The SYNTAX Score is a tool developed in connection with the SYNTAX Trial, a trial comparing PCI and Cardiac Surgery in complex, high-risk Left Main and/or 3Vessel Disease patients.
http://www.syntaxscore.com/
Comment:
Although Syntax asserts that once completed it will provide an answer to the making a choice between CABG and PCI, this score is heavily biased towards PCI. Only if PCI is judged to be of high risk is CABG recommended. With that in mind, it is primarily a tool for interventionalists. Surgeons are only concerned with the general condition of the patient, the condition of the heart and whether there is adequate coronary outflow. Most literature strongly supports a bypass procedure in these type of patients, unless there are prohibitive operative risks involved, most of which also influence the risk of PCI.
Comment: This uses the Framingham Risk Score module, adapted for treatment.
The Mayo Clinic Risk Calculator Models for Prediction of In-Hospital Death (PCI and CABG)
The Society of Thoracic Surgeons’ risk model calculates the risk of operative mortality and morbidity of adult cardiac surgery on the basis of patient demographic and clinical variables. We have developed our own similar Cardiac Surgery Risk Assessment Calculator.
Comment:
The original EuroSCORE has been replaced with a new model, EuroSCORE II, announced at the EACTS meeting in Lisbon on Monday on 10/3/2011. In this new version, an additional risk factor "Poor mobility" has been added, while others, such as "Obesity" were omitted.
The SYNTAX Score is a tool developed in connection with the SYNTAX Trial, a trial comparing PCI and Cardiac Surgery in complex, high-risk Left Main and/or 3Vessel Disease patients.
Patients with unstable angina/non–ST-segmentelevation myocardial infarction (MI) (UA/NSTEMI) present witha wide spectrum of risk for death and cardiac ischemic events.
