Tag: Catheterization and Cardiovascular Interventions


Importance of Right Heart Catheterization

Dr. Susan Joseph, Advanced Heart Failure Specialist from Baylor University Medical Center, discusses perspectives on management of Impella patients in critical care units, particularly the use of invasive hemodynamic monitoring. PA catheters, or right heart catheterization, provide a minute to minute constant source of information about a patient with shock and their filling pressures, pulmonary … Continue reading “Importance of Right Heart Catheterization”

The Residual SYNTAX Score and Its Impact on Predicting In-Hospital Outcomes in PCI Patients

Key Takeaways

  • The SYNTAX score is an angiographic instrument commonly used to grade coronary artery disease (CAD) severity and complexity.
  • In-hospital mortality, acute kidney injury (AKI), and periprocedural death were associated with high residual SYNTAX score (rSS) scores in this study. Similarly, a baseline SYNTAX score (bSS) >22 was also associated with higher unadjusted rates of mortality and net adverse cardiac events (NACE).
  • The rSS score provides a detailed evaluation of residual CAD anatomy and complexity, a potential contributor to its prognostic-like characteristics. rSS >8 was identified as an independent predictor of the primary outcome of NACE in this study.
  • Researchers hypothesized that patients with higher rSS scores may be susceptible to adverse events during and following primary PCI.
The SYNTAX score is an angiographic instrument commonly used to grade coronary artery disease (CAD) severity and complexity. SYNTAX can be divided into two categories: baseline SYNTAX score (bSS) and residual SYNTAX score (rSS). The bSS has previously been associated with greater major adverse cardiac events (MACE) as well as in-hospital and long-term mortality. rSS, however, is used to examine the complexity of residual CAD following primary percutaneous coronary intervention (PCI). Continue readingThe Residual SYNTAX Score and Its Impact on Predicting In-Hospital Outcomes in PCI Patients