Predictors in no-reflow phenomenon in acute myocardial infarction with ST-segment elevation.

Autor:	Ruíz-Avalos JA; Departamento de Cardiología, Centro Médico Nacional del Noroeste, IMSS., Bazán-Rodríguez L; Departamento de Cardiología, Centro Médico Nacional del Noroeste, IMSS., Espinoza-Escobar G; Departamento de Cardiología, Centro Médico Nacional del Noroeste, IMSS., Martínez-Villa FA; Departamento de Cardiología, Centro Médico Nacional del Noroeste, IMSS., Ornelas-Aguirre JM; Departamento de Ciencias de la Salud, Universidad de Sonora. Ciudad Obregón, Sonora, México.
Jazyk:	angličtina
Zdroj:	Archivos de cardiologia de Mexico [Arch Cardiol Mex] 2022; Vol. 92 (4), pp. 461-468.
DOI:	10.24875/ACM.21000346
Abstrakt:	Background: No-reflow (NR) phenomenon is one of the most feared complications after percutaneous coronary intervention (PCI) in the treatment of ST-segment elevation myocardial infarction (STEMI) due to its high morbidity and mortality. Objective: To describe the predictive factors for NR phenomenon in a group of subjects with STEMI treated with PCI. Method: One hundred and three cases of STEMI who underwent PCI. The subjects were divided according to the presence of NR phenomenon. In a multivariate analysis age, gender, comorbidities, weight, and other clinical and laboratory parameters were studied as predictors of NR phenomenon were studied. Results: In this study, logistic regression analysis identified as independent factors for the development of NR phenomenon baseline TIMI flow ≤ 2 (OR 6.03; 95% CI, 0.9 to 11.8; p = 0.04), ER KDIGO ≥ 3 (OR OR 2.61; 95% CI, 1.0 to 2.4; p = 0.04). Conclusions: NR phenomenon continues to be a challenge for short and long-term morbidity and mortality in STEMI. The identified factors can be used for the stratification of cases with STEMI and risk of NR phenomenon prior to PCI. (Copyright: © 2022 Permanyer.)
Databáze:	MEDLINE
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