Comparison of coronary SYNTAX score in different types of heart failure with ischemic cardiomyopathy
HE Xi-min
CHEN Lin
ZHANG Yun-bo
FENG Xu-xia
LUO Jiang-bin
WANG Tian-song
Abstract：Objective To compare the ischemic cardiomyopathy clinical characteristics of different types of heart failure and coronary SYNTAX score. Methods This retrospective analysis included 128 cases who were diagnosed as ischemic cardiomyopathy with heart failure hospitalized in the People's Hospital of Sanya during January 2010 to December 2014.Depending on the difference of clinical characteristics, the 128 cases were divided into HF -REF (75 cases) and HF -PEF (53 cases) .The clinical features, plasma BNP, echocardiography and coronary SYNTAX score difference were analyzed in both groups.Results The duration of disease, old myocardial infarction rate, left ventricular end-diastolic diameter ( LVEDD) , left ventricular systolic diameter ( LVESD) , New York Heart Association functional class, multi-vessel disease, plasma BNP, coronary SYNTAX score and many other parameters were compared, and these indexes were significantly higher in HF-REF group than those in HF-PEF group.Multivariate correlation analysis showed that coronary SYNTAX score and duration of disease, NYHA class, plasma BNP was positively correlated, and the correlation coefficient was 0.227,0.443 and 0.513, respectively(P <0.05), but coronary SYNTAX score and LVEDD, LVESD, LVEF value had no significant correlation(P>0.05).Conclusion Compared with HF-REF patients, HF-PEF patients with short duration, mild coronary artery stenosis and patient's condition, the prognosis is good.Complex severity of coronary artery disease is a key factor for the development of ischemic cardiomyopathy heart failure.
Keywords：Ischemic cardiomyopathy( ICM)Heart failure with reduced left ventricular ejection fraction( HF-REF)Heart failure with preserved left ventricular ejection fraction( HF-PEF)SYNTAX score
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1092-1096 )