| Autor: |
Jain, Rakesh, Jain, Priyanka, Jha, Mukesh Jitendra, Bhandari, Vinod, Behal, Simran, Kosta, Susmit |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2021, Vol. 12 Issue 6, p1900-1905, 6p |
| Abstrakt: |
Introduction: It is usually considered that pain in acute coronary syndrome has no localising value to identify the coronary artery involved. A few studies have tried to correlate the location and radiation of pain to the occluded vessel with conflicting results. The present study was done to find out the relationship between the site and / or radiation of chest pain with culprit artery in acute ST elevation myocardial infarction (STEMI). Methods: Out of 469 patients admitted with STEMI for primary PCI, 274 patients were included. Exclusion criteria included patients with prior history of coronary syndrome, patients with multivessel disease (>50% lesion in non-culprit vessels), unable to localise the site and/or radiation of chest pain and unwillingness to give consent. Results: Majority of the patients (62.5%) with chest pain radiating to left arm were having LAD occlusion while the majority of the patients (57.1%) with chest pain radiating to right arm were having RCA occlusion. Patients with chest pain radiating to neck and or jaw were having statistically significant higher occlusion of RCA (96.4%) with a p value of <0.05. Surprisingly, LAD involvement was not present even in single case in acute coronary syndrome patients presented with chest pain radiating to neck/jaw. Conclusion: The present study showed a very high positive predictive value (96.42%) of radiation of anginal pain to neck/jaw radiation for predicting the RCA occlusion in patients presenting with acute ST elevation MI. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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