ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
The Relationship Between PRECISE-DAPT Score and Spontaneous Reperfusion of Infarct-Related Artery in Patients with ST-Segment Elevation Myocardial Infarction [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2023; 51(8): 537-542 | DOI: 10.5543/tkda.2023.21377

The Relationship Between PRECISE-DAPT Score and Spontaneous Reperfusion of Infarct-Related Artery in Patients with ST-Segment Elevation Myocardial Infarction

Taner Şeker1, Caner Türkoğlu2, Ömer Genç3, Abdullah Yıldırım1, Ahmet Oytun Baykan4, Ala Quisi5, Ibrahim Halil Kurt1
1Department of Cardiology, Health Sciences University, Adana Training and Research Hospital, Adana, Türkiye
2Department of Cardiology, Malatya Training and Research Hospital, Malatya, Türkiye
3Department of Cardiology, İstanbul Başakşehir Çam and Sakura City Hospital, Istanbul, Türkiye
4Department of Cardiology, Adana Ortadoğu Hospital, Adana, Türkiye
5Department of Cardiology, Medline Hospital, Adana, Türkiye


OBJECTIVE
Spontaneous reperfusion (SR) presence and a low PREdicting bleeding Complications In patients undergoing Stent implantation and subsEquent Dual Anti Platelet Therapy (PRECISE-DAPT) score in patients with acute coronary syndrome have been associated with favorable clinical outcomes. This study aimed to investigate the relationship between SR and this score.


METHODS
 The study included 436 patients with ST-segment elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PCI). Thrombolysis in myocardial infarction (TIMI) III blood flow presence in the infarct-related artery (IRA) before primary percutaneous coronary intervention (PCI) was defined as SR. Patients were categorized into two groups based on the presence (n = 49) or absence (n = 387) of SR. The PRECISE-DAPT score was computed for each patient using the web-based calculator.


RESULTS
 The group with SR had a lower frequency of hyperlipidemia and a higher ejection fraction (EF) at admission. Conversely, the group without SR presented with higher values of glucose, troponin, creatine kinase-myocardial band (CK-MB), and PRECISE-DAPT score. The no-reflow phenomenon and elevated SYNergy between PCI with TAXUS and Cardiac Surgery (SYNTAX-I) scores were higher in the group without SR than in the one with SR. Multivariate regression analysis indicated that a high PRECISE-DAPT score was an independent predictor of the absence of SR (odds ratio: 0.96, P = 0.04).


CONCLUSION
The PRECISE-DAPT score is an independent predictor of the presence of spontaneous reperfusion in patients who experienced STEMI.

Keywords: PRECISE-DAPT score, spontaneous reperfusion, ST-segment elevation myocardial infarction, SYNTAX score, TIMI flow

How to cite this article
Taner Şeker, Caner Türkoğlu, Ömer Genç, Abdullah Yıldırım, Ahmet Oytun Baykan, Ala Quisi, Ibrahim Halil Kurt. The Relationship Between PRECISE-DAPT Score and Spontaneous Reperfusion of Infarct-Related Artery in Patients with ST-Segment Elevation Myocardial Infarction. Turk Kardiyol Dern Ars. 2023; 51(8): 537-542

Corresponding Author: Taner Şeker, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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