Selective coronary angiography, percutaneous coronary intervention and asymptomatic periprocedural myocardial injury

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F27661989%3A_____%2F17%3AN0000009" target="_blank" >RIV/27661989:_____/17:N0000009 - isvavai.cz</a>

Výsledek na webu

<a href="https://academic.oup.com/eurheartj/article-abstract/38/suppl_1/ehx493.P6089/4087092?redirectedFrom=fulltext" target="_blank" >https://academic.oup.com/eurheartj/article-abstract/38/suppl_1/ehx493.P6089/4087092?redirectedFrom=fulltext</a>

DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Selective coronary angiography, percutaneous coronary intervention and asymptomatic periprocedural myocardial injury

Popis výsledku v původním jazyce

Purpose: We sought to explore the occurrence and context of asymptomatic procedure-related myocardial damage within the routine catheterization programme. Methods: We included 220 consecutive patients with stable forms of coronary artery disease or acute coronary syndrome without persistent ST-segment elevations (NSTE-ACS) with intermediate or low risk. Cardiac high-sensitivity troponin I (hs-cTnI) concentrations were measured before and after coronary angiography (CAG) with or without coronary intervention (PCI). Correlations were performed with a number of clinical variables. Results: An hs-cTnI elevation above the 99th percentile of the upper reference limit (URL), or above 20% of the initially positive already decreasing values occurred in 60 (37.2%) patients after CAG and in 45 (76.2%) patients after PCI. Statistical analysis in the subgroup of patients with initially negative hs-cTnI (N=157) reveals nearly identical conclusions: hs-cTnI elevation above the 99th percentile URL occurred in 43 patients (36.1%) after CAG and 29 (76.3%) after PCI. A significant relationship of hs-cTnI elevation was found in several variables: volume of contrast (p<0.001), fluorotime (p<0.001), dose-area product (p<0.001), the estimated amount of contrast agent applied directly into the coronary arteries (p<0.001), the total time of balloon dilation (p<0.001), the number of implanted stents (p<0.001), and the total length of the implanted stents (p<0.001).

Název v anglickém jazyce

Selective coronary angiography, percutaneous coronary intervention and asymptomatic periprocedural myocardial injury

Popis výsledku anglicky

Purpose: We sought to explore the occurrence and context of asymptomatic procedure-related myocardial damage within the routine catheterization programme. Methods: We included 220 consecutive patients with stable forms of coronary artery disease or acute coronary syndrome without persistent ST-segment elevations (NSTE-ACS) with intermediate or low risk. Cardiac high-sensitivity troponin I (hs-cTnI) concentrations were measured before and after coronary angiography (CAG) with or without coronary intervention (PCI). Correlations were performed with a number of clinical variables. Results: An hs-cTnI elevation above the 99th percentile of the upper reference limit (URL), or above 20% of the initially positive already decreasing values occurred in 60 (37.2%) patients after CAG and in 45 (76.2%) patients after PCI. Statistical analysis in the subgroup of patients with initially negative hs-cTnI (N=157) reveals nearly identical conclusions: hs-cTnI elevation above the 99th percentile URL occurred in 43 patients (36.1%) after CAG and 29 (76.3%) after PCI. A significant relationship of hs-cTnI elevation was found in several variables: volume of contrast (p<0.001), fluorotime (p<0.001), dose-area product (p<0.001), the estimated amount of contrast agent applied directly into the coronary arteries (p<0.001), the total time of balloon dilation (p<0.001), the number of implanted stents (p<0.001), and the total length of the implanted stents (p<0.001).

Druh

J_ost - Ostatní články v recenzovaných periodicích

CEP obor

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OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

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Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2017

Kód důvěrnosti údajů

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

Název periodika

European Heart Journal

ISSN

0195-668X

e-ISSN

1522-9645

Svazek periodika

38

Číslo periodika v rámci svazku

Supplement 1

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

1

Strana od-do

1283-1283

Kód UT WoS článku

000440509305134

EID výsledku v databázi Scopus

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