ASSESSMENT OF RELATIONSHIP FOR GRACE SCORE AND CORONARY LESION SEVERITY IN YOUNG PATIENTS WITH ACUTE CORONARY SYNDROME

Abstract

Aim. The analysis of relationship between coronary arteries lesion, patients’ age, type of acute coronary syndrome (ACS) and risk level by GRACE.Material and methods. Totally, 179 patients included at the age 24-65 y.o. (mean age 51,2±7,0), hospitalized for ACS. All patients underwent coronary angiography during hospitalization.Results. In ST elevation ACS two-vessel disease was more common (28,6%), comparing to those with non-ST ACS (15,1%), р=0,031. Regardless the correlation of GRACE risk with age, there was no relation of coronary lesion with age in our study. Mean calculated points by GRACE in non-ST ACS were 95,9±3,3, low risk patients predominated (66,2%). Also, among those with low risk by GRACE, in 48,9% coronary arteriogram showed high risk coronary anatomy.Conclusion. Low calculated risk by GRACE in young patients has low predicting ability for severe coronary lesion, which is important to note in management of non-ST elevation ACS.

Keywords

• acute coronary syndrome
• risk stratificatio