Thread by @pomyers

@gbiondizoccai at #EACTS2020

SYNTAX score is an angiographic score of angiographic complexity
Designed to predict feasibility of PCI - nothing to do with feasibility of CABG or outcomes
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It may prove actually wrong for CABG: a CTO can easily be grafted, yet prediction by SYNTAX would suspect bad outcome.
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Residual lesions after are PCI are important, less so after cabg
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Angiography may not be the only factor. Functional SYNTAX says that baseline SYNTAX is problematic
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SYNTAX II adds comorbidities, to help in decision making pci vs. cabg
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Prognostic accuracy isn't so good and over-simplifies decision making
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In FREEDOM trial, SYNTAX predicts MACE after PCI, but not CABG
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No interaction between PCI and CABG & outcomes -SYNTAX can’t predict outcomes
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Conclusions by @gbiondizoccai on SYNTAX
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