Clinical and angiographic predicting factors leading to unfavorable myocardial reperfusion in patients with acute ST-elevation myocardial infarction after primary percutaneous coronary intervention / 中华心血管病杂志
Chinese Journal of Cardiology
;
(12): 291-296, 2008.
Article
Dans Chinois
| WPRIM
| ID: wpr-243791
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the clinical and angiographic morphologic features leading to worse myocardial reperfusion in patients with acute ST-elevation myocardial infarction (STEMI) after primary percutaneous coronary intervention (PCI).</p><p><b>METHODS</b>Clinical and angiographic data were collected and logistic regression analysis performed in 964 STEMI patients undergoing primary PCI.</p><p><b>RESULTS</b>Logistic regression analysis showed that non-anterior myocardial infarction, pain to balloon time and degree of cardiac dysfunction were clinical predictive factors while fade-out type of angiographic morphology, ie, presence of accumulated thrombus proximal to the occlusion was angiographic predictive factor of worse reperfusion for STEMI patients post PCI.</p><p><b>CONCLUSION</b>These predictive clinical and angiographic morphologic factors in STEMI patients for worse myocardial reperfusion post PCI could help to identify patients at high risk post PCI.</p>
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Thérapeutique
/
Imagerie diagnostique
/
Reperfusion myocardique
/
Angioplastie coronaire par ballonnet
/
Coronarographie
/
Infarctus du myocarde
Type d'étude:
Etude diagnostique
/
Étude pronostique
Limites du sujet:
Adulte
/
Adulte très âgé
/
Aged80
/
Femelle
/
Humains
/
Mâle
langue:
Chinois
Texte intégral:
Chinese Journal of Cardiology
Année:
2008
Type:
Article
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