Correlation Between Pursuit Score And Severity Of Coronary Artery Lesion Assessed by Syntax Score Among Non-ST-Segment Elevation Myocardial Infarction (NSTEMI) Patients in Adam Malik Hospital Medan

Ridho Kurnia Indra; Andre Pasha Ketaren; Hilfan Ade Putra

doi:10.47353/jsocmed.v2i8.80

Correlation Between Pursuit Score And Severity Of Coronary Artery Lesion Assessed by Syntax Score Among Non-ST-Segment Elevation Myocardial Infarction (NSTEMI) Patients in Adam Malik Hospital Medan

Ridho Kurnia Indra
General Hosital Drs. H. Abu Hanifah, Kabupaten Bangka Tengah, Kepulauan Bangka Belitung, Indonesia
Andre Pasha Ketaren
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Sumatera Utara/ H. Adam Malik Hospital, Medan, Indonesia
Hilfan Ade Putra
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Sumatera Utara/ H. Adam Malik Hospital, Medan, Indonesia

Abstract

Introduction: The PURSUIT score is a practical risk score for patients with acute coronary syndromes to assess prognosis and risk stratification. Prognosis and revascularization options in patients with multivessel disease can be determined based on the severity of coronary lesions based on angiography. However, only a few studies have investigated the association of this score with coronary lesion severity. This research is aim to evaluate correlation between PURSUIT score and severity of coronary artery lesions assessed by SYNTAX score in patients with NSTEMI at H.Adam Malik General Hospital Medan.

Method: This research was a cross-sectional study in which the sample was taken by consecutive sampling at H. Adam Malik General Hospital in Medan on 70 patients diagnosed with NSTEMI. The hypothesis was evaluated using Pearson's correlation test for normally distributed numerical data or Spearman's correlation test for abnormally distributed data. The p value of 0.05 indicates statistical significance.

Results: Mean PURSUIT score in this research was 11.0 + 3.31, while mean SYNTAX score was 25.6 + 10.8. A positive correlation was found between the PURSUIT score and the SYNTAX score with a low strength level (r = 0.258).

Conclusion: The PURSUIT score has a weak correlation in predicting the complexity of coronary angiography among NSTEMI patients

Similar Articles

Akbar Sinaga, Refli Hasan, Abdul Halim Reynaldo, Harris Hasan, Nizam Zikri Akbar, Cut Aryfa Andra, Association of Triglyceride/High Density Lipoprotein Cholesterol Ratio and Coronary Lesion Severity in Acute Myocardial Infarction Patients at Adam Malik Hospital, Medan , Journal of Society Medicine: Vol. 2 No. 3 (2023): March
M. Isfan Rialdy, Nizam Zikri Akbar, T. Bob Haykal, Andre Pasha Ketaren, Cut Aryfa Andra, Yuke Sarastri, The Relationship between D-Dimer Levels and Coronary Lesion Severity in Patients with Acute Myocardial Infarction with ST-Segment Elevation at Haji Adam Malik Hospital Medan , Journal of Society Medicine: Vol. 2 No. 9 (2023): September
Enggar Sari Kesumawardani, Zainal Safri, Harris Hasan, Refli Hasan, Cut Aryfa Andra, Tengku Winda Ardini, The Relationship Between Serum Apolipoprotein B Levels and Severity of Coronary Lesions Using The Syntax Score in Non-St Segment Elevation Acute Myocardial Infarction Patients at Haji Adam Malik General Hospital Medan , Journal of Society Medicine: Vol. 2 No. 4 (2023): April
T. Rifqi Hashmi, Harris Hasan, Hilfan Ade Putra Lubis, The Relationship between LDL/ HDL Ratio and Coronary Lesion Severity Measured by Syntax Score in Patients with Non-Elevation Acute Myocardial Infarction at Hajj Adam Malik General Hospital, Medan , Journal of Society Medicine: Vol. 3 No. 5 (2024): May
Nurvira Annisa Saragih, Alfansuri Kadri, Chairil Amin Batubara, Short-Term Prognostic Model for Non-Traumatic Intracerebral Hemorrhage Patients: A Combination of Four Score, FUNC Score, and ICH Score , Journal of Society Medicine: Vol. 3 No. 1 (2024): January
Siti Alimahtun Sodiah Chaniago, Iskandar Nasution, Irina Kemala Nasution, The Association of Nutrition Status Towards The Outcome of Acute Ischemic Stroke Patients with Type-2 Diabetes Mellitus , Journal of Society Medicine: Vol. 2 No. 1 (2023): January
Antonius Leonardo Purba, Nizam Zikri Akbar, Yuke Sarastri, The Relationship between Myocardial Strain Using 2D Speckle Tracking Echocardiography and Coronary Lesion Severity Measured by Syntax Score in Patients with Chronic Coronary Syndrome at Haji Adam Malik Hospital , Journal of Society Medicine: Vol. 3 No. 4 (2024): April
Bastian Lubis, Putri Amelia, Muhammad Akil, Vincent Viandy, Ade Winata, Yohanes WH George, Early Continuous Renal Replacement Therapy In Patients With St-Elevation Myocardial Infarction And Covid-19 After Percutaneous Coronary Intervention: A Case Report , Journal of Society Medicine: Vol. 1 No. 2 (2022): November
Siti Hasnita Oktavia Purba, Iskandar Nasution, R.A. Dwi Pujiastuti, The Correlation between Dehydration and Early Neurological Deterioration in Acute Hemorrhagic Stroke , Journal of Society Medicine: Vol. 3 No. 1 (2024): January
Avie Hanindya Dwiyanti Rambe, Chairil Amin Batubara, Correlation between Serum Fibrinogen Level and Acute Ischemic Stroke Severity , Journal of Society Medicine: Vol. 2 No. 8 (2023): August

