Document Detail

Reproducibility of syntax score: from core lab to real world.
MedLine Citation:
PMID:  21722184     Owner:  NLM     Status:  MEDLINE    
AIMS: Syntax score is a significant tool in the management of complex coronary artery disease (CAD). This score is based on visual assessment of coronary lesions via coronary angiograms. It has some limitations due to its visual assessment. Therefore, interobserver and intraobserver agreement should be tested.
METHODS: One hundred twenty-two coronary angiograms were examined, and 76 in whom critical lesions were detected in the coronary arteries were included the study. Coronary angiograms were assessed by 2 independent interventional cardiologists. After 8 weeks, the same interventional cardiologists reassessed coronary angiograms by randomly choosing 30 patients from the first analysis.
RESULTS: For numeric Syntax score value, both interobserver and intraobserver variability shows perfect agreement but interobserver variability shows high mean difference. Syntax score was analyzed in terms of tertiles (≤22, >22 -≤32, >32), it has moderate agreement for interobserver variability (weighted kappa value of 0.56) and substantial agreement for intraobserver variability (weighted kappa value of 0.69).
CONCLUSION: The Syntax score reproducibility is within acceptable limits in real world clinical practice and it may become a significant tool in complex CAD management. (J Interven Cardiol 2011;24:302-306).
Ibrahim H Tanboga; Mehmet Ekinci; Turgay Isik; Mustafa Kurt; Ahmet Kaya; Serdar Sevimli
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Publication Detail:
Type:  Journal Article     Date:  2011-07-03
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  24     ISSN:  1540-8183     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-09     Completed Date:  2012-01-19     Revised Date:  2012-03-11    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  302-6     Citation Subset:  IM    
Copyright Information:
©2011, Wiley Periodicals, Inc.
Department of Cardiology, Erzurum Education and Research Hospital, Turkey.
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MeSH Terms
Coronary Angiography*
Coronary Artery Disease / radiography*,  therapy
Observer Variation
Reproducibility of Results
Severity of Illness Index*

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