Relationship between symptom-onset-to-balloon time and long-term mortality in patients with acute myocardial infarction treated with drug-eluting stents
| Autor: | Young-Wan Cho, Doo-Il Kim, Sang-Hee Lee, Yoon-Kyung Cho, Jeong-Sook Seo, Han Young Jin, Dong-Soo Kim, Tae-Hyun Yang, Dae-Kyeong Kim, Jae-Sik Jang |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Myocardial Infarction Electrocardiography Risk Factors Internal medicine Angioplasty medicine Stent Humans Myocardial infarction cardiovascular diseases Hospital Mortality Angioplasty Balloon Coronary Aged medicine.diagnostic_test business.industry Mortality rate Drug-Eluting Stents Thrombolysis Middle Aged medicine.disease Coronary heart disease Blood pressure surgical procedures operative Multivariate Analysis Cardiology Female Cardiology and Cardiovascular Medicine business TIMI Follow-Up Studies |
| Zdroj: | Journal of cardiology. 58(2) |
| ISSN: | 1876-4738 |
| Popis: | SummaryBackgroundTime from hospital arrival to reperfusion in ST-segment elevation myocardial infarction (STEMI) has been predictive of in-hospital mortality. The purpose of this study was to evaluate the relationship between symptom-onset-to-balloon time and long-term mortality in patients with STEMI in the drug-eluting stent (DES) era.MethodsA series of 393 patients with STEMI treated with DES from 2005 to 2007 was stratified according to risk profile and preprocedural Thrombolysis In Myocardial Infarction (TIMI) flow grade, and clinical, angiographic, and follow-up data were collected.ResultsA total of 98 (24.9%) low-risk patients and 295 (75.1%) non-low-risk patients were identified. Three-year mortality rate was 3.1% for low-risk patients and 10.2% for non-low-risk patients (p=0.034), respectively; however it did not differ according to symptom-onset-to-balloon time in either low-risk (p=0.333) or non-low-risk patients (p=0.881). Similarly, symptom-onset-to-balloon time and mortality were not related to preprocedural TIMI flow (p=0.474 for TIMI 0–1; p=0.428 for TIMI 2–3). In multivariate analysis, final TIMI flow 0–2, systolic blood pressure |
| Databáze: | OpenAIRE |
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