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首页> 外文期刊>Circulation journal >Beyond the SYNTAX Score – Advantages and Limitations of Other Risk Assessment Systems in Left Main Percutaneous Coronary Intervention –
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Beyond the SYNTAX Score – Advantages and Limitations of Other Risk Assessment Systems in Left Main Percutaneous Coronary Intervention –

机译：超越SYNTAX评分–左主干经皮冠状动脉介入治疗其他风险评估系统的优势和局限性–

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Risk stratification is an emerging topic in the modern management of patients with left main disease referred for percutaneous coronary intervention (PCI). Recent years have witnessed an explosive multiplication of risk models for prognostic stratification in complex PCI. Many of this models deal with modification of the angiographic SYNTAX score, or seek to overcome its known pitfalls and limitations, including lack of clinical and functional information, inter- and intra-observer variabilities, and poor calibration. Risk scoring systems beyond the SYNTAX score may be classified into angiographic (residual SYNTAX score, coronary artery bypass grafting SYNTAX score), clinical (EuroSCORE I and II, ACEF score and modified ACEF scores), combined clinical and angiographic (Global Risk Classification, Clinical SYNTAX score, logistic Clinical SYNTAX score, SYNTAX score II) and functional (Functional SYNTAX score). This article reviews current concepts in risk modeling and explores the advantages and limitations of the alternatives to the SYNTAX score in patients undergoing left main PCI.??(Circ J?2013; 77: 1131–1138)
机译：风险分层是左主干疾病经皮冠状动脉介入治疗（PCI）的现代管理中的新兴话题。近年来，复杂PCI预后分层的风险模型呈爆炸性增长。许多这样的模型处理血管造影术SYNTAX评分的修改，或试图克服其已知的陷阱和局限性，包括缺乏临床和功能信息，观察者之间和观察者之间的变异性以及较差的校准。超出SYNTAX评分的风险评分系统可分为血管造影（残余SYNTAX评分，冠状动脉搭桥术SYNTAX评分），临床（EuroSCORE I和II，ACEF评分和改良的ACEF评分），临床和血管造影（全球风险分类，临床） SYNTAX得分，后勤临床SYNTAX得分，SYNTAX得分II）和功能性（Functional SYNTAX得分）。本文回顾了当前风险建模的概念，并探讨了在进行左主PCI的患者中SYNTAX评分替代方案的优势和局限性（Circ J？2013; 77：1131-1138）。

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