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The CatLet score and outcome prediction in acute myocardial infarction for patients undergoing primary percutaneous intervention: A proof-of-concept study

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The CatLet score and outcome prediction in acute myocardial infarction for patients undergoing primary percutaneous intervention: A proof-of-concept study. / Xu, Ming-Xing; Ruddy, Terrence D; Schoenhagen, Paul; Bartel, Thomas; Di Bartolomeo, Roberto; von Kodolitsch, Yskert; Escaned, Javier; Shen, Chengxing; He, Yong-Ming.

in: CATHETER CARDIO INTE, Jahrgang 96, Nr. 3, 01.09.2020, S. E220-E229.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Xu, M-X, Ruddy, TD, Schoenhagen, P, Bartel, T, Di Bartolomeo, R, von Kodolitsch, Y, Escaned, J, Shen, C & He, Y-M 2020, 'The CatLet score and outcome prediction in acute myocardial infarction for patients undergoing primary percutaneous intervention: A proof-of-concept study', CATHETER CARDIO INTE, Jg. 96, Nr. 3, S. E220-E229. https://doi.org/10.1002/ccd.28724

APA

Xu, M-X., Ruddy, T. D., Schoenhagen, P., Bartel, T., Di Bartolomeo, R., von Kodolitsch, Y., Escaned, J., Shen, C., & He, Y-M. (2020). The CatLet score and outcome prediction in acute myocardial infarction for patients undergoing primary percutaneous intervention: A proof-of-concept study. CATHETER CARDIO INTE, 96(3), E220-E229. https://doi.org/10.1002/ccd.28724

Vancouver

Xu M-X, Ruddy TD, Schoenhagen P, Bartel T, Di Bartolomeo R, von Kodolitsch Y et al. The CatLet score and outcome prediction in acute myocardial infarction for patients undergoing primary percutaneous intervention: A proof-of-concept study. CATHETER CARDIO INTE. 2020 Sep 1;96(3):E220-E229. https://doi.org/10.1002/ccd.28724

Bibtex

@article{196244c0ea204aa38e13f3d6349d94c8,
title = "The CatLet score and outcome prediction in acute myocardial infarction for patients undergoing primary percutaneous intervention: A proof-of-concept study",
abstract = "BACKGROUND: The Coronary Artery Tree description and Lesion EvaluaTion (CatLet) score accommodating the variability in coronary anatomy is a recently developed and comprehensive angiographic scoring system aimed at assisting in risk-stratification of patients with coronary artery disease. However, a validation of this angiographic scoring system is lacking.METHODS: The CatLet score was calculated retrospectively in 308 consecutively enrolled patients with acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention. The primary endpoint, major adverse cardiac or cerebrovascular events (MACCEs), was stratified according to CatLet tertiles: CatLetlow ≤14 (n = 124), CatLetmid 15-21 (n = 82) and CatLettop ≥22 (n = 102).RESULTS: The CatLet score alone or after adjusting for a broad spectrum of risk factors, significantly predicted clinical outcomes at a median 4.3-year follow-up. Multivariable-adjusted hazard ratios (95%CI)/unit higher score were 1.05 (1.04-1.07) for MACCE, 1.06 (1.04-1.07) for cardiac death, and 1.05 (1.04-1.07) for all-cause death. When compared to the SYNTAX score, improved discrimination and better calibration of this CatLet score resulted in a significantly refined risk stratification. The overall category-free net reclassification improvement afforded by this CatLet score was as follows: 37.2% (p = .008) for MACCEs, 35.5% (p = .0249) for cardiac death, and 31.8% (p = .0316) for all-cause death.CONCLUSIONS: The ability to integrate the variability in coronary anatomy into angiographic scoring makes the CatLet score a more specific tool for outcome predictions in AMI. (http://www.chictr.org.cn. Unique identifiers: ChiCTR-POC-17013536).",
keywords = "Aged, Aged, 80 and over, Coronary Angiography, Decision Support Techniques, Female, Humans, Male, Middle Aged, Myocardial Infarction/diagnostic imaging, Percutaneous Coronary Intervention/adverse effects, Predictive Value of Tests, Proof of Concept Study, Reproducibility of Results, Retrospective Studies, Risk Assessment, Risk Factors, Time Factors, Treatment Outcome",
author = "Ming-Xing Xu and Ruddy, {Terrence D} and Paul Schoenhagen and Thomas Bartel and {Di Bartolomeo}, Roberto and {von Kodolitsch}, Yskert and Javier Escaned and Chengxing Shen and Yong-Ming He",
note = "{\textcopyright} 2020 Wiley Periodicals, Inc.",
year = "2020",
month = sep,
day = "1",
doi = "10.1002/ccd.28724",
language = "English",
volume = "96",
pages = "E220--E229",
journal = "CATHETER CARDIO INTE",
issn = "1522-1946",
publisher = "Wiley-Liss Inc.",
number = "3",

}

RIS

TY - JOUR

T1 - The CatLet score and outcome prediction in acute myocardial infarction for patients undergoing primary percutaneous intervention: A proof-of-concept study

AU - Xu, Ming-Xing

AU - Ruddy, Terrence D

AU - Schoenhagen, Paul

AU - Bartel, Thomas

AU - Di Bartolomeo, Roberto

AU - von Kodolitsch, Yskert

AU - Escaned, Javier

AU - Shen, Chengxing

AU - He, Yong-Ming

N1 - © 2020 Wiley Periodicals, Inc.

