Prognostic Impact of Chronic Total Occlusion on Non-infarct-related Artery in Patients of Acute ST-elevation Myocardial Infarction With Emergent Primary Percutaneous Coronary Intervention / 中国循环杂志
Chinese Circulation Journal
; (12): 20-24, 2016.
Article
in Zh
| WPRIM
| ID: wpr-487012
Responsible library:
WPRO
ABSTRACT
Objective:
To study the prognostic impact of chronic total occlusion (CTO) on non-infarct-related artery (non-IRA) in patients of acute ST-elevation myocardial infarction (STEMI) with emergent primary percutaneous coronary intervention (PCI).Methods:
In this prospective study, a total of 185 consecutive acute STEMI patients received early stage primary PCI in our hospital from 2010-01to 2011-06 were enrolled. The patients were divided into 2 groupsnon-CTO group, n=160 and CTO group, n=25. The patients were followed-up for 1 year and the primary endpoint events included the hospitalization for angina, re-MI, heart failure or revascularization and cardiac death.Results:
①There were more patients with diabetes and three vessel disease in CTO group than those in non-CTO group (40.0%vs 20.0%, P=0.049) and (68.0%vs 36.3%, P=0.003);LVEF in CTO group was lower than non-CTO group (40.0 ± 20.1%vs 51.3 ± 15.3%, PConclusion:
Non-IRA combining CTO in STEMI patients with primary PCI are usually having poor prognosis.
Full text:
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Index:
WPRIM
Type of study:
Observational_studies
/
Prognostic_studies
Language:
Zh
Journal:
Chinese Circulation Journal
Year:
2016
Type:
Article