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The factors studied for prediction of coronary no-reflow in patients with STEMI after emergency coronary intervention with primary drug-eluted stenting / 中华急诊医学杂志
Chinese Journal of Emergency Medicine ; (12): 1170-1173, 2011.
Article in Chinese | WPRIM | ID: wpr-422181
ABSTRACT
Objective To assess independent no-reflow predictors in patients with STEMI after primary drug-eluted stenting.Method A prospective study was carried out in 1413 patients with STEMI treated with primary drug-eluted stenting within 12 hours after onset of AMI from January 2007 through March 2010.The patients were divided into the no-reflow group and the normal reflow group.Univariate and multivariate logistic regression were applied to identification of no-reflow predictors.Results The no-reflow was found in 297(21.0%)of 1413 patients.Univariate and multivariate logistic regression identified that age >65 years,long time from onset to reperfusion >6 hours,admission plasma glucose(APG)> 13.0mmol/L,collateral circulation ≤ 1,pre-percutaneous coronary intervention(PCI)thrombus score ≥ 4,and intra-aortic balloon pump(IABP)used before PCI(P <0.05)were independent no-reflow predictors.The no-reflow rate significantly increased as the number of predictors increased(P < 0.01).Conclusions There are 6 factors associated with coronary no-reflow used for prediction in patients with STEMI after primary drug-eluted stenting.

Full text: Available Index: WPRIM (Western Pacific) Type of study: Observational study / Prognostic study Language: Chinese Journal: Chinese Journal of Emergency Medicine Year: 2011 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Observational study / Prognostic study Language: Chinese Journal: Chinese Journal of Emergency Medicine Year: 2011 Type: Article