Is There a Relationship Between Metabolic Equivalence and the SYNTAX Score as Strong Prognostic Markers?

Turk Kardiyol Dern Ars. 2024 Mar;52(2):110-115. doi: 10.5543/tkda.2023.20745.


Objective: The metabolic equivalent (MET) and Synergy between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery (SYNTAX) score are two parameters with known cardiovascular prognostic significance. In this study, we aimed to investigate the direct relationship between MET and SYNTAX score in patients with chronic coronary syndrome (CCS).

Method: This retrospective study included 200 patients over 18 years of age who underwent coronary angiography and had a positive exercise electrocardiography test result. Patients were divided into two groups: Group 1 with a low SYNTAX score and Group 2 with a medium-high SYNTAX score. MET values were then compared between these groups.

Results: Baseline demographic characteristics and laboratory values were similar between the groups. The mean MET values in the low and medium-high SYNTAX score groups were 9.36 ± 2.38 and 8.78 ± 2.43, respectively. No statistical difference was observed (P = 0.086). Additionally, there was no statistical difference between the two groups in terms of MET values being 10 ≤ or 10 > (P = 0.172).

Conclusion: The main conclusion of our study is that there is no correlation between the SYNTAX score and functional MET value in CCS.

MeSH terms

  • Adolescent
  • Adult
  • Coronary Angiography
  • Coronary Artery Disease* / diagnostic imaging
  • Coronary Artery Disease* / surgery
  • Humans
  • Metabolic Equivalent
  • Percutaneous Coronary Intervention*
  • Prognosis
  • Retrospective Studies
  • Risk Assessment
  • Risk Factors
  • Treatment Outcome