Inter- and Intra-Observer Variability for Assessment of the Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery (SYNTAX) Score and Association of the SYNTAX Score With Clinical Outcome in Patients Undergoing Unprotected Left
スポンサーリンク
概要
- 論文の詳細を見る
Background: The Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery (SYNTAX) score was proposed as a method to evaluate the complexity of coronary anatomy. However, the reproducibility of assessment for the SYNTAX score in unprotected left main coronary artery (ULMCA) disease has not yet been adequately evaluated. The purpose of this study is to assess inter- and intra-observer variability for the assessment of the SYNTAX score in patients undergoing ULMCA stenting in daily clinical practice. Methods and Results: The SYNTAX score of 101 consecutive patients who underwent ULMCA stenting with sirolimus-eluting stent was independently assessed by 2 experienced interventional cardiologists. One of the 2 cardiologists evaluated all the cases again 6 months after the initial assessment. The κ value for inter-observer variability in estimating the SYNTAX score was 0.62 according to the dichotomized analysis (≥33, <33) and 0.58 according to the tertile analysis (<23, 23≤-<33, ≥33), while the intra-observer variability was 0.78 and 0.69, respectively. Patients with a high SYNTAX score (≥33, n=55) compared with those with low or intermediate score (<33, n=46) had a significantly higher rate of target-lesion revascularization (TLR) of the ULMCA lesion at 2 years (24% vs. 4.4%, P=0.01). Conclusions: Both inter- and intra-observer variability for estimating the SYNTAX score were within an acceptable range and a high SYNTAX score showed a higher rate of TLR in patients undergoing ULMCA stenting in daily clinical practice. (Circ J 2011; 75: 1130-1137)
- 2011-04-25
著者
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Furukawa Yutaka
Kobe City Medical Center General Hospital
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Tanaka K
The First Department Of Internal Medicine Nippon Medical School
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Kudoh T
Department Of Cardiovascular Respiratory And Metabolic Medicine Graduate School Of Medicine Kagoshim
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Kudoh Takashi
Department Of Nuclear Medicine Kyoto University Faculty Of Medicine
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Kita Toru
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
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Miyamoto Tadashi
Department Of Cardiology Hyogo Prefectural Amagasaki Hospital
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Morimoto Takeshi
神戸市立医療センター中央市民病院 循環器内科
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Shiomi Hiroki
Department of Cardiology, Kyoto City Hospital
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Tazaki Junichi
Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University
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Nakagawa Yoshihisa
behalf of the j-Cypher Registry Investigators
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Kobayashi Takashi
Department Of Cardiology Kobe City Medical Center General Hospital
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Morimoto Tatsuya
Center For Medical Education Kyoto University Graduate School Of Medicine
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Nakagawa Yoshihisa
Department Of Cardiology Tenri Hospital
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Toma Masanao
Department Of Cardiovascular Medicine Kyoto University Hospital
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Kimura Takeshi
神戸市立医療センター中央市民病院 循環器内科
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Furukawa Yutaka
Department Of Cardiology Kobe City Medical Center General Hospital
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Furukawa Yutaka
Division Of Cardiology Kobe City Medical Center General Hospital
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Kurata Takeshi
Department Of Cardiovascular Medicine Juntendo University School Of Medicine
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Morimoto Tatsuya
京都大学 医研究 循病態
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Morimoto Tatsuya
Division Of Translational Research Kyoto Medical Center
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Kotake Takeshi
国立循環器病センター 薬剤部
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Tamita Koichi
高木循環器科診療所 循環器科
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Nakagawa Yoshihisa
Division of Cardiology, Tenri Hospital
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Kasai Takatoshi
順天堂大学 循環器内科学
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Toma Masanao
Department Of Cardiovascular Medicine Kyoto University
-
Miyamoto Tadashi
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
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Kita Toru
National Hospital Organization And Department Of Cardiovascular Medicine Graduate School Of Medicine
-
Ono Koh
Dep. Of Cardiovascular Medicine Graduate School Of Medicine Kyoto Univ. 54 Kawahara-cho Shogoin Saky
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Ono Koh
京都大学 医学研究科循環器内科学
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Ono Koh
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
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Shioi Tetsuo
Department Of Cardiology And Internal Medicine Kitasato University School Of Medicine
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Tambara K
Department Of Cardiovascular Surgery Graduate School Of Medicine Kyoto University
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Miyamoto Tadashi
兵庫県立尼崎病院 循環器内科
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Tamura Toshihiro
Department Of Cardiovascular Medicine Kyoto University
-
Morita Toshihiro
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
-
Miyamoto Tadashi
Center For Medical Education Kyoto University Graduate School Of Medicine
-
Touma Masanao
Department Of Cardiovascular Medicine Kyoto University
-
Kimura Takshi
京都大学 院放射線学
-
Tazaki Junichi
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Kadohira Tadayuki
虎の門病院循環器センター
-
Kita Toru
Department Of Cardiovascular Medicine Kyoto University Graduate School Of Medicine
-
Morishita Tetsuji
福井大学医学部附属病院 循環器内科
-
Kuwahara Taishi
Cardiovascular Center Yokosuka Kyosai Hospital
-
Kudou T
Kyoto Univ.
