. Andersen LW, Holmberg MJ, Berg KM, Donnino MW, Granfeldt A. In-hospital cardiac arrest: a review. JAMA. 2019;321(12):1200–1210. doi: 10.1001/jama.2019.1696. - DOI - PMC - PubMed
    1. Razavi AC, Whelton SP, Blumenthal RS, Sperling LS, Blaha MJ, Dzaye O. Coronary artery calcium and sudden cardiac death: current evidence and future directions. Curr Opin Cardiol. 2023;38(6):509–514. doi: 10.1097/HCO.0000000000001081. - DOI - PMC - PubMed
    1. Khederlou H, Azimi Pirsaraei SV, Rabbani E, Motedayen M. Correlations between cardiovascular risk factors and ventricular arrhythmias following primary percutaneous coronary intervention in patients with ST-elevation myocardial infarction. J Tehran Heart Cent. 2023;18(2):122–128. doi: 10.18502/jthc.v18i2.13322. - DOI - PMC - PubMed
    1. Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A. Fetal arrhythmia diagnosis and pharmacologic management. J Clin Pharmacol. 2022;62(Suppl 1):S53–S66. doi: 10.1002/jcph.2129. - DOI - PMC - PubMed
    1. Strasburger JF, Eckstein G, Butler M, Noffke P, Wacker-Gussmann A. Fetal arrhythmia diagnosis and pharmacologic management. J Clin Pharmacol. 2022;62(Suppl 1):S53–S66. doi: 10.1002/jcph.2129. - DOI - PMC - PubMed

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