ISSN 2564-7784 | E-ISSN 2564-7040
Original Article
Effect of Modified Global Risk Classification on Prognosis at Patients Undergoing Bypass Surgery and Percutaneous Coronary Intervention with Multi-Vessel Disease
1 Department of Cardiology, Mustafa Kemal University School of Medicine, Hatay, Turkey  
2 Department of Cardiology, Health Sciences University Adana Health Practices and Research Center, Adana, Turkey  
3 Department of Cardiology Çukurova University, School of Medicine, Adana, Turkey  
Eur J Ther ; : -
DOI: 10.5152/EurJTher.2018.435
Abstract

 

Objective: Aim of this study is to compare mortality and myocardial infarction in patients with multi-vessel disease using “Modified Global Risk Classification”.

 

Methods: We divided 579 patients into low, intermediate risk with high EuroSCORE, intermediate risk with high SYNTAX score and high Modified Global Risk groups. Patients were evaluated for death, myocardial infarction, cerebrovascular events, need for reintervention and primary endpoint which means the occurrence of any one of these four.

 

Results: In comparison of bypass surgery and percutaneous coronary intervention groups with Modified Global Risk Classification, there were significantly better prognostic results in bypass surgery patients for the rate of occurrence of myocardial infarction at intermediate risk with high SYNTAX score group (p=0.047). EuroSCORE, SYNTAX score and Global Risk Classification for primary endpoint were found to be independent risk factors at logistic regression analysis. The discriminatory ability of GRC for 1 year mortality was found to be better than EuroSCORE and SYNTAX score.

 

Conclusion: With the evaluation of EuroSCORE and the SYNTAX score together, the Modified Global Risk Classification which includes both anatomical and clinical risk factors provides an additional benefit for predicting prognosis and decision of treatment in patients with multi-vessel disease.

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AVES | Copyright © 2018 European Journal of Therapeutics | Latest Update: 30.03.2018