Angiographic characteristics of culprit lesions in infarct related artery and correlation of TIMI score with SYNTAX score to predict extent and severity of coronary artery disease in patients undergoing primary percutaneous coronary interventions

Rizwanullah; Jawaid Akbar  Sial; Nasir  Ali; Muhammad  Shehzad

doi:10.12669/pjms.40.1.7750

Rizwanullah Department of Interventional Cardiology, National Institute of, Cardiovascular Diseases Karachi.
Jawaid Akbar Sial National Institute of Cardiovascular Diseases (NICVD), Karachi
Nasir Ali National Institute of Cardiovascular Diseases (NICVD), Karachi
Muhammad Shehzad National Institute of, Cardiovascular Diseases, Karachi.

DOI: https://doi.org/10.12669/pjms.40.1.7750

Keywords: CAD, STEMI, TIMI risk score, SYNTAX score, PPCI

Abstract

Objective: The current study was designed to explore the relationship of TIMI and SYNTAX risk score to predict the CAD extent and severity in STEMI patients.

Methods: For this cross-sectional study, 304 STEMI patients undergoing PPCI were enrolled at Department of Interventional Cardiology NICVD Karachi from September 2021 to January 2022. and the TIMI risk score was determined at enrolment. Based on these scorings, the patients were grouped as low, intermediate, and high risk, i.e., a score of ≤ 3, 4 to 7, and ≥ 8, respectively. The SYNTAX scores were utilized to assess the extent of CAD.

Results: Statistically significant difference was found in symptoms to balloon time (p=0.001), history of diabetes (p=0.006), angina (p=0.011), obesity (p=0.048), STEMI type (p=0.003), Killip classes (p=0.000), Infarct-Related Artery (p=0.006), number of diseased vessels (p<0.01), LMS > 50% (p=0.000), PCI type (p<0.01), collateral circulation (p<0.01), In-hospital mortality (p<0.01), LV support (p<0.01), and post-procedural TIMI flow (p=0.013), among the three TIMI risk groups. Significant correlation was found among TIMI risk score and SYNTAX score.

Conclusion: It is observed that the TIMI risk scores are highly correlated with the SYNTAX Score in predicting the CAD severity in STEMI patients.

doi: https://doi.org/10.12669/pjms.40.1.7750

How to cite this: Rizwanullah, Sial JA, Ali N, Shehzad M. Angiographic characteristics of culprit lesions in infarct related artery and correlation of TIMI score with SYNTAX score to predict extent and severity of coronary artery disease in patients undergoing primary percutaneous coronary interventions. Pak J Med Sci. 2024;40(1):20-25. doi: https://doi.org/10.12669/pjms.40.1.7750

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