Abstract

Kardiyovasküler kalp hastalıkları gelişmiş ülkelerde en sık görülen mortalite ve morbidite nedenidir. Retrospektif çalışmamızda akut anterior miyokard enfarktüsü ile hastaneye başvuran ve primer perkütan koroner girişim ile reperfüzyon tedavisi uygulanan hastaları derledik. Bu hastaları SYNTAX, klinik SYNTAX ve rezidüel SYNTAX skoru ile değerlendirdik ve bunların intrakardiyak defibrilatör cihazı (ICD) implantasyonunu öngörmedeki rolünü araştırdık. Çalışmaya, 2011-2013 yılları arasında primer perkütan koroner girişimi olan akut miyokard enfarktüslü 345 hasta dahil edildi. Anjiyografik görüntüler incelendi ve SYNTAX, klinik SYNTAX ve rezidüel SYNTAX skorları hesaplandı. Hastaların 52'sine ICD implantasyonu uygulandı. Bu hastalarda tek değişkenli analiz ile ortalama yaş, diabetes mellitus, hipertansiyon, hiperlipidemi prevalansı, sigara içme oranı, glomerüler filtrasyon hızı, miyokard enfarktüsünde tromboliz akış skoru, SYNTAX skoru, klinik SYNTAX skoru ve rezidüel SYNTAX skoru anlamlı olarak daha yüksekti. Çok değişkenli lojistik regresyon analizi ile ejeksiyon fraksiyonu (EF) ve üç SYNTAX puanı anlamlı kabul edildi. 3 aylık takipten sonra, ICD uygulamasının tahmininin, akut anterior MI hastaları ile ilk başvuruda hesaplanan EF, SYNTAX, klinik SYNTAX ve rezidüel SYNTAX skorları ile hesaplanabileceğini gördük. Düşük EF ve yüksek SYNTAX skoru olan hastalarda yakın takip gerektiğini düşünüyoruz.
Anahtar Kelimeler: Akut anterior miyokard enfarktüsü, SYNTAX, Clinical SYNTAX, Rezidüel SYNTAX skorları, ICD.

Keywords

• Akut myokard enfarktüsü
• SYNTAX
• Klinik SYNTAX
• Rezidüel SYNTAX
• ICD

The Role of Syntax Scores in Predicting Intracardiac Defibrillator Implantation in Acute Anterior Myocardial Infarction

Abstract

Cardiovascular heart diseases are the most common mortality and morbidity cause in developed countries. In our retrospective study we searched for patients who admitted to hospital with acute anterior myocardial infarction that underwent reperfusion therapy with primary percutan coronary intervention. We assessed these patients with SYNTAX, clinical SYNTAX and residual SYNTAX score and investigate of those to predict intracardiac defibrillator device (ICD) implantation. 345 patients with acute myocardial infarction who received primary percutan coronary invention, through 2011-2013 years, were included. Angiographic pictures are investigated and SYNTAX, clinical SYNTAX ve residual SYNTAX scores were calculated. 52 of the patients had ICD implantation. In these patients, with one variable analysis, mean age, diabetes mellitus, hypertension, hyperlipidemia prevalence, smoking rate, glomerular filtration rate, thrombolysis in myocardial infarction flow score, SYNTAX score, clinical SYNTAX score and residual SYNTAX score were significantly higher. With the multiple variable logistic regression analysis ejection fraction (EF) and three SYNTAX score was considered significant. We found that after 3-month follow up, prediction of ICD implementation could be reckoned with EF, SYNTAX, clinical SYNTAX and residual SYNTAX scores calculated at first admission with acute anterior MI patients. We recommend that close follow is needed for patients with low EF and high SYNTAX score.
Key Words: Acute anterior myocardial infarction, SYNTAX, Clinical SYNTAX, Residual SYNTAX scores, ICD.

Keywords

• Acute anterior myocardial infarction
• SYNTAX
• clinical SYNTAX ve residual SYNTAX scores
• ICD

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