1 2 3 4 5 > >>

You may also start an advanced similarity search for this article.

PDF

Published at

31. August 2023
https://doi.org/10.47353/jsocmed.v2i8.80
Issue:

Vol. 2 No. 8 (2023): August
Section:

Articles
Keywords:

Acute myocardial infarction NSTEMI PURSUIT score SYNTAX score
References:

Departemen Kesehatan RI. Riset Kesehatan Dasar (RISKESDAS). Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI. 2013.

Kementerian Kesehatan Republik Indonesia. 2017. Penyakit Jantung penyebab Kematian Tertinggi.

Rhee JW, Sabatine MS, Lilly LS. Acute coronary syndrome in: Lilly LS (ed.) Pathophysiology of Heart Disease: A Collaborative Project of Medical Students and Faculty, 5th edition 2015. Baltimore: Lippincott of Williams and Wilkin.

Cannon CP, McCabe CH, Stone PH. The electrocardiogram predicts oneyear outcome of patients with unstable angina and non– Q wave myocardial infarction: results of the TIMI III Registry ECG Ancillary Study. Thrombolysis in Myocardial Ischemia. J Am Coll Cardiol. 2013: 1-5

Vaduganathan M, Mensah G, Turco J, et al. The Global Burden of Cardiovascular Diseases and Risk. J Am Coll Cardiol. 2022; 80 (25): 2361–2371.

Kim MC, Kini AS, Fuster V. Definitions and Pathogenesis of Acute Coronary Syndromes. In : Walsh RA, Fang JC, & Fuster V, editor. Hurst’s the Heart Manual of Cariology 13th ed. New York: Mc Graw Hill. 2013: 249

Serruys PW, Onuma Y, Garg S. Assessmssent of the SYNTAX score in the Syntax study. Eurointervention. 2009; 5(1): 50-6

Sianos G, Morel MA, Kappetein AP. The SYNTAX score: an angiographic tool grading the complexity of coronary artery disease. EuroIntervention. 2005; 1: 219-27

Brilakis ES, Wright RS, Kopecky SL. Association of the PURSUIT risk score with predischarge ejection fraction, angiographic severity of coronary artery disease, and mortality in a nonselected, community-based population with non-ST–elevation acute myocardial infarction. American Heart Journal. Vol146, Number 5. 2003.

Goncalves PdA, Ferreira J, Aguiar C. TIMI, PURSUIT, and GRACE risk scores: sustained prognostic value and interaction with revascularization in NSTE-ACS. The European Society of Cardiology. 2005.

Khandelwal G, Jain A, Rathore M. Prediction of Angiographic Extent of Coronary Artery Disease on the Basis of Clinical Risk Scores in Patients of Unstable Angina. Journal of Clinical and Diagnostic Research. 2015; 9(11).
Share:

Z

Indra, R. K., Ketaren, A. P., & Putra, H. A. (2023). Correlation Between Pursuit Score And Severity Of Coronary Artery Lesion Assessed by Syntax Score Among Non-ST-Segment Elevation Myocardial Infarction (NSTEMI) Patients in Adam Malik Hospital Medan. Journal of Society Medicine, 2(8), 276–282. https://doi.org/10.47353/jsocmed.v2i8.80