Utility of residual SYNTAX score to predict clinical outcome after acute myocardial infarction

Abstract Aims Acute myocardial infarction (AMI) represents a huge health burden and growing economical challenge, particularly with recurrent major adverse cardiovascular events (MACE). Large attention is critically mandated to identify population at higher risk for MACE maximize secondary preventive measures. This study aimed evaluate the utility of residual SYNTAX Score (RSS) after percutaneous coronary intervention (PCI) culprit vessel(s) in patients AMI (STEMI or NSTEMI) predict 6-months clinical outcomes. Methods results A total 492 eligible were recruited through period 12 months. The RSS was systematically calculated PCI procedures. Median 4 (minimum 0–maximum 47.5). showed excellent association mid-term At cut-off value 3 had robust prediction subsequent heart failure (HF), AMI, unplanned revascularization composite (P < 0.001). significantly found those who developed follow up compared did not (10 vs. 3, P Similar significant difference ACS (11.5 0.001), (15 0.001) occurrence (12 Conclusions sensitive predictor outcomes AMI. Calculating end can guide intensification Ability RSS- tailored management impact high-risk be evaluated.Improvement, amelioration LV diastolic function. Dapa group greater improvement LVEF four months six Empa group. While HbA1C Additional Content An author video accompany this abstract available on https://academic.oup.com/eurheartjsupp. Please click arrow next ‘More Content’ then ‘Author videos’.