Relationship between the Extent of Coronary Artery Disease and In-stent Restenosis in Patients with Acute ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention
| Autor: | Yalçın Gökoğlan, Salim Yaşar, Uygar Cagdas Yuksel, Mustafa Koklu, Suat Görmel, Erkan Yildirim, Atila Iyisoy, Baris Bugan, Murat Celik, Cem Barçın |
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| Rok vydání: | 2017 |
| Předmět: |
Male
lcsh:Internal medicine lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty medicine.medical_treatment Myocardial Infarction lcsh:Medicine Coronary Artery Disease Coronary Restenosis Coronary artery disease Percutaneous Coronary Intervention Restenosis Internal medicine medicine Humans cardiovascular diseases Myocardial infarction lcsh:RC31-1245 Coronary atherosclerosis Aged Retrospective Studies Ejection fraction business.industry lcsh:R Percutaneous coronary intervention Stent percutaneous coronary intervention stent restenosis Middle Aged medicine.disease Coronary arteries medicine.anatomical_structure lcsh:RC666-701 Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Türk Kardiyoloji Derneği Arşivi, Vol 45, Iss 8, Pp 702-708 (2017) |
| ISSN: | 1016-5169 |
| DOI: | 10.5543/tkda.2017.72921 |
| Popis: | Objective: The pathophysiological mechanism of in-stent restenosis (ISR) is different from atherosclerosis of native coronary arteries. The aim of this study was to evaluate the relationship between ISR and the extent of coronary artery disease (CAD), and to identify other risk factors associated with ISR in ST-segment elevation myocardial infarction (STEMI) patients. Methods: A total of 372 consecutive patients presenting with first acute STEMI who were successfully treated with primary percutaneous coronary intervention within 12 hours from the onset of symptoms and who had an angiographic follow-up at 3 months were included in the study. The extent of CAD was calculated using the Gensini score. Results: The incidence of ISR observed in our group of patients was 23.4% (n=87). The mean Gensini score was significantly higher in patients with ISR when compared with group without restenosis (69 [range: 51–90] vs 42 [range: 32–61]; p |
| Databáze: | OpenAIRE |
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