Clinical and angiographic characteristics of patients with spontaneous reperfusion in ST-segment elevation myocardial infarction.

Medicine
Jian Wang, Song-Yuan He

Abstract

This study aims to investigate the clinical and angiographic characteristics of patients with spontaneous reperfusion in ST-segment elevation myocardial infarction (STEMI).A total of 519 patients with STEMI were enrolled in this study, who underwent primary percutaneous coronary intervention (PCI) treatments at Beijing Anzhen Hospital from January 2015 to December 2018. The patients were divided into 2 groups according to the TIMI flow grade before primary PCI, the non-spontaneous reperfusion group (TIMI flow grade 0-II) and the spontaneous reperfusion group (TIMI flow grade III). The incidence rate, the clinically relevant factors, and the features of the coronary angiographic lesions of spontaneous reperfusion from the 2 groups were recorded and analyzed.There were significant differences between the 2 groups in age, CTnI peak value, high thrombus burden, and locations of lesions in the distant of left anterior descending artery (LAD) (P = .000, .000, .002, .000, and .003, respectively). However, there were no significant differences between the groups in other clinic aspects including gender, hypertension, diabetes mellitus, smoking history, hyperlipemia, angina pectoris history, culprit vessel distribution, lesion distribut...Continue Reading

References

Aug 3, 2006·Journal of Interventional Cardiology·Kishore J HarjaiUNKNOWN Primary Angioplasty In Myocardial Infarction (PAMI) Investigators
Jan 6, 2009·The American Journal of Cardiology·Paul FeferUNKNOWN Acute Coronary Syndrome Israeli Survey (ACSIS) 2006 Study Group
Feb 25, 2014·Journal of the American College of Cardiology·Salvatore De RosaCiro Indolfi
Dec 3, 2015·International Journal of Cardiology·Alberto PolimeniCiro Indolfi

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Citations

Jan 27, 2021·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jincheng GuoJing Li

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