The Incidence and Risk Factors of Acute Asymptomatic Brain Infarcts After Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction

Autor: Ling-jie He, Jian-wei Zhang, Qing Yang, Shu-jun Cao, Shi-wei Yang, Bin Nie, Xiao-han Xu, Yu-jie Zhou
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: International Journal of Gerontology, Vol 8, Iss 2, Pp 70-73 (2014)
Druh dokumentu: article
ISSN: 1873-9598
DOI: 10.1016/j.ijge.2013.12.001
Popis: Objective: This study aimed to evaluate the incidence and related factors of acute asymptomatic brain infarcts (aABI) following percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) via the right radial approach. Patients and methods: Two hundred ten consecutive patients with AMI were enrolled. Multiple factors were compared between patients with (n = 37) and without (n = 138) aABI in 175 patients who underwent PCI. Results: Of 175 patients with AMI, 37 (21.14%) developed aABI as determined by diffusion-weighted magnetic resonance imaging (MRI). Incidence of hypertension, proportion of primary PCI (p-PCI), Killip > 1 on admission, duration of procedure, and the frequency of device insertion into the coronary artery significantly differed between the aABI and non-aABI groups. These significant factors were reevaluated using logistic regression. Proportion of p-PCI, duration of the procedure, and the frequency of device insertion into the coronary artery were indicated as independent factors related to the incidence of aABI and others did not. Conclusion: Cranial MRI imaging following PCI revealed that 21.14% of the patients with AMI had aABI. The independent factors related to aABI following PCI were p-PCI, duration of the procedure, and the frequency of device insertion into the coronary artery.
Databáze: Directory of Open Access Journals