Sobrevida a largo plazo de pacientes con infarto agudo del miocardio en presencia de oclusiones crónicas totales en vaso no culpable / Prognostic value of the presence of a chronic total occlusion in patients with acute myocardial infarction
Rev. méd. Chile
;
150(2): 178-182, feb. 2022. ilus, tab
Article
in Spanish
| LILACS
| ID: biblio-1389641
ABSTRACT
BACKGROUND:
The presence of a chronic total occlusion (CTO) in a non-infarct-related artery in patients with acute myocardial infarction (AMI), may be a sign of bad prognosis.AIM:
To estimate the long-term survival of patients with AMI who were studied with coronarography during 2013-2014 who had one or more CTO in a non-infarct-related artery. MATERIAL ANDMETHODS:
Review of coronary angiograms performed between 2013 and 2014 to patients with an AMI. Patients were grouped as having or not a CTO in a non-infarct-related artery. Their medical records were reviewed, and mortality was determined requesting their death certificates.RESULTS:
Of 993 patients with AMI under-going coronarography, 233 (23.5%) had at least one CTO. Patients with CTO were older (66 and 62 years respectively). They also had a higher prevalence of hypertension, diabetes mellitus (DM), kidney failure and moderate to severe systolic ventricular dysfunction. The independent predictors of mortality were CTO, age, DM and kidney failure. Survival at an average follow-up period of 57 months was significantly higher in patients without CTO (89.5 and 80.3% respectively, p < 0.01).CONCLUSIONS:
The presence of CTO in patients with acute myocardial infarction is associated with a higher frequency of cardiovascular risk factors and lower long-term survival.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Renal Insufficiency
/
Coronary Occlusion
/
Percutaneous Coronary Intervention
/
Myocardial Infarction
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2022
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Guillermo Grant Benavente/CL
/
Universidad de Concepción/CL
Similar
MEDLINE
...
LILACS
LIS