Perfusion and kinetic variations of left ventricle after primary PCI for acute myocardial infarction: correlation between clinico-angiographic and scintigraphic parameters
| Autor: | E Varani, M Balducelli, S Severi, A Patroncini, A Shoheib, G Vecchi, GR Lucchi, M Aquilina, C Corbelli, R Casanova, A Maresta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
gated SPECT
lcsh:Diseases of the circulatory (Cardiovascular) system lcsh:Internal medicine DOAJ:Medicine (General) lcsh:Specialties of internal medicine lcsh:R lcsh:Medicine perfusion Myocardial infarction DOAJ:Cardiovascular primary angioplasty lcsh:RC666-701 lcsh:RC581-951 cardiovascular system cardiovascular diseases DOAJ:Health Sciences lcsh:RC31-1245 |
| Zdroj: | Iranian Cardiovascular Research Journal, Vol 1, Iss 2, Pp 71-79 (2007) |
| ISSN: | 1735-8868 |
| Popis: | Background: The aim of the present study was to evaluate which of theclinico-angiographic parameters of acute ischemic extension and efficacy ofreperfusion in AMI treated with primary PCI are predictive of infarct size andone month left ventricular ejection fraction (LVEF).Patients and Method: Thirty-five patients with first AMI treated withprimary PCI underwent two rest 99mTc-sestamibi gated SPECT, 4-6 days and 30-40days after PCI. Clinical, electrocardiographic, angiographic and scintigraphicparameters for ischemic extent in acute phase, effective reperfusion,perfusional and kinetic outcome were collected.Results: There was a significant linear correlation among indices ofinitial ischemic extension and early perfusion defect and infarct size, whiletime to treatment (symptom onset to balloon) correlated with reperfusion indices(ST resolution, corrected TIMI frame count cTFC, myocardial perfusion grade MPG)and with late functional outcomes (smaller infarct size and better LVEF). A timeto treatment of |
| Databáze: | OpenAIRE |
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