PY - 2020/9/1

Y1 - 2020/9/1

N2 - BACKGROUND: The Coronary Artery Tree description and Lesion EvaluaTion (CatLet) score accommodating the variability in coronary anatomy is a recently developed and comprehensive angiographic scoring system aimed at assisting in risk-stratification of patients with coronary artery disease. However, a validation of this angiographic scoring system is lacking.METHODS: The CatLet score was calculated retrospectively in 308 consecutively enrolled patients with acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention. The primary endpoint, major adverse cardiac or cerebrovascular events (MACCEs), was stratified according to CatLet tertiles: CatLetlow ≤14 (n = 124), CatLetmid 15-21 (n = 82) and CatLettop ≥22 (n = 102).RESULTS: The CatLet score alone or after adjusting for a broad spectrum of risk factors, significantly predicted clinical outcomes at a median 4.3-year follow-up. Multivariable-adjusted hazard ratios (95%CI)/unit higher score were 1.05 (1.04-1.07) for MACCE, 1.06 (1.04-1.07) for cardiac death, and 1.05 (1.04-1.07) for all-cause death. When compared to the SYNTAX score, improved discrimination and better calibration of this CatLet score resulted in a significantly refined risk stratification. The overall category-free net reclassification improvement afforded by this CatLet score was as follows: 37.2% (p = .008) for MACCEs, 35.5% (p = .0249) for cardiac death, and 31.8% (p = .0316) for all-cause death.CONCLUSIONS: The ability to integrate the variability in coronary anatomy into angiographic scoring makes the CatLet score a more specific tool for outcome predictions in AMI. (http://www.chictr.org.cn. Unique identifiers: ChiCTR-POC-17013536).

AB - BACKGROUND: The Coronary Artery Tree description and Lesion EvaluaTion (CatLet) score accommodating the variability in coronary anatomy is a recently developed and comprehensive angiographic scoring system aimed at assisting in risk-stratification of patients with coronary artery disease. However, a validation of this angiographic scoring system is lacking.METHODS: The CatLet score was calculated retrospectively in 308 consecutively enrolled patients with acute myocardial infarction (AMI) undergoing primary percutaneous coronary intervention. The primary endpoint, major adverse cardiac or cerebrovascular events (MACCEs), was stratified according to CatLet tertiles: CatLetlow ≤14 (n = 124), CatLetmid 15-21 (n = 82) and CatLettop ≥22 (n = 102).RESULTS: The CatLet score alone or after adjusting for a broad spectrum of risk factors, significantly predicted clinical outcomes at a median 4.3-year follow-up. Multivariable-adjusted hazard ratios (95%CI)/unit higher score were 1.05 (1.04-1.07) for MACCE, 1.06 (1.04-1.07) for cardiac death, and 1.05 (1.04-1.07) for all-cause death. When compared to the SYNTAX score, improved discrimination and better calibration of this CatLet score resulted in a significantly refined risk stratification. The overall category-free net reclassification improvement afforded by this CatLet score was as follows: 37.2% (p = .008) for MACCEs, 35.5% (p = .0249) for cardiac death, and 31.8% (p = .0316) for all-cause death.CONCLUSIONS: The ability to integrate the variability in coronary anatomy into angiographic scoring makes the CatLet score a more specific tool for outcome predictions in AMI. (http://www.chictr.org.cn. Unique identifiers: ChiCTR-POC-17013536).

KW - Aged

KW - Aged, 80 and over

KW - Coronary Angiography

KW - Decision Support Techniques

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Myocardial Infarction/diagnostic imaging

KW - Percutaneous Coronary Intervention/adverse effects

KW - Predictive Value of Tests

KW - Proof of Concept Study

KW - Reproducibility of Results

KW - Retrospective Studies

KW - Risk Assessment

KW - Risk Factors

KW - Time Factors

KW - Treatment Outcome

U2 - 10.1002/ccd.28724

DO - 10.1002/ccd.28724

M3 - SCORING: Journal article

C2 - 31943728

VL - 96

SP - E220-E229

JO - CATHETER CARDIO INTE

JF - CATHETER CARDIO INTE

SN - 1522-1946

IS - 3

ER -