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Prognostic Value of Residual Syntax Score Combined with Acef Score in Acute Coronary Syndrome Patient After Percutaneus Coronary Intervention in Saiful Anwar Hospital, Malang

Heart Science Journal · Vol. 3 No. 1 (2022) · hlm. 21–27

DOI
10.21776/ub.hsj.2022.003.01.4
ISSN
2721-9984, 2721-9976
Terbit
2022-01-31
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: Percutaneous coronary intervention (PCI) is one of the revascularization options in patients with clinical acute coronary syndrome (ACS) who often have multiple and complex vascular lesions. So, the decision to complete revascularization is still a topic that is widely explored to reduce the rate of rehospitalization and reinfarction. This study aims to determine the predictor value of rehospitalization and reinfarction events that can be used in ACS patients undergoing IKP using coronary angiography parameters with residual SYNTAX scores and clinical parameters using ACEF scores.  Method: The study was cohort prospective with the inclusion criteria being all ACS patients who underwent PCI in RSUD Dr. Saiful Anwar Malang from January 2017 to July 2021. All patients underwent IKP and underwent coronary angiography evaluation after IKP with a residual SYNTAX score (rSS) and divided into categories into rSS≤8 and rSS>8. All patients underwent laboratory examination of serum creatinine and post-PCI echocardiography, and an ACEF score was obtained (ACEF score = age/left ventricular ejection fraction + 1 [if serum creatinine >2 mg/dl]). Research subjects will be followed up for at least 1 year related to the incidence of post-PCI rehospitalization and reinfarction.  Results: From a total sample of 209 patients, it was found that the residual SYNTAX score data had the most significant predictive factor for the occurrence of rehospitalization at 1 year after PCI (OR 6.14 [95% CI, 1.92-1967]). At the value of rSS > 8, (AUC 0.750 [95% CI, 0.682-0.818], p 0.001) has a good predictive value for the occurrence of rehospitalization. However, combining with clinical parameters using the ACEF score provides a better predictive value. This study shows that the combination of rSS>8 and ACEF score>1.2 provides a better predictive value (AUC 0.884 [95%CI, 0.832-0.936) for the incidence of rehospitalization in post-PCI ACS patients. Conclusion: Acute coronary syndrome patients with residual SYNTAX scores > 8 and ACEF scores > 1.2 had a strong predictive value for rehospitalization events 1 year after PCI. The use of the combination of these two scores is expected to be a clinical guide to obtain the degree of completeness of revascularization in ACS patients.

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Rekan penulisOrganisasiArtikel bersama
Cholid Tri TjahjonoUniversity of Brawijaya44
Anna Fuji RahimahUniversity of Brawijaya42
Indra PrasetyaUniversity of Brawijaya35
Setyasih AnjarwaniUniversity of Brawijaya34
Budi SatrijoUniversity of Brawijaya33
Djanggan SargowoUniversity of Brawijaya27
Heny MartiniUniversity of Brawijaya25
Yoga WaranugrahaUniversity of Brawijaya16
Wella KarolinaUniversity of Brawijaya9
Tri AstiawatiUniversity of Brawijaya8
Putri Annisa KamilaUniversity of Brawijaya8
Seprian WidasmaraUniversity of Brawijaya7
Valerinna Yogibuana Swastika PutriUniversity of Brawijaya7
Nikhen NoverikeUniversity of Brawijaya7
Muhammad Rizki FadlanUniversity of Brawijaya5
Anna Fuji RahimahAfiliasi tidak diketahui5
Imam Mi'raj SuprayogaUniversity of Brawijaya5
Dea Arie KurniawanUniversity of Brawijaya5
Dadang HendrawanUniversity of Brawijaya4
Fandy HazzyUniversity of Brawijaya4
Sawitri SatwikajatiUniversity of Brawijaya4
Hayla Iqda MillisaniUniversity of Brawijaya4
Icmi Dian RochmawatiUniversity of Brawijaya4
Olivia HandayaniUniversity of Brawijaya4
Oktafin Srywati PamunaUniversity of Brawijaya4
Imelda KrisnasariUniversity of Brawijaya4
Valerinna YogibuanaAfiliasi tidak diketahui4
Evit RuspionoAfiliasi tidak diketahui4
Ira Vori NugrohoUniversity of Brawijaya4
Cik KahadiUniversity of Brawijaya4
Mokhamad Aswin BaharUniversity of Brawijaya4
Arif Ranu WicaksonoUniversity of Brawijaya4
Oktivani Adelathifa RahmaUniversity of Brawijaya3
Ayu Asri Devi AdityawatiUniversity of Brawijaya3
Zhafran VeliawanUniversity of Brawijaya3

