Nghiên cứu giá trị thang điểm tiên lượng ACUITY-PCI ở bệnh nhân có hội chứng vành cấp được can thiệp động mạch vành qua da

Abstract

ACUITY-PCI SCORE IN STRATIFICATION OF PATIENTS WITH ACUTE CORONARY SYNDROMES UNDERGOING PERTACUNEOUS CORONARY INTERVENTION Hoang Tran Phu1 , Hoang Anh Tien2 , Ho Anh Binh3 Background: Pertacuneous coronary intervention (PCI) is used to treated patients with acute coronary syndromes (ACS) in many years. However the outcomes after PCI needs to be evaluated and analysed. Objective: ACUITY-PCI score in stratification of patients with acute coronary syndromes undergoing pertacuneous coronary intervention. To evaluate the relation between ACUITY-PCI sure and death and major cardiovascular risk factor in these patients Methods: This research was created from data of 51 patients with ACS and used ACUITY-PCI score to stratification. Six variables were used in this score: insulin-treated diabetes, renal insufficiency, baseline cardiac biomarker elevation or ST-segment deviation, bifurcation lesion, small vessel/diffuse coronary disease and the extent of coronary artery disease. Results: ACUITY-PCI score with lower tertile 35.3%; intermediate tertile 15.7%; upper tertile 49 %. 30 day clinical outcomes: Death 13.7%; Reinfarction 1.9%. Event rated increased significanty across tertiles of ACUITY-PCI score: 0% in the lower tertile; 12.5% in the intermediate tertile and 28% in the upper tertile. The ACUITY-PCI score had the good discrimination (C-statistic = 0.865 ). Age > 60 ; smoke; BMI < 18.49 kg/m2 and triple-vessel disease were univariate predictors of mortality after PCI ( p < 0.05). Conclusion: ACUITY-PCI risk score is a good tool to prognostic for patients with ACS undergoing PCI in prediction of 30-day death or MI. Event rates increased significantly across tertiles of ACUITY-PCI score. Key words: Pertacuneous coronary intervention (PCI), ACUITY-PCI score