Heart 2006;92:1539-1540
EDITORIAL
Risk scoring for percutaneous coronary intervention: let’s do it!
Department of Cardiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
Correspondence to:
Dr Julian Gunn
Cardiovascular Research Unit, Clinical Sciences Building, Northern General Hospital, Sheffield, S5 7AU, UK; j.gunn@sheffield.ac.uk
The recent publication of a robust percutaneous coronary intervention (PCI) risk scoring system should stimulate every interventional cardiologist to incorporate risk adjustment into their everyday practice
Keywords: coronary angioplasty; risk score
| The first 150 words of the full text of this article appear below. |
It is now becoming common for an interventional cardiologist to be faced with the prospect of performing percutaneous coronary intervention (PCI) on patients with a variety of serious clinical problems, such as advanced age, significant co-morbidity, cardiogenic shock or contraindications for coronary artery bypass surgery. What is the operator to do? At the very least, he or she has to explain the risks of performing (and, indeed, not performing) the procedure to the patient in order to obtain fully informed consent. Ultimately, he must also retain the right not to perform the procedure personally at all. Perhaps he should seek a second opinion, or assistance from a more experienced colleague. How are these decisions to be made? Do we have any guidance?
Cardiac surgeons are accustomed to using formal scoring systems such as Parsonnet and EuroScore to assist them in their decision-making.1,2 Both systems are well known to have their
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- Risk scoring for percutaneous coronary intervention: we've done it!
- Antony D Grayson, et al.
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