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Prognostic Value of Residual Syntax Score Combined with Acef Score in Acute Coronary Syndrome Patient After Percutaneus Coronary Intervention in Saiful Anwar Hospital, Malang</dc:title>
	<dc:creator xml:lang="en">Wikananda, Adhika Prastya</dc:creator>
	<dc:creator xml:lang="en">Rohman, Mohammad Saifur</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Widito, Sasmojo</dc:creator>
	<dc:creator xml:lang="en">Rizal, Ardian</dc:creator>
	<dc:subject xml:lang="en">acute coronary syndrome</dc:subject>
	<dc:subject xml:lang="en">percutaneous coronary intervention</dc:subject>
	<dc:subject xml:lang="en">residual SYTAX score</dc:subject>
	<dc:subject xml:lang="en">ACEF score.</dc:subject>
	<dc:description xml:lang="en">Background : Percutaneous coronary intervention (PCI) is one of the revascularization options in patients with clinical acute coronary syndrome (ACS) who often have multiple and complex vascular lesions. So, the decision to complete revascularization is still a topic that is widely explored to reduce the rate of rehospitalization and reinfarction. This study aims to determine the predictor value of rehospitalization and reinfarction events that can be used in ACS patients undergoing IKP using coronary angiography parameters with residual SYNTAX scores and clinical parameters using ACEF scores.  Method : The study was cohort prospective with the inclusion criteria being all ACS patients who underwent PCI in RSUD Dr. Saiful Anwar Malang from January 2017 to July 2021. All patients underwent IKP and underwent coronary angiography evaluation after IKP with a residual SYNTAX score (rSS) and divided into categories into rSS≤8 and rSS&amp;gt;8. All patients underwent laboratory examination of serum creatinine and post-PCI echocardiography, and an ACEF score was obtained (ACEF score = age/left ventricular ejection fraction + 1 [if serum creatinine &amp;gt;2 mg/dl]). Research subjects will be followed up for at least 1 year related to the incidence of post-PCI rehospitalization and reinfarction.  Results : From a total sample of 209 patients, it was found that the residual SYNTAX score data had the most significant predictive factor for the occurrence of rehospitalization at 1 year after PCI (OR 6.14 [95% CI, 1.92-1967]). At the value of rSS &amp;gt; 8, (AUC 0.750 [95% CI, 0.682-0.818], p 0.001) has a good predictive value for the occurrence of rehospitalization. However, combining with clinical parameters using the ACEF score provides a better predictive value. This study shows that the combination of rSS&amp;gt;8 and ACEF score&amp;gt;1.2 provides a better predictive value (AUC 0.884 [95%CI, 0.832-0.936) for the incidence of rehospitalization in post-PCI ACS patients. Conclusion : Acute coronary syndrome patients with residual SYNTAX scores &amp;gt; 8 and ACEF scores &amp;gt; 1.2 had a strong predictive value for rehospitalization events 1 year after PCI. The use of the combination of these two scores is expected to be a clinical guide to obtain the degree of completeness of revascularization in ACS patients.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2022-01-31</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/229</dc:identifier>
	<dc:identifier>10.21776/ub.hsj.2022.003.01.4</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 3 No. 1 (2022): Assesment and Outcome of Coronary Artery Disease in the Reperfusion Era; 21-27</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2022.003.01</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/229/266</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2022 Adhika Prastya Wikananda, Mohammad Saifur Rohman, Novi Kurnianingsih, Sasmojo Widito, Ardian Rizal</dc:rights>
</oai_dc:dc>