The Clinical SYNTAX Score (CSS) combines anatomical and clinical risk assessment.Objectives
This study was designed to evaluate CSS as a predictor of prognosis in patients with ST-elevation myocardial infarction (STEMI) undergoing a primary percutaneous coronary intervention (p-PCI).Methods
We evaluated 433 patients who were diagnosed with STEMI and underwent p-PCI. CSS was calculated by multiplying the anatomically derived SYNTAX score (Sx) by the modified age, creatinine, and ejection fraction score. Patients were divided into tertiles according to the CSS: CSSLow≤14 (n=141), 14
Primary endpoints were achieved in 9.2% of patients with CSS≤14, 12.5% of those with 14
CSS may be better than the Sx score for predicting long-term prognosis in patients with STEMI undergoing p-PCI.