| Autor: |
Aycan Esen, Zencirci, Erturul, Zencirci, Aleks, Değirmencioğlu, Aysun, Erdem, Gültekin, Karakuş, Kivilcim, Özden, Fatma, Karadeniz, Ali, Buturak, Erdal, Belen, Fatih, Tipi, Mehmet, Eren |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
Hellenic journal of cardiology : HJC = Hellenike kardiologike epitheorese. 56(4) |
| ISSN: |
2241-5955 |
| Popis: |
The determinants of clinical outcomes in patients with acute ST-elevation myocardial infarction (STEMI) are still being debated. The aim of this study was to investigate the prognostic value of the no-reflow phenomenon and epicardial adipose tissue (EAT) thickness for clinical outcomes in patients undergoing primary percutaneous coronary intervention (pPCI) for STEMI.The present study prospectively included 114 consecutive patients (mean age 54 ± 10 years, 15 women) who underwent successful pPCI. Patients were divided into two groups according to the occurrence of the no-reflow phenomenon and further subdivided according to the tertile of EAT thickness (Group I5.1 mm, Group II ≥5.1 mm). We assessed the composite and separate occurrence of major adverse cardiac events.Throughout the 3-year follow up, the number of admissions for heart failure was significantly higher in patients with no-reflow (n=5 [20%] vs. n=1 [1%], p=0.003) and in female patients (n=4 [26%] vs. n=2 [2%], p=0.004). In the subgroup analysis, group I patients with no-reflow showed a higher frequency of admission for heart failure (n=4 [44%] vs. n=1 [6%], p=0.04). However, multivariate logistic regression analysis demonstrated that only no-reflow and female sex independently predicted admission for heart failure (OR: 19.3, 95%CI: 1.4-269.7, p=0.03, and OR: 24.9, 95%CI: 2.2-288.8, p=0.01, respectively).No-reflow and female sex are independent predictors of admission for heart failure in the longterm follow up of patients with STEMI. However, EAT thickness is not associated with clinical outcomes after pPCI. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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