Survivors of acute myocardial infarction at left main trunk undergoing primary percutaneous coronary intervention

Cardiovascular Intervention and Therapeutics
Sho HashimotoKeizo Furukawa

Abstract

Acute myocardial infarction (AMI) at left main trunk (LMT) is a deteriorated condition with high in-hospital morbidity and mortality; however, detailed data regarding AMI patients with LMT as culprit lesion (LMT-AMI patients) undergoing primary percutaneous coronary intervention (PCI) has been still limited. Using the AMI-Kyoto Multi-Center Risk Study database, clinical background, angiographic findings and results of primary PCI were retrospectively compared between primary PCI-treated LMT-AMI patients without in-hospital death (survivors, n = 21) and those with in-hospital death (non-survivors, n = 19). The survivors had higher values of estimated glomerular filtration rate (eGFR) and systolic blood pressure at admission and lower prevalence of Killip grade 4 than the non-survivors. Pre-procedural thrombolysis in myocardial infarction (TIMI) flow grade ≥2 at the initial coronary angiography (CAG) and post-procedural TIMI flow grade 3 at the final CAG were more frequent in the survivors, compared with the non-survivors. In contrast, age and gender did not differ significantly between the two groups. On multivariate analysis, higher eGFR and Killip grade 4 at admission were found to be independent in-hospital prognostic factors...Continue Reading

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Citations

Sep 10, 2017·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Takashi YamauchiUNKNOWN Osaka Cardiovascular Surgery Research Group (OSCAR)
Jul 14, 2021·Cardiovascular Intervention and Therapeutics·Yuya TaguchiKazushige Kadota

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