Prognostic value of characteristics of plaque combined with residual syntax score among patients with STEMI undergoing primary PCI: an intravascular optical coherence tomography study

Bibliographic Details
Title: Prognostic value of characteristics of plaque combined with residual syntax score among patients with STEMI undergoing primary PCI: an intravascular optical coherence tomography study
Authors: Xiaoxiao Zhao, Ying Wang, Runzhen Chen, Jiannan Li, Jinying Zhou, Chen Liu, Peng Zhou, Zhaoxue Sheng, Yi Chen, Li Song, Hanjun Zhao, Hongbing Yan
Source: Thrombosis Journal, Vol 19, Iss 1, Pp 1-17 (2021)
Publisher Information: BMC, 2021.
Publication Year: 2021
Collection: LCC:Diseases of the blood and blood-forming organs
Subject Terms: Optical coherence tomography, Residual syntax score, Thin-cap fibroatheroma, Prognosis value, Diseases of the blood and blood-forming organs, RC633-647.5
More Details: Abstract Aim The present study aimed to explore these characteristics, particularly thin-cap fibroatheroma (TCFA), in relation to residual syntax score (rSS) in patients who presented with acute MI. Methods and outcomes A total of 434 consecutive patients with MI aged ≥18 years who had STEMI underwent primary PCI. Notably, compared with other subgroups, the presence of TCFA in culprit lesions and a higher level of rSS, were significantly associated with MACE. When rSS was divided into three groups, high rSS levels were associated with a higher incidence of MACE, in the subgroups of without TCFA (P = 0.005), plaque erosion (P = 0.045), macrophage infiltration (P = 0.026), and calcification (P = 0.002). AUC of ROC curve was 0.794 and 0.816, whereas the AUC of the survival ROC was 0.798 and 0.846. Conclusion The results of this study could be used in clinical practice to support risk stratification. Trial registration This study was registered at ClinicalTrials.gov as NCT03593928 .
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1477-9560
Relation: https://doaj.org/toc/1477-9560
DOI: 10.1186/s12959-021-00329-z
Access URL: https://doaj.org/article/055c9390fe5846abb65ea2e79c06894a
Accession Number: edsdoj.055c9390fe5846abb65ea2e79c06894a
Database: Directory of Open Access Journals
More Details
ISSN:14779560
DOI:10.1186/s12959-021-00329-z
Published in:Thrombosis Journal
Language:English