Comparative study of two prediction scoring systems on patients with suspected coronary heart disease
10.3969∕j.issn.1004-8812.2017.02.005
- VernacularTitle:两种危险因素定量评估系统对不典型胸痛患者冠状动脉病变程度预测的对比研究
- Author:
Zhiming ZHOU
;
Yonghe GUO
;
Dean JIA
;
Linlin ZHANG
;
Bin HU
;
Minjie ZHAO
;
Yujie ZHOU
- Keywords:
Coronary heart disease;
PROCAM scoring system;
SCP scoring system;
SYNTAX scoring
- From:
Chinese Journal of Interventional Cardiology
2017;25(2):82-86
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and compare the predictive value of 2 prediction scoring systems for diagnosis of coronary heart disease (CHD) in patients with suspected symptom, and provide information for diagnosis and therapy. Methods By prospectively studying a database of 272 patients with suspected CHD,the total score was calculated by prediction scoring system including PROCAM (The Prospective Cardiovascular Munster Study) and SCP(Suspected CHD Prediction Scoring System) with the data of clinic parameters and risk factors. All patients received coronary angiography and they were categorized into the CHD group (n =94) and non CHD group ( =178) according to the angiography result. The relationship between total scores and the SYNTAX score was evaluated by Spearman analysis and the value of the prediction scoring system was evaluated by the ROC (receiver operating characteristic) system. Results The score of PROCAM was from 6. 00 -77. 00(41. 76 ± 19. 91), and the score was significantly correlated with the extent and severity of coronary artery atherosclerosis (rs = 0. 420,P = 0. 023). The score of SCP was from 1. 00 - 13. 00(8. 64 ± 3. 42), and it was significantly correlated with the SYNTAX score (rs = 0. 482,P = 0. 016). The areas under ROC was 0. 770 (P = 0. 007) in PROCAM and that was 0. 733 (P = 0. 012) in SCP. Conclusions The nature and extent of coronary artery atherosclerosis could be evaluated by the scoring system effectively,which had a good correlation with CAG result.
