Outcomes following primary percutaneous coronary intervention for unprotected left main-related ST-segment elevation myocardial infarction
| Autor: | Chiara Angeletti, Antonio Silvestro, Alfonso Ielasi, Antonio Saino, Maurizio Tespili, Alessandra Costalunga, Davide Personeni |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Population Shock Cardiogenic Sudden cardiac death Percutaneous Coronary Intervention Internal medicine medicine Humans Myocardial infarction education Anterior Wall Myocardial Infarction Killip class Aged Retrospective Studies Aged 80 and over education.field_of_study Ejection fraction business.industry Cardiogenic shock Mortality rate Percutaneous coronary intervention General Medicine Middle Aged medicine.disease Treatment Outcome Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of cardiovascular medicine (Hagerstown, Md.). 16(3) |
| ISSN: | 1558-2035 |
| Popis: | INTRODUCTION Unprotected left main (ULM) related ST-segment elevation myocardial infarction (STEMI) is a severe event, often leading to circulatory failure and/or sudden cardiac death. Although high-risk ULM thrombosis populations treated by primary percutaneous coronary intervention (PPCI) have been previously described, very little is known regarding the outcomes following PPCI for ULM-related STEMI in a hospital without on-site surgical back-up. METHODS A retrospective cohort analysis was performed on all consecutive patients who underwent PPCI for ULM-related STEMI in a single center. The primary end-point was to assess in-hospital mortality in the overall population and according to the presence/absence of cardiogenic shock at admission. RESULTS Between October 2006 and December 2012, 1094 patients underwent PPCI for STEMI. PPCI for ULM-related STEMI was performed in 34 (3.1%) patients. Among these, 22 (64.7%) were in cardiogenic shock at admission. Baseline mean ejection fraction was lower (P = 0.008), whereas the prevalence of patients with pre-procedural cardiac arrest and Killip Class III-IV was significantly higher in the cardiogenic shock (P = 0.05 and P |
| Databáze: | OpenAIRE |
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