Chinese Medical Sciences Journal ›› 2022, Vol. 37 ›› Issue (4): 340-348.doi: 10.24920/004085

• Review • Previous Articles     Next Articles

Application of SYNTAX and its Derivative Scores in the Selection of Revascularization Strategies for Complex Coronary Heart Disease

Yuxu Zhang1, Rongruo Zeng2, Ye Yang2, Yin Shen1, *()   

  1. 1Department of International Medical Services, People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
    2School of Graduate, Guangxi Medical University, Nanning 530021, China
  • Received:2022-03-18 Accepted:2022-08-02 Published:2022-12-31 Online:2022-09-23
  • Contact: Yin Shen E-mail:sy_doctor@163.com
SYNTAX and its derivative scores are a decision-making tool that could quantitatively describe the characteristics of coronary lesions in patients based on their complexity and severity, could assist clinicians in rationalizing the selection of hemodynamic reconstruction treatment strategies, and have demonstrated outstanding value in evaluating the prognosis of patients with complex coronary heart disease undergoing revascularization treatment. The authors summary the practical application of SYNTAX and its derivative scores in complex coronary heart disease in order to deepen the understanding of the relationship between the choice of different revascularization strategies and SYNTAX and its derived scores in complex coronary heart disease and provide a further reference for clinical treatment of complex coronary heart disease.

Complex coronary heart disease (CHD) has become a hot spot in medicine due to its complex coronary anatomy, variable clinical factors, difficult hemodynamic reconstruction, and limited effect of conservative drug treatment. Identifying complex CHD and selecting optimal treatment methods have become more scientific as revascularization technology has improved, and coronary risk stratification scores have been introduced. SYNTAX and its derivative scores are decision-making tools that quantitatively describe the characteristics of coronary lesions in patients based on their complexity and severity. The SYNTAX and its derivative scores could assist clinicians in rationalizing the selection of hemodynamic reconstruction treatment strategies, and have demon-strated outstanding value in evaluating the prognosis of patients with complex CHD undergoing revascularization treatment. The authors in this article summary the practical application of SYNTAX and its derivative scores in complex CHD in order to deepen the understanding of the relationship between the choice of different revascularization strategies and SYNTAX and its derived scores in complex CHD and provide a further reference for clinical treatment of complex CHD.

Key words: complex coronary heart disease, revascularization strategies, SYNTAX and its derivative scores

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