Correlation between the GRACE Risk Score and the SYNTAX Score in Patients with Non-ST-Segment Elevation Myocardial Infarction

Authors

  • S M Nurul Huda Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka.
  • Mohammad Faisal Ibn Kabir Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Mostashirul Haque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Tasnim Alam Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • AFM Azim Anwar Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Swadesh Kumar Saha Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • SK Md Nafis Kabir Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • H N Ashiqur Rahman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Fakhrul Islam Khaled Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Tanjima Parvin
  • Chaudhury Meshkat Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Rasul Amin Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/uhj.v3i1.73749

Keywords:

NSTEMI, UA, Coronary angiogram (CAG)

Abstract

Background: The GRACE risk score is a valid clinical tool to risk stratify patients with non-ST-segment elevation myocardial infarction (NSTEMI). The SYNTAX score is a comprehensive angiographic grading tool to determine the anatomic complexity of coronary artery disease. Predicting the SYNTAX score before a coronary angiogram (CAG) can help with patient counseling, optimization of planning, and preparation for possible complex percutaneous procedures or CABG in patients with NSTEMI.

Objective: The objective of this study is to determine the correlation between the GRACE risk score and the SYNTAX score in patients with NSTEMI.

Materials and Methods: A total of 52 patients with NSTEMI undergoing coronary angiography were enrolled in this study. According to the calculated GRACE score on admission, patients were divided into a low-risk group (GRACE score ≤108), an intermediate-risk group (GRACE score = 109–140), and a high-risk group

(GRACE score > 140). After coronary angiography, the SYNTAX score was calculated. The correlation between the scores was determined by Pearson’s correlation test.

Results: The mean SYNTAX score in the low GRACE risk group was 9.5 ± 5.1, in the intermediate GRACE risk group it was 12.5 ± 7.6, and in the high GRACE risk group it was 18.5 ± 8.9, and the differences were significant (P value = 0.005). There was a significant positive correlation (r = 0.515, p = <0.001) between the GRACE risk score and the SYNTAX score in patients with NSTEMI.

Conclusion: Our study demonstrates that in NSTEMI patients, the GRACE risk score has a significant positive correlation with the SYNTAX score.

University Heart Journal 2023; 19(2): 49-54

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Published

2024-07-11

How to Cite

Huda, S. M. N., Kabir, M. F. I., Haque, M., Alam, M. T., Anwar, A. A., Saha, S. K., … Amin, M. R. (2024). Correlation between the GRACE Risk Score and the SYNTAX Score in Patients with Non-ST-Segment Elevation Myocardial Infarction. University Heart Journal, 19(2), 49–54. https://doi.org/10.3329/uhj.v3i1.73749

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Section

Original Articles