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SYNTAX Score

Segment Number Segment Definition Explanation Right Dominant Left Dominant
2 Right Coronary Mid Segment From the origin of the first acute marginal branch to the origin of the second acute marginal branch 1 0
3 Right Coronary Distal Segment In left dominant, the portion after the origin of the second acute marginal branch; in right dominant, from the origin of the second acute marginal branch to the origin of the posterior descending artery 1 0
4 Posterior Descending Artery Exists only in right dominant 1 Does not exist
16 Right Left Ventricular Posterior Branch Portion after the posterior descending artery; exists only in right dominant 0.5 Does not exist
16a Right Left Ventricular Posterior Branch 0.5 Does not exist
16b Right Left Ventricular Posterior Branch 0.5 Does not exist
16c Right Left Ventricular Posterior Branch 0.5 Does not exist
5 Left Main 5 6
6 Proximal Anterior Descending Artery From the opening of the anterior descending artery to the origin of the first diagonal branch 3.5 3.5
7 Mid Anterior Descending Artery From the first diagonal branch to the origin of the second diagonal branch 2.5 2.5
8 Distal Anterior Descending Artery Portion after the origin of the second diagonal branch 1 1
9 First Diagonal Branch 1 1
9a First Diagonal Branch Side Branch 1 1
10 Second Diagonal Branch 0.5 0.5
10a Second Diagonal Branch Side Branch 0.5 0.5
11 Proximal Circumflex Artery From the opening of the circumflex artery to the origin of the second obtuse marginal branch 0.5 2.5
12 Intermediate/Anterior Lateral Branch Originating from the left main root, located between the anterior descending artery and the circumflex artery 1 1
12a First Obtuse Marginal Branch 1 1
12b Second Obtuse Marginal Branch 1 1
13 Distal Circumflex Artery From the second obtuse marginal branch to the origin of all left ventricular posterior branches 0.5 1.5
14 Left Ventricular Posterolateral Branch Posterolateral branch originating from the circumflex artery 0.5 1
14a Left Ventricular Posterolateral Branch 0.5 1
14b Left Ventricular Posterolateral Branch 0.5 1
15 Posterior Descending Artery Originating from the circumflex artery; exists only in left dominant Does not exist 1
15a Posterior Descending Artery Does not exist 1
15b Posterior Descending Artery Does not exist 1
15c Posterior Descending Artery Does not exist 1