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ACP Journal Club |16 July 2013

SYNTAX score II predicted mortality after PCI or CABG in complex CAD better than SYNTAX score

Richard G. Bach, MD

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Farooq V, van Klaveren D, Steyerberg EW, et al. Anatomical and clinical characteristics to guide decision making between coronary artery bypass surgery and percutaneous coronary intervention for individual patients: development and validation of SYNTAX score II. Lancet. 2013;381:639-50. 23439103

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In patients with complex coronary artery disease (CAD), does adding clinical variables to the SYNTAX score improve prediction of long-term mortality and differences in mortality between percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG)?
2 cohort studies: SYNergy between percutaneous coronary intervention with TAXus and cardiac surgery [SYNTAX] trial (derivation cohort) and Drug Eluting stent for LefT main coronary Artery disease [DELTA] registry (validation cohort).
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Bach RG. SYNTAX score II predicted mortality after PCI or CABG in complex CAD better than SYNTAX score. Ann Intern Med. 2013;159:JC5. doi: 10.7326/0003-4819-159-2-201307160-02005

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Published: Ann Intern Med. 2013;159(2):JC5.

DOI: 10.7326/0003-4819-159-2-201307160-02005

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