Early and Mid-Term Clinical Outcome of Emergency PCI in Patients with STEMI due to Unprotected Left Main Coronary Artery Disease
| Autor: | Francesco De Felice, Carmine Musto, Gabriella Guasticchi, Antonio Parma, Piero Borgia, Marco Stefano Nazzaro, Paolo Giorgi Rossi, Rosario Fiorilli, F.E.S.C. Roberto Violini M.D., Francesco Chini |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Mortality rate Cardiogenic shock Hazard ratio Percutaneous coronary intervention medicine.disease surgical procedures operative Internal medicine Angioplasty Conventional PCI medicine Cardiology Radiology Nuclear Medicine and imaging cardiovascular diseases Myocardial infarction Cardiology and Cardiovascular Medicine business TIMI |
| Zdroj: | Journal of Interventional Cardiology. 25:215-222 |
| ISSN: | 0896-4327 |
| DOI: | 10.1111/j.1540-8183.2011.00712.x |
| Popis: | Objectives: Evaluation of acute and mid-term outcomes of patients with ST-elevation myocardial infarction (STEMI) undergoing emergency PCI due to unprotected left main coronary artery (ULMCA) disease. Background: STEMI patients due to ULMCA disease represent a rare, high risk group. Percutaneous coronary intervention (PCI) may be the preferred strategy of myocardial revascularization but there are few data about this topic. Methods: We analyzed 30-day and mid-term mortality of 58 patients with STEMI and ULMCA disease as culprit lesion treated in our centre by emergency PCI between 2000 to 2010. Results: Mean age was 67.3 ± 11.5 years. Thirty (51.7%) patients had cardiogenic shock on admission. PCI success was achieved in 54 patients (93.1%). Mean follow-up was 15.8 ± 10.9 months (median 14, range 6–45). Thirty-day and mid-term mortality rates were 39.7% and 44%. Backward binary logistic regression model identified cardiogenic shock at presentation (OR 12.6, 95% CI 2.97–53.6, P < 0.001), age ≥75 years (OR 5.9, 95% CI 1.3–26.5, P = 0.019) and post-PCI TIMI flow grade |
| Databáze: | OpenAIRE |
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