Document Detail


Coronary score adds prognostic information for patients with acute coronary syndrome.
MedLine Citation:
PMID:  20057158     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of the present study was to explore the association of 3 coronary scores with major adverse cardiovascular events (MACE) in patients with acute coronary syndrome (ACS).
METHODS AND RESULTS: The 958 consecutive patients with ACS were followed up until either MACE or 31(st) December 2008 occurred; 257 patients reached clinical endpoints. Cox regression analysis demonstrated that the Gensini score was associated with 90-day MACE (relative risk (RR) 1.021, P=0.004), 6-month MACE (RR 1.021, P<0.001), 1-year MACE (RR 1.017, P=0.002), and MACE during follow-up (RR 1.010, P=0.040). Leaman score was associated with 90-day MACE (RR 1.094, P=0.014), 6-month MACE (RR 1.098, P=0.002), and 1-year MACE (RR 1.074, P=0.009). The logistic regression analysis demonstrated that the Gensini score (odds ratio (OR) 1.037, P=0.001), Leaman score (OR 1.165, P=0.007) and American College of Cardiology/American Heart Association (ACC/AHA) score (OR 1.235, P=0.025) were all associated with cardiogenic death.
CONCLUSIONS: The Gensini score provides more valuable prognostic information on cardiovascular risk than either the Leaman or ACC/AHA score in patients with ACS.
Authors:
Gang Huang; Jiang-Long Zhao; Huaan Du; Xian-Bin Lan; Yue-Hui Yin
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Publication Detail:
Type:  Journal Article     Date:  2010-01-07
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  74     ISSN:  1347-4820     ISO Abbreviation:  Circ. J.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-26     Completed Date:  2010-05-24     Revised Date:  2011-02-18    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  490-5     Citation Subset:  IM    
Affiliation:
Department of Cardiology, The Second People's Hospital of Chengdu, China.
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / mortality*,  radiography*
Aged
Coronary Angiography / statistics & numerical data*
Death, Sudden, Cardiac / epidemiology*
Female
Follow-Up Studies
Heart Failure / mortality
Humans
Logistic Models
Male
Middle Aged
Myocardial Infarction / mortality
Patient Readmission / statistics & numerical data
Prognosis
Proportional Hazards Models
ROC Curve
Risk Factors
Sensitivity and Specificity
Severity of Illness Index*
Stroke / mortality
Comments/Corrections
Comment In:
Circ J. 2010 Mar;74(3):430-1   [PMID:  20145340 ]

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