-
Takeda Toshihiro
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Tani Tomoko
Department Of Cardiology Kobe City Medical Center General Hospital
-
Miura Aya
Dep. Of Cardiovascular Medicine Graduate School Of Medicine Dentistry And Pharmaceutical Sciences Ok
-
Akao Masaharu
Department Of Cardiovascular Medicine Kyoto University Graduate School Of Medicine
-
Kimura Takeshi
Department Of Cardiology Kobe City Medical Center General Hospital
-
Tamura Toshihiro
Division of Cardiology, Kyoto University School of Medicine
-
Kimura Takeshi
Department Of Respiratory Medicine Graduate School Of Medicine Kyoto University
-
Marui Akira
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Tanno Kaoru
Division Of Cardiology Kobe City Medical Center General Hospital
-
AKAO Masaharu
Division of Cardiology,Shizuoka City Hospital
-
Kudoh T
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Kimura Takeshi
Department Of Cardiovascular Medicine
-
Koyama Takashi
Department Of Diagnostic Imaging And Nuclear Medicine Kyoto University Graduate School Of Medicine
-
Tanaka Keiji
Intensive And Cardiac Care Unit Nippon Medical School
-
Kawamura Teruhisa
Division Of Translational Research Kyoto Medical Center
-
Matsumori Akira
The Third Devision Department Of Internal Medicine Kyoto University
-
Marui Akira
Department Of Cardiovascular Surgery Kyoto University Graduate School Of Medicine
-
Matsumori A
The Third Division Department Of Internal Medicine Kyoto University And Department Of Medicine Beth
-
Tamita Kouichi
The Department Of Cardiology Kobe General Hospital
-
Morimoto Takeshi
Kyoto University Hospital
-
Kimura Takeshi
Department Of Cardiovascular Medicine Kyoto University Hospital
-
Tanno Kaoru
Department Of Cardiology Kobe City Medical Center General Hospital
-
Tada Tomohisa
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Ono Koh
Department Of The Cardiovascular Medicine Kyoto University School Hospital
-
Koyama Takashi
Cardiovascular Division Institute Of Clinical Medicine Graduate School Of Comprehensive Human Scienc
-
Morimoto Takeshi
Center For Medical Education Graduate School Of Medicine Kyoto University
-
Miyoshi Takashi
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
-
Matsumori Akira
Japanese Circulation Society Guideline Preparation Group Myocarditis
-
Tamita Koichi
Department Of Cardiology Kobe City Medical Center General Hospital
-
Katagiri Takashi
Department Of Cardiology Kobe City Medical Center General Hospital
-
Makiyama Takeru
Department Of Nephrology And Rheumatology Tosei General Hospital
-
Takahashi Ken-ichi
Department Of Respiratory Medicine Otsu Red Cross Hospital
-
Tani Tomoko
Kobe General Hospital Division Of Cardiology
-
Kita Toru
Department Of Cardiovascualr Medicine Kyoto University Graduate School Of Medicine
-
Kudoh Takashi
Department Of Cardiovascular Medicine Kyoto University Graduate School Of Medicine
-
Katoh Takao
Department Of Disease Control And Homeostasis Graduate School Of Medical Science Kanazawa University
-
Kudoh Takashi
Department Of Respiratory Medicine Otsu Red Cross Hospital
-
Morota Tetsuro
Department Of Cardiothoracic Surgery And Human Pathology The University Of Tokyo Graduate School Of
-
Tamura Takashi
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Ono Koh
National Hospital Organization And Department Of Cardiovascular Medicine Graduate School Of Medicine
-
Ono Kou
Department Of Cardiovascular Medicine Kyoto University Hospital
-
Kodama Tatsuhiko
Laboratory For Systems Biology And Medicine Research Center For Advanced Science And Technology The
-
Toma Masanao
Division Of Cardiology Hyogo Prefectural Amagasaki Hospital
-
NIKI Shunichiro
Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University
-
Nakagawa Yoshihisa
Division Of Cardiology Tenri Hospital
-
Tamura Toshihiro
Division Of Cardiology Tenri Hospital
-
Shiomi Hiroki
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Akao Masaharu
Division Of Cardiology Kyoto Medical Center National Hospital Organization
-
Tamura Toshihiro
Department Of Cardiology Kyoto University School Of Medicine
-
Kudoh Takashi
Department Of Cardiology Kobe City Medical Center General Hospital
-
Kawamura Teruhisa
Division Of Translational Research Kyoto Medical Center National Hospital Organization
-
Arai Masazumi
Division Of Cardiology Kyoto Medical Center National Hospital Organization
-
Kimura Takeshi
Department Of Respiratory Medicine Otsu Red Cross Hospital
-
Togashi Kaori
Kyoto Univ. Hospital Kyoto Jpn
-
Marui Akira
Division Of Cardiology Kyoto Medical Center National Hospital Organization
-
Kita Toru
Division Of Translational Research Kyoto Medical Center National Hospital Organization
-
Niki Shunichiro
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Tamura Toshihiro
Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University
-
Toma Masanao
Department Of Cardiology Hyogo Prefectural Amagasaki Hospital
-
Akao Masaharu
Division Of Cardiology Kyoto Medical Center
-
Koyama Takashi
Cardiovascular Division Institute Of Clinical Medicine Graduate School Of Comprehensive Human Scienc
-
Miyamoto Tadashi
Center For Medical Education And Clinical Epidemiology Unit Graduate School Of Medicine Kyoto Univer
-
MORIMOTO Takeshi
Center for General Internal Medicine and Emergency Care, Kinki University School of Medicine
-
KIMURA Takeshi
Department of Applied Chemistry and Molecular Science, Faculty of Engineering, Iwate University
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- PE-327 Arrhythmogenic Substrates of Atrial Fibrillation in Hypertension(Arrhythmia, basic-4 (A) PE55,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- PE-141 Amiodarone Attenuates Monocyte Chemokine Production and Improves Cardiac Function in Patients with Idiopathic Dilated Cardiomyopathy and Ventricular Tachycardia(Arrhythmia, therapy-9 (A) PE24,Poster Session (English),The 70th Anniversary Annual Sci
- PE-139 Mapping-guided Ablation of the Cavotricuspid Isthmus : A Novel Simplified Approach for Radio frequency Catheter Ablation of Isthmus-dependent Atrial Flutter(Arrhythmia, therapy-9 (A) PE24,Poster Session (English),The 70th Anniversary Annual Scienti
- PE-038 The Coronary Sinus Musculature as a Critical Isthmus of Macroreentrant Atrial Tachycardia Occurring in Patients after Surgery fo Atrial Fibrillaion(Arrhythmia, therapy-8 (A) PE7,Poster Session (English),The 70th Anniversary Annual Scientific Meetin
- PJ-796 Simple Maneuver for Preventing Atrio-esophageal Fistula during Pulmonary Vein Isolation(Arrhythmia, therapy(27)(A),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- OE-288 Olmesartan can Improve Coronary Flow Reserve of Hypertensive Patients, Using Magnetic Resonance Imaging with Stress ATP Infusion Compared with Amlodipine(OE49,Hypertension, Clinical 1 (H),Oral Presentation (English),The 73rd Annual Scientific Meeti
- PE-127 Relationships between Sex Hormones and Atrial Fibrillation : Protective Effects of Testosterone(Arrhythmia, basic-3 (A) PE22,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- Profiles of Aprindine, Cibenzoline, Pilsicainide and Pirmenol in the Framework of the Sicilian Gambit
- PJ-566 The Relationship between Focal Electrogram and Wavefront Dynamics during Atrial Fibrillation(PJ095,Arrhythmia, Others (Basic) 2 (A),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Short-Term Amiodarone Treatment Attenuates the Production of Monocyte Cytokines and Chemokines by C-Reactive Protein and Improves Cardiac Function in Patients With Idiopathic Dilated Cardiomyopathy and Ventricular Tachycardia
- Six-Minute Walk Distance in Healthy Japanese Adults
- Inter- and Intra-Observer Variability for Assessment of the Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery (SYNTAX) Score and Association of the SYNTAX Score With Clinical Outcome in Patients Undergoing Unprotected Left
- Clinical Characteristics and Outcomes of Japanese Women Undergoing Coronary Revascularization Therapy
- Impact of Diabetes on Cardiovascular Outcomes in Hemodialysis Patients Undergoing Coronary Revascularization
- Comparison of 3-year clinical outcomes after transradial versus transfemoral percutaneous coronary intervention
- Predicting Long-Term Mortality After First Coronary Revascularization
- Intensity of Statin Therapy, Achieved Low-Density Lipoprotein Cholesterol Levels and Cardiovascular Outcomes in Japanese Patients After Coronary Revascularization : Perspectives From the CREDO-Kyoto Registry Cohort-2