Primary percutaneous coronary intervention is appropriate in transient ST-elevation myocardial infarction

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F22%3A00076049" target="_blank" >RIV/65269705:_____/22:00076049 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/22:00124904

Result on the web

<a href="https://biomed.papers.upol.cz/artkey/bio-202202-0009_primary-percutaneous-coronary-intervention-is-appropriate-in-transient-st-elevation-myocardial-infarction.php" target="_blank" >https://biomed.papers.upol.cz/artkey/bio-202202-0009_primary-percutaneous-coronary-intervention-is-appropriate-in-transient-st-elevation-myocardial-infarction.php</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5507/bp.2021.005" target="_blank" >10.5507/bp.2021.005</a>

Result language

angličtina

Original language name

Primary percutaneous coronary intervention is appropriate in transient ST-elevation myocardial infarction

Original language description

Introduction. Reperfusion therapy by primary percutaneous coronary intervention (PPCI) is generally indicated in patients suffering from acute myocardial infarction (MI) with ST-segment elevation (STEMI). Prior to hospital admission, full ST-segment resolution (fSTR) may occur. Optimal management of such patients with transient STEMI (TSTEMI) is potentially challenging. Our aim was to evaluate the hypothesis that in TSTEMI patients, patency of infarct related artery (IRA) is achieved before PPCI, and to compare the outcome of TSTEMI and STEMI patients during a prolonged follow-up. Material and Methods. Three hundred consecutive adult STEMI patients were referred to catheterization laboratory. In all patients, standard 12 lead ECGs were obtained both at the time of the first medical contact, and on catheterization laboratory admission. Results. TSTEMI occurred in 20 patients (6.7%). Despite fSTR (isoelectric ST segment), occluded IRA was found in 5 of these patients (25%). Pre-PPCI TIMI flow grade 2 was found in 6 TSTEMI patients (30%). Troponin T value at 24 h after symptom onset was lower in the TSTEMI group (1.8 +/- 2.5 mg/L vs. 3.6 +/- 3.5 mg/L, P=0.008). These patients also had a lower value of brain natriuretic peptide (156.3 +/- 119.5 ng/L vs. 438.5 +/- 429.0 ng/L, P&lt;0.001) and higher left ventricular ejection fraction (59.9 +/- 6.3% vs. 51.6 +/- 10.2%, P&lt;0.001). All patients were followed for a median of 5.6 years during which the overall survival did not differ between the TSTEMI and STEMI groups. Conclusion. Primary PCI is strongly recommended in TSTEMI patients because of a relatively high incidence of occluded infarct related arteries. The rate of patients with TSTEMI is relatively low.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30100 - Basic medicine

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Biomedical papers - Olomouc

ISSN

1213-8118

e-ISSN

1804-7521

Volume of the periodical

166

Issue of the periodical within the volume

2

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

7

Pages from-to

180-186

UT code for WoS article

000731339500001

EID of the result in the Scopus database

2-s2.0-85130643694