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All Journal Medical Journal of Indonesia Indonesian Journal of Cardiology Sumatera Medical Journal Heart Science Journal Cardiovascular and Cardiometabolic Journal (CCJ) Narra J Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) The Journal of Society Medicine (JSOCMED)
Hasan, Harris
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Journal : Sumatera Medical Journal

 1 
Heart or Grace Score for Diagnostic and Risk Stratification in Acute Coronary Syndrome Patients Napitupulu, Friendina; Hasan, Harris; Afif Siregar, Abdullah
Sumatera Medical Journal Vol. 8 No. 1 (2025): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v8i1.17168

Abstract

Background: Some studies found that HEART score is better than GRACE score either as a rule-in method for myocardial infarction or as a risk stratification. However, GRACE score was also found to have better discriminatory ability as a prognostic model for patients with myocardial infarction. Objective: This study aims to evaluate whether the HEART and GRACE scores have equal capabilities either as a diagnostic method for myocardial infarction or risk stratification to predict in-hospital Major Adverse Cardiovascular Events (MACE) in Acute Coronary Syndrome (ACS) patients at Adam Malik Hospital. Methods: This research is a retrospective and prospective observational study. Retrospective data was collected from all medical records of ACS patients from January to December 2022. Prospective data was collected by consecutive sampling until 46 samples were fulfilled from October 2023 at Adam Malik Hospital. Samples included in the research analysis were those who met the inclusion criteria. To compare each score, we use the area under the receiver-operating characteristics (AUC) method. Results: HEART score is superior to GRACE score as a diagnostic method with an AUC of 0.903, a cutoff of 6.5, sensitivity of 86%, and specificity of 80%. The GRACE score is superior to the HEART score as a risk stratification with an AUC of 0.719, a cutoff of 128.5, sensitivity of 66%, and specificity of 65%. Conclusion: HEART score is superior for diagnosis, and GRACE score is superior for risk stratification.
SYNTAX Score II as a Predictor of One-Year Major Adverse Cardiovascular Events in Patients with Chronic Coronary Syndrome and Type 2 Diabetes Mellitus Undergoing Percutaneous Coronary Intervention Elsa Tamara Saragih; Hasan, Harris; Raynaldo, Abdul Halim; Andra, Cut Aryfa; Haykal, Teuku Bob; Ilyas, Kamal Kharazzi
Sumatera Medical Journal Vol. 9 No. 2 (2026): Sumatera Medical Journal (SUMEJ)
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/sumej.v9i2.23616

Abstract

Background: The severity of coronary atherosclerotic lesions is an important determinant of cardiovascular events in patients with CAD. The SS-II (SYNTAX-II) score, which integrates anatomical characteristics with clinical variables, provides improved prognostic value compared with anatomical scoring alone. Objective: To determine whether the SS-II predicts one-year MACE in CCS patients with T2DM who undergo PCI. Methods: This observational analytic study employed a retrospective cohort design including patients treated from June 2023 to August 2024. A total of 128 CCS patients with T2DM who underwent PCI were enrolled. Bivariate and multivariate analyses were performed to examine the association between the SS-II and MACE. One-year MACE-free survival was analyzed using Kaplan–Meier curves.  Results: MACE occurred more frequently among patients with high SS-II scores (22 [34.4%], P < 0.001). Mortality and acute heart failure were both significantly associated with the SS-II (P = 0.042 and P = 0.03, respectively). Patients with high scores had significantly lower one-year MACE-free survival. Conclusion: The SS-II is a valuable predictor of one-year MACE in CCS patients with T2DM undergoing PCI.
Co-Authors Afif Siregar, Abdullah Akbar, Nizam Zikri Ambari, Ade Meidian Anandini, Hesti Andra, Cut A. Andra, Cut Aryfa Anggoro Budi Hartopo Anggraeni, Vita Yanti Ardini, Tengku Winda Arityanti, Dean Badai Bhatara Tiksnadi Batubara , Gio Justisia Chan, Muhammad Ikhsan Cholid Tri Tjahjono Dangana, Amos Desandri, Dwita Rian Dwiputra, Bambang Elsa Tamara Saragih Erwan, Nabila Erina Faisal Adam, Faisal Febrianora, Mega Ferhat, Muhammad Fitra, Maha Hasan, Refli Hashmi, T. Rifqi Haykal, T. Bob Hergaf, Indah Widyasari Ilyas, Kamal Kharazzi Ilyas, Kamal Kharrazi Irsad Andi Arso, Irsad Andi Kesumawardani, Enggar Sari Ketaren, Andre Pasha Khaidirman, Sophia K. Khairunnisah, Dina Krevani, Citra Kiki Lubis, Anggia Chairuddin Lubis, Hilfan Ade Putra Lubis, Hilfan AP. Makes, Indira Kalyana Muhammad Ridwan Mukhtar, Zulfikri Napitupulu, Friendina Nasution , Ali Nafiah Nasution, Ali Nafiah Nasution, Umi Hazzar Putra, Muhammad Hafiz Mahruzza Qhabibi, Faqrizal Ria Ramzi, Defriyan Raynaldo, Abdul Halim Reynaldo, Abdul Halim Rita Hamdani Safri, Zainal Sarastri, Yuke Sinaga, Akbar Siregar, Yasmine Sitepu , Andika Sitepu, Andika Susilowati, Eliana Syaoqi, Muhammad Tarsidin, Najmi Fauzan Teuku Bob Haykal Yasmine Fitrina Siregar Zebua, Juang Idaman