Current risk scores for the establishment of the best myocardial revascularization methods

Abstract

Graft failure is an unresolved issue although there is much progress in this area. Anatomical, clinical, and functional quantifi cation systems of coronary lesions that require myocardial revascularization aim to establish the indication criteria and criteria for major adverse events due to this procedure. SYNTAX score (SYN ergy between PCI with TAXUS™ and Cardiac Surgery), the simple additive and full logistic EuroSCORE (Euro pean S ystem for C ardiac O perative R isk E valuation), global risk score, or others, have proven prediction in multiple trials and meta-analyses. Moreover, the SYNTAX score in all its variants has calculable value for interventional and surgery myocardial revascularization using clinical and functional lesion quantifi cation based on the data from a study with 855 patients. Furthermore, EuroSCORE is used in the forecasting of major adverse events secondary to surgical myocardial revascularization with established relevance. All the other scoring systems aim to complete the most commonly utilized scores so that the most effi cient myocardial revascularization procedure to be appropriate is selected. On the other hand, comparative studies between these scores demonstrate that the combination of various scores has the best prediction ability, especially when the quantifi cation algorithm of score is based on the clinical data of patient and, nonetheless, the angiographic criterion. The signifi cance of these scores consists in the choice of myocardial revascularization procedure with the lowest major adverse events and with the longest permeability duration.