Wang XF, Zhao M, Liu F, Sun GR. Value of GRACE and SYNTAX scores for predicting the prognosis of patients with non-ST elevation acute coronary syndrome. World J Clin Cases 2021; 9(33): 10143-10150 [PMID: 34904084 DOI: 10.12998/wjcc.v9.i33.10143]
Corresponding Author of This Article
Xiao-Feng Wang, MSc, Doctor, Department of Cardiology, Cangzhou Central Hospital, No. 16 West Xinhua Road, Yunhe District, Cangzhou 061000, Hebei Province, China. dahuanhuan888@163.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Nov 26, 2021; 9(33): 10143-10150 Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10143
Table 1 Baseline characteristics of patients with non-ST-elevation acute coronary syndrome, n = 386
Items
n (%)
Age in yr, mean ± SD
61.25 ± 4.09
Gender
Male
243 (63.0)
Female
143 (37.0)
Unstable angina
327 (84.7)
Hypertension
262 (69.4)
Diabetes
95 (24.6)
Hyperlipidemia
62 (16.1)
Major adverse cardiovascular events
108 (28.0)
Recurrent angina
115 (29.8)
NYHA class I or above
17 (4.4)
Nonfatal recurrent myocardial infarction
8 (2.1)
Target vessel revascularization
22 (5.7)
Death
4 (1.0)
Number of stents
247 (64.0)
CABG
35 (9.1)
Table 2 Incidence of major adverse cardiovascular events in patients with different GRACE and SYNTAX scores, n = 386
Groups
n
MACE, n
Incidence of MACE, %
Hc value
P value
GRACE scores (points)
7.398
0.031
Low risk group (0-88)
95
13
13.7
Intermediate risk group (89-117)
151
48
31.7
High risk group (≥ 118)
140
47
33.6
SYNTAX scores (points)
4.381
0.042
Low risk group (0-22)
330
85
25.8
Intermediate risk group (23-32)
42
17
40.5
High risk group (≥ 33)
14
6
42.9
Treatment
8.123
0.021
Medication group
195
36
18.5
Stent group
156
57
36.5
CABG group
35
15
42.9
Total
386
108
28.0
Table 3 Major adverse cardiovascular events rate in patients with different GRACE risk scores receiving different treatments, n (%)
GRACE risk scores (points)
n
Medication group
Stent group
CABG group
Overall MACE rate
Hc value
P value
n
MACE rate
n
MACE rate
n
MACE rate
Low risk group (0-88)
95
65
4 (6.2)
25
7 (28.0)
5
2 (40.0)
13 (13.7)
5.231
0.041
Intermediate risk group (89-117)
151
71
22 (31.0)
66
20 (30.3)
14
6 (42.9)
48 (31.8)
2.742
0.086
High risk group (≥ 118)
140
59
10 (16.9)
65
30 (46.2)
16
7 (43.8)
47 (33.6)
5.381
0.040
Total
386
195
36 (18.5)
156
57 (36.5)
35
15 (42.9)
108 (28.0)
4.412
0.044
Table 4 Major adverse cardiovascular events rate in patients with different SYNTAX risk scores receiving different treatments, n (%)
SYNTAX risk scores (points)
n
Medication group
Stent group
CABG group
Overall MACE rate
Hc value
P value
n
MACE rate
n
MACE rate
n
MACE rate
Low risk group (0-22)
330
185
30 (16.2)
130
46 (35.4)
15
9 (60.0)
85 (25.8)
12.213
0.001
Intermediate risk group (23-32)
42
8
3 (37.5)
22
9 (40.9)
12
5 (41.7)
17 (40.5)
1.984
0.214
High risk group (≥ 33)
14
2
1 (50.0)
4
3 (75.0)
8
2 (25.0)
6 (42.9)
8.432
0.014
Total
386
195
36 (18.5)
156
57 (36.5)
35
15 (42.9)
108 (28.0)
4.412
0.044
Citation: Wang XF, Zhao M, Liu F, Sun GR. Value of GRACE and SYNTAX scores for predicting the prognosis of patients with non-ST elevation acute coronary syndrome. World J Clin Cases 2021; 9(33): 10143-10150