Does pre-angiography Total ST-segment resolution reliably predict spontaneous reperfusion of the infarct-related artery in patients with acute myocardial infarction?

Autor: Xinchun Yang, Zongsheng Guo
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system
Time Factors
medicine.medical_treatment
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary Angiography
Risk Assessment
Percutaneous coronary intervention
03 medical and health sciences
Electrocardiography
0302 clinical medicine
Predictive Value of Tests
Risk Factors
Internal medicine
Coronary Circulation
medicine
ST segment
Humans
In patient
ST resolution
030212 general & internal medicine
Myocardial infarction
cardiovascular diseases
Prospective Studies
Angiology
Aged
medicine.diagnostic_test
business.industry
Cardiac mortality
Middle Aged
medicine.disease
Coronary Vessels
Cardiac surgery
surgical procedures
operative
ST elevation myocardial infarction
Treatment Outcome
lcsh:RC666-701
Conventional PCI
Angiography
Reperfusion
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Research Article
Zdroj: BMC Cardiovascular Disorders
BMC Cardiovascular Disorders, Vol 19, Iss 1, Pp 1-8 (2019)
ISSN: 1471-2261
Popis: Background ST resolution (STR) after AMI is a non-invasive indicator of IRA reperfusion. We investigated whether pre-angiography STR predicted spontaneous IRA reperfusion in STEMI patients. Method Patients with STEMI undergoing primary PCI were recruited. Standard 12-lead ECG tracings were recorded at first medical contact, immediately prior to arterial puncture and 60 min after PCI. STR was classified as total (≥70%; group I), partial (≥30 and Results The final analysis included 349 patients (n = 77, 160 and 112 for groups I, II and III, respectively). Compared with groups I/II, pre-procedural TIMI flow in group III was less frequently grades 2 or 3 (P P P P = 0.027. STR prior to PCI was inversely correlated with 1-year combined CV events rate. STR > 70% may predict a better clinical outcome. Conclusions Assessment of STR could potentially be used to stratify risk in patients with STEMI before PCI.
Databáze: OpenAIRE
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