BCIS myocardial jeopardy score predicts post-PCI death

BCIS myocardial jeopardy score predicts post-PCI death
The British Cardiovascular Intervention Society myocardial jeopardy score predicts mortality after percutaneous coronary intervention, according to research published in the Jan. 15 issue of The American Journal of Cardiology.

(HealthDay)—The British Cardiovascular Intervention Society myocardial jeopardy score (BCIS-JS) predicts mortality after percutaneous coronary intervention (PCI), according to research published in the Jan. 15 issue of The American Journal of Cardiology.

Kalpa De Silva, M.B.B.S., of King's College London, and colleagues conducted a retrospective study involving 660 patients who underwent PCI with previous left ventricular function assessment. Of these, 221 patients had previously undergone grafting (CABG). Blinded observers calculated the BCIS-JS before (BCIS-JSPRE) and after (BCIS-JSPOST) PCI, and the extent of revascularization was quantified using the revascularization index (RI; RI = [BCIS-JSPRE − BCIS-JSPOST]/BCIS-JSPRE).

The researchers found that both BCIS-JSPRE and BCISJSPOST scores were directly related to all-cause mortality (hazard ratios [HRs], 2.96 and 4.02, respectively). Other independent predictors of mortality included having a RI of less than 0.67 (HR, 1.99), left ventricular dysfunction (HR, 2.03), and renal impairment (HR, 3.75), in multivariate analysis.

"The present findings have demonstrated that the BCIS-JS has prognostic significance in a contemporary cohort of patients undergoing PCI. Higher BCIS-JSPRE and BCIS-JSPOST scores are associated with increased mortality and the BCIS-JS-derived RI is an independent predictor of mortality," the authors write. "Our findings confirm that the BCIS-JS is a highly reproducible, valid angiographic scoring tool and supports its use in and guiding PCI in patients with , including patients who have undergone previous CABG."

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Increased stroke risk at 30-days post-CABG versus PCI

date Aug 21, 2012

(HealthDay) -- The risk of stroke at 30 days is significantly higher in patients who undergo coronary revascularization with coronary artery bypass graft (CABG) surgery compared to those who undergo percutaneous ...

Study examines multivessel mortality rates

date Dec 29, 2011

(Medical Xpress) -- A new study led by University at Albany School of Public Health Distinguished Professor Emeritus Edward L. Hannan finds a link between higher mortality rates and incomplete revascularization ...

Recommended for you

Catheterization increasing for seniors with STEMI

date 18 hours ago

(HealthDay)—From 1999 to 2009 there was a decrease in the proportion of older adults with ST-segment elevation acute myocardial infarction (STEMI) who did not undergo cardiac catheterization, according ...

Race influences warfarin dose, study says

date May 29, 2015

A new report demonstrates that clinical and genetic factors affecting dose requirements for warfarin vary by race. The study, published online today in Blood, the Journal of the American Society of Hematology (ASH), propose ...

Even moderate BMI reduction could ease A-fib burden

date May 29, 2015

(HealthDay)—Incremental increases in body mass index (BMI) are associated with excess risk of incident, postoperative, and post-ablation atrial fibrillation (AF), according to a review published online ...

Personalized saline may provide solution to heart death

date May 29, 2015

Saline solution is a staple of every hospital. No matter the ailment, doctors have known for more than a century that saline is key to keeping patients hydrated and maintaining their blood pressure levels